While a 55-year-old patient is being interviewed for elective surgery, the patient
reports taking no medications, except for echinacea. The perianesthesia nurse is
aware that teaching instructions include:
A. continuing all herbal supplements up to the day of surgery.
B. discontinuing all herbal supplements 2 weeks prior to surgery.
C. knowing that 60% of all modern drugs are derived from plants.
D. discontinuing all herbal supplements 2 days prior to surgery. Ans✓✓-B.)
discontinuing all herbal supplements 2 weeks prior to surgery.
A 3-year-old patient with a history of spina bifida is received postoperatively with
audible wheezes and retractions. The perianesthesia nurse observes blisters
under an adhesive bandage and suspects: Ans✓✓-a latex allergy or sensitivity.
Following spinal anesthesia, the best indicator of complete return of function is
the ability to: Ans✓✓-urinate.
A patient arrives in the PACU following liver biopsy. The patient is lying on the left
side and is complaining of pain. The perianesthesia nurse's first action is to:
cover the patient with a blanket.
notify the physician for an IV pain medication order.
quickly connect the patient to the monitors.
reposition the patient on the right side. Ans✓✓-reposition the patient on the
right side
,When transferring a patient, a standardized approach to the hand-off report
includes an opportunity for the receiving nurse to:
obtain patient valuables from the transferring nurse.
ask questions from the transferring nurse.
view the patient's past medical records.
ask questions of the patient regarding their care. Ans✓✓-ask questions from the
transferring nurse
Upon a patient's arrival to the PACU, the perianesthesia nurse assesses the
correct placement of the endotracheal tube by:
evaluating the respiratory effort.
checking the cuff inflation.
measuring residual tidal volume.
auscultating the chest bilaterally. Ans✓✓-auscultating the chest bilaterally
The purpose of administering metoclopramide during the preoperative period is
to:
control intraoperative anesthesia requirements.
potentiate the effects of benzodiazepines.
promote gastric emptying.
increase gastric pH. Ans✓✓-promote gastric emptying
For a 9-year-old patient, the most appropriate preoperative teaching approach
focuses on:
audiovisual material that explains what to expect.
avoiding unnecessary separation from the parent.
, verbal explanations of what will happen.
instructions relayed to the parents. Ans✓✓-audiovisual material that explains
what to expect
The major symptom of compartment syndrome is:
hypertension.
diminished pulse pressure.
excessive pain.
spasticity. Ans✓✓-excessive pain
When caring for an elderly patient after spinal anesthesia, resolution may be
prolonged because:
the lean-to-fat ratio is altered.
drug elimination is delayed.
nerve transmission is impaired.
more anesthetic is required. Ans✓✓-drug elimination is delayed
To lessen vertigo, nausea, and vomiting immediately following tympanoplasty, the
perianesthesia nurse places the patient in which optimal position?
Semi-Fowler's at 45 degrees
Lateral on the operated side
Position of comfort
Lateral on the unoperated side Ans✓✓-lateral on the unoperated side
An early sign of a malignant hyperthermia crisis is: