Periop

Question 1

______ surgery determines the origin or cause of disorder

Answer 1

diagnostic

Question 2

______ surgery resolves health problems by repairing or removing cause

Answer 2

curative

Question 3

______ surgery improves patient’s functional ability

Answer 3

restorative

Question 4

_____ surgery relieves symptoms of disease process, but does no cure it

Answer 4

pallative

Question 5

_____ surgery alters/enhances personal appearance

Answer 5

cosmetic

Question 6

_____ surgery is when the patients should have surgery or else the consequences can be catastrophic

Answer 6

elective

Question 7

_____ surgery is in needs of prompt attention within 24-30 hours

Answer 7

urgent

Question 8

______ surgery is immediate attention without delay

Answer 8

emergent

Question 9

when does the preoperative phase begin and end

Answer 9

when the pt. is scheduled for surgery to when they are transferred to the surgical suite

Question 10

the nurse must report an imbalance in ______ during the preop phase immediately

Answer 10

potassium

Question 11

hypokalemia increases risk for _____ toxicity

Answer 11

digoxin

Question 12

hyperkalemia increases risks for ______ especially with anesthesia

Answer 12

arrythmias

Question 13

hypokalemia slows recovery from _______

Answer 13

anesthesia

Question 14

hypokalemia increases ____ irritability

Answer 14

cardiac

Question 15

pt. should stop smoking ___ weeks before surgery

Answer 15

6

Question 16

pt. should stop ASA or anticoagulants __ weeks before surgery

Answer 16

2

Question 17

allergy to shellfish has a cross allergy with _____

Answer 17

iodine

Question 18

fruits such as avocados, strawberries, and bananas have a cross allergy with ______

Answer 18

latex

Question 19

eggs, peanuts, and soy allergies have a cross allergy with ______ which is used to induce and maintain anesthesia

Answer 19

Diprivan

Question 20

elevated _______ lab values are a contraindication of surgery

Answer 20

coagulation

Question 21

pt. should shower with ______ _____ 1-2 days and nights before surgery

Answer 21

chlorohexadine gluconate

Question 22

who is responsible for having the informed consent signed

Answer 22

surgeon

Question 23

3 meds that facilitate anesthesia induction and reduce the amount needed

Answer 23

Ketamine (ketamine HCL)
Sublimaze (fentanyl citrate)
Codeine sulfate

Question 24

antiemetic med that reduces N/V

Answer 24

zofran

Question 25

H2 receptor agonist that is prophylactic for aspiration

Answer 25

Famotidine (pepcid)

Question 26

gastrokinetic agent given to prevent gastroparesis in diabetics

Answer 26

reglan

Question 27

PO medications given "on call" are given ___ to ___ minutes before transport

Answer 27

60-90

Question 28

IM medications are usually given ___ to ___ minutes before transport

Answer 28

30-60

Question 29

IV medications are usually not given until the patient is in the _____ ____ area

Answer 29

preop holding

Question 30

patients with a history of _____, ____, or _____ heart disease need prophylactic antibiotics

Answer 30

congenital, rheumatic, or valvular

Question 31

pt. undergoing eye surgery needs eye drop every __ mins during pre-op

Answer 31

5

Question 32

medications for _____, _____, or ____ can be given pre-op 2 hours before anesthesia if the patient needs them

Answer 32

cardiac, respiratory, seizure

Question 33

reduce doses of _____ and ____ insulin for surgery

Answer 33

long, intermediate

Question 34

divide doses of _____ insulin for surgery

Answer 34

regular

Question 35

insulin pumps will remain on person at _____ rate

Answer 35

basal

Question 36

thiazide diuretics may cause _____ _____ during surgery

Answer 36

respiratory depression

Question 37

________ may increase the hyposensitivity action of anesthetics

Answer 37

phenothizines

Question 38

_______ increase the hypotensive effects of anesthetics

Answer 38

MAOIs

Question 39

always start an IV with ____ before giving insulin

Answer 39

dextrose

Question 40

antibiotics ending in MYCIN and curariform combined will cause _____

Answer 40

apnea

Question 41

long term use of _____ may alter the patients response to analgesic agents

Answer 41

opioids

Question 42

fast meds can be given __ hour post op

Answer 42

1

Question 43

clear liquids can be given ___ hours postop

Answer 43

2

Question 44

breast milk can be given ____ hours post op

Answer 44

4

Question 45

nonhuman milk or formulas can be given ____ house post op

Answer 45

6

Question 46

light meal can be given ___ hours postop

Answer 46

6

Question 47

regular meal can be given ___ hours postop

Answer 47

8

Question 48

who marks the surgical site

Answer 48

nurse

Question 49

monitored anesthesia care (MAC) is a _____ anesthetic combined with ______

Answer 49

local, analgesic

Question 50

MAC is administered by _____

Answer 50

CRNA

Question 51

3 complications of anesthesia

Answer 51

hypoxia hypothermia malignant hyperthermia

Question 52

in malignant hyperthermia there will be dark _____ urine

Answer 52

brown

Question 53

malignant hyperthermia will increase body temp quickly to ____ or higher

Answer 53

105

Question 54

in malignant hyperthermia the pt. may have an _______ HR and increased ______ _____ levels

Answer 54

irregular, carbon dioxide

Question 55

genetic testing for malignant hyperthermia looks for the _____ gene

Answer 55

RYR1

Question 56

reversal agent for malignant hyperthermia

Answer 56

datrolene

Question 57

other anesthesia complication that is reversible

Answer 57

disseminated intravascular coagulation

Question 58

a PACU nurse should assess VS every ___ minutes

Answer 58

15

Question 59

if the O2 sat drops ___% from baseline or below ___% post-op the PACU nurse should call the rapid response team

Answer 59

10,95

Question 60

______ shock is due to blood loss

Answer 60

hypovolemic

Question 61

class I hypovolemic shock is loss of _____ml or ____% of total volume

Answer 61

750, 15

Question 62

class II hypovolemic shock is loss of ____ to ___ ml or ____ to ___% of total volume

Answer 62

750 to 1000, 15-30

Question 63

class III hypovolemic shock is loss of ______ to _____ ml or ___ to ___% of total volume

Answer 63

1500-2000, 30-40

Question 64

class IV hypovolemic shock is loss of more than _____ ml or more than ____% of total volume

Answer 64

2000, 40

Question 65

the systolic BP during hypovolemic shock will range from ____ to _____

Answer 65

60-80

Question 66

in hypovolemic shock the HR will be ____ or higher

Answer 66

140

Question 67

in hypovolemic shock the RR will be ____ or higher

Answer 67

35

Question 68

you want HCT to get back to ___% in hypovolemic shock

Answer 68

32

Question 69

MAP should be between ____ and ____ after treating hypovolemia shock

Answer 69

70-105

Question 70

cardiac index should be between ____ and ____ l/min/m2 when treating hypovolemic shock

Answer 70

2.5-4

Question 71

in addition to blood products, administer _____ and ______ for hypovolemic shock

Answer 71

colloids, crystacolloids

Question 72

who changes the 1st surgical dressing

Answer 72

member of surgical team

Question 73

separation of surgical wound

Answer 73

dehiscence

Question 74

separation of surgical wound with intestines protruding through

Answer 74

evisceration

Question 75

a ____ ____ is the person most likely to administer blood products in the operating suite

Answer 75

circulating nurse