Perioperative Nursing
When does the perioperative phase begin?
When the decision to have surgery has been made.
What classification of surgery is expected for cataract removal?
Elective
What type of drain is used status post cholecystectomy?
T-Tube
What side of the brain is affected if a patient has left sided hemiplegia?
Right side
Jerry Springer is breathing 6 times a minute with snoring respirations. He is unresponsive with pinpoint pupils. What medication is indicated?
Naloxone Hcl
Hubert states he takes daily garlic, ginger, ginseng, and St. John's Wort. As a nurse you understand that which of the supplements increases instances of hypertension?
Ginseng
A patient is undergoing a surgery that has a high risk for bleeding, which approach would the surgeon most likely choose?
Laparoscopic, Open, Endotracheal, Emergent
Open
What maneuver should be attempted if a patient has snoring respirations and has no spinal precautions?
Head tilt chin lift
Solomon is brought into the emergency department and has been diagnosed with a thrombotic stroke. The last time he was known to be normal (LKW) was 3 hours and 45 minutes ago. What medication is most likely to be administered?
What sedative medication should be avoided if a patient has a soy allergy?
Propofol
Betty-Sue is a 27 year old female that is requiring an emergent cesarean section. You notice that her end-tidal carbon dioxide (ETCO2) is 56, which is an increase from 37 2 minutes ago. What medication do you expect to be ordered and given immediately?
Dantrolene- s/s of MH
Heidi is in the postoperative care unit and you are assessing vital signs. Based on the below vital signs, what is occurring with Heidi?
150p
68/35 BP
24 RR
90% Spo2
Hemorrhage, hypovolemia, shock
Tonka Jhari received tPA 2 hours ago and you are assuming care of Tonka in the intensive care unit (ICU). While completing your initial head to toe assessment Tonka begins to complain of a sudden, severe headache. Approximately 53 seconds after complaining of a headache, Tonka begins to violently convulse. What is the priority for this patient?
Maintain a patent airway and administer oxygen via bag valve mask (BVM) is ventilation is inadequate.
Emily was involved in a multi-system trauma and is hemodynamically unstable. You are ordered to prepare for a rapid sequence intubation (RSI) in order to have a patent airway for surgery. Which sedative medication is most likely to be used?
Etomidate- it has minimal effect to the CV system, which is ideal for patients that are not hemodynamically stable.
In a medication error vecuronium is given instead of Versed (midazolam) for preoperative anxiety. What medication is needed emergently?
Sugmmadex