Medications
Which anesthetic should be avoided in a patient who experiences hives and shortness of breath when eating egg yolks?
Propofol
What is an early sign of bupivacaine toxicity?
Muscle twitching
A patient who has a history of cocaine abuse should be closely monitored for what?
Cardiac dysrhythmias
An LMA doesn't protect the patient from __________?
Aspiration
You are assessing a patient to be discharged from PACU. What indicator shows that the patient has had a complete recovery from spinal anesthesia?
Their ability to void
An adult patient is admitted to PACU with sinus bradycardia that quickly deteriorates to asystole. The perianesthesia nurse should anticipate giving what medication?
Epinephrine 1 mg
Following spinal anesthesia, the patient may ambulate after the return of sensation to the perineum and proprioception of the _______ _______?
Great toe
Positive-pressure ventilation
According to ASPAN standards, a patient who has been diagnosed and or is suspected of having OSA should be observed in Phase II until what has returned to baseline?
Oxygen Saturation
When discharging a patient following a laparoscopic procedure, the perianesthesia nurse advises the patient that the presence of shoulder pain is _______?
Normal occurrence
How many minutes does it take for a patient to reach maximal respiratory depression following IV morphine sulfate?
7 minutes
When would an epidural block be contraindicated?
If the patient didn't stop their blood thinners.
A 25-year-old patient with a fractured femur suddenly complains of chest pain and difficulty breathing. The patient has a HR = 128 and RR = 30 with bilateral breath sounds. The nurse should suspect what post-operative complication?
Pulmonary embolus
This maneuver is the first-line intervention for relieving upper-airway obstruction in a drowsy PACU patient.
head tilt/chin lift or jaw-thrust
The anesthesia provider reports to the perianesthesia nurse that a patient received sugammadex. The nurse informs the patient to take which action for 1 week postoperatively?
Use an alternative method to oral contraceptives
Isoflurane is eliminated from the body almost exclusively through the _________?
Lungs
Why is regional anesthesia the preferred choice of anesthetic for elderly patients?
Fewer physiological changes than general anesthesia
An adult patient arrives in PACU following a bilateral inguinal hernia repair with a foley catheter in place. Regional anesthesia level is T6. The RN should be vigilant and monitor for what?
Hypotension and hypothermia
A nasopharyngeal airway must be emergently placed for a patient who is semiconscious with decreasing saturation due to sedation. The nurse knows that proper way to size the nasopharyngeal airway is to measure from _______ to _______.
Tip of nose to earlobe
Why would you delay discharging a child who has resolved laryngeal edema?
Possible rebound effect of racemic epinephrine
What medication can be given in PACU to decrease hallucinations brought on by receiving ketamine?
Midazolam
Your patient has received a brachial plexus block and was given 225 mg of bupivacaine. As the nurse you should be most concern if the patient begins complaining of what?
Circumoral numbness
A patient arrives to PACU and experiences a laryngospasm post-extubation. Upon arrival they develop a most cough, dyspnea, and expectorates pink, frothy sputum. The nurse should suspect that the patient has developed what?
Non-cardiogenic pulmonary edema
Stridor in the PACU after extubation most commonly indicates this complication?
laryngospasm or airway edema
A patient who received spinal anesthesia for transurethral resection of a bladder tumor is ready for discharge. Name one thing that you should assess for prior to the patient being discharged home?
Epidural hematoma