CPAN EXAM QUESTIONS WITH CORRECT ANSWERS crutch training instruction after arthroscopic right knee surgery should include - leading with the unaffected leg when conducting a discharge phone call on a patient following a partial thyroidectomy, which of the following complaints prompts for an immediate follow up - tetany a 6 yo child and parents are experiencing anxiety prior to surgery. In this situation, the nurse would most appropriately - allow the parents to remain with the patient up until surgery The PACU nurse is concerned with renal blood flow in a patient recovering from repair of an abdominal aortic aneurysm. The expected urine output is - 0.5 ml/kg/hr the dissociative state attributed to ketamine anesthesia can be modified by the administration of - benzodiazepine a patient complains of dyspnea and chest pain after the insertion of a central-line catheter. the patient's breath sounds are diminished. after physician notification, the priority nursing action is to - prepare for an insertion of a chest tube a potential negative side effect of positive end-expiratory pressure (PEEP) is -decreased intrapulmonary shunting a patient post op hip arthroplasty complains of numbness to toes. This patient has most likely sustained an injury to the - peroneal nerve surgery is scheduled for 0830. the patient reports drinking 6 oz of water at 0600 with meds. following the ASA, minimum fasting guidelines for NPO, the nurse - continues with the pre op check in process the most common type of reaction to latex-containing product is - irritating nonallergic reaction a periop nurse is providing discharge instructions to a patient who asks questions about the phenazopyridine prescription. the nurse explains that is - provides relief from urgency and burning senstation in a patient status post thyroidectomy, the nurse would anticipate post op signs of thyrotoxic crisis to include - tachycardia During the administration of bupivacine, some of the medication is accidentally administered IV and patient develops ventricular arrhythmias. The nurse anticipates administration of - amiodarone A patient post appendectomy goes into SVT. BP = 125/75, HR = 168, R = 16. The nurse anticipates giving - adenosine Following the treatment of malignant hyperthermia, dysrhythmias persist despite the correction of hyperkalemia and acidosis. The nurse questions an order for -Verapamil (increases calcium) The post op nurse may decide that pulse ox monitoring is contraindicated when the patient - is severely hypothermic When caring for a young child, an uncuffed endotracheal tube is preferred because - the larynx is funnel shaped Parents visiting the PACU find that their 4-year old child refuses to allow them to console or give care. The nurse explains that this behavior - is a normal response to the separation anxiety that the child is feeling a patient has received pancuronium bromide IV as part of the anesthesia regimen. The nurse anticipates which of the following for reversal? - sugammadex an ambulatory surgery patient who is post direct laryngoscopy with GA exhibits stridor. The nurse anticipates orders for - administration of nebulized racemic epinephrine after extubation of a patient, which of the following would be most serious? - inspiratory stridor after arrival in the PACU following a radical neck dissection, the patient becomes tachypneic with tracheal deviation and oxygen desaturation. The nurse suspects - tension pneumothorax the universal symptom of compartment syndrome is - excessive pain which of the following drugs is contraindicated in patients who are sensitive to soybean oil, egg lecithin, or glycerol? - propofol postop discharge teaching for a patient who received an interscalene block with ropivacaine should include instructions for the patient to -protect the elbow to avoid damage to ulnar nerve until block resolves Following a hernia repair, a 3-month-old is admitted to the PACU positioned on his side with a pacifier in his mouth. The airway becomes obstructed by the tongue. The obstruction can be alleviated by: A. removing the pacifier. B. pinching the cheeks. C. turning him on his back. D. jaw thrust or chin lift - jaw thrust or chin lift in administering flumazenil, the nurse is aware that it inhibits the central effects of benzos by - competing for the receptor sites tidal volume is defined as the amount of - gas passing into or out of the lungs in each respiratory cycle