Chapter 6 Missed Questions

Question 1

Post subtotal thyroidectomy, patient can experience hypocalcemia. Symptoms include:

Answer 1

Muscle cramps
Circumoral paresthesia
Numbness of the feet

Question 2

Normal ranges for PA catheter

Answer 2

Central venous pressure (CVP): 0-8 mm Hg
Right ventricular systolic pressure (RVS): 15-25
Right ventricular diastolic pressure (RDS): 0-8
Pulmonary artery systolic pressure (PAS): 15-25
Pulmonary artery diastolic pressure (PDS): 8-12
Pulmonary artery wedge pressure (PAWP): 6-12

Question 3

What is the dosage of sodium bicarbonate for a child in arrest who has severe metabolic acidosis or hyperkalemia?

Answer 3

1 mEq/kg IV/IO

Question 4

Patients with hypothyroidism are at risk for difficult intubation due to:

Answer 4

Enlarged tongue

Question 5

Patients with Addison’s disease with Addison crisis would have the following electrolyte imbalances:

Answer 5

Decreased sodium and increased potassium

Question 6

What is the amount of an initial fluid bolus to be given to a child who is suspected of being in cardiogenic shock?

Answer 6

5-10 ml/kg

Question 7

Risk factors for PONV

Answer 7

Infants, children, and elderly patients
Previous history of PONV
Laparoscopic, strabismus correction, and ear procedures
Length of surgery, nonsmokers, postoperative opioid use, and female gender

Question 8

The perianesthesia nurse is aware that in the perioperative period the most common cause of morbidity in a patient with diabetes is:

Answer 8

Ischemic heart disease

Question 9

The following medication can contribute to hypoglycemia

Answer 9

ACE inhibitors

Question 10

Patients with diabetes who are scheduled for IR procedures with contrast should be instructed to withhold the medication:

Answer 10

Metformin

Question 11

What is the dosage of magnesium to be given to a child younger than 8 years old whose ECG rhythm is identified as torsades de pointes?

Answer 11

25 to 50 mg/kg IV/IO

Question 12

Symptoms of hypermagnesemia:

Answer 12

Decreased reflexes, decreased BP and HR
Treatment: calcium gluconate 1 g

Question 13

Elderly patient with hyperparathyroidism is at risk for:

Answer 13

Osteoporosis

Question 14

Transphenoidal hypophysectomy

Answer 14

Remove a tumor from the pituitary gland through the sphenoid sinus. Benefit is decreased blood loss.

Question 15

A patient with SIADH is at risk for reparalysis after the administration of muscle relaxants due to:

Answer 15

Hyponatremia

Question 16

Duloxetine may be used to treat:

Answer 16

Diabetic neuropathy

Question 17

Shivering in a postoperative patient puts the patient at risk for hypoxemia and:

Answer 17

Metabolic acidosis