Unit 2 Module 1 (Exam 1) Flashcards
Which of the following is NOT a patient right emphasized by the first AANA Standards of Care?
A) Autonomy
B) Privacy
C) Financial compensation
D) Safety
C) Financial compensation
Slide 4
For the second AANA Standards of Care assessments, what is part of the pre-anesthesia assessment/evaluation aka METS?
Select 2
A) Heart function
B) Lung function
C) Consent for blood products
D) Last BM
A) Heart function
B) Lung function
Cardiopulmonary fitness
Slide 4
The second AANA Standards of Care pre-anesthesia assessment typically evaluates ________, EKG, and coagulation levels
A) Intraocular pressure
B) Skin Turgor
C) Potassium
D) Bladder pressure
C) Potassium
Slide 4
What value defines one metabolic equivalent (MET) in terms of oxygen uptake?
A) 3.5 mL of oxygen per kg/min
B) 4.0 mL of oxygen per kg/min
C) 4.5 mL of oxygen per kg/min
D) 5.0 mL of oxygen per kg/min
A) 3.5 mL of oxygen per kg/min
Slide 4
At what METS level is ok or cleared for surgery?
A) 1
B) 2
C) 3
D) 4
D) 4 - greater than 4 METs is ok for surgery
Can they complete the activity without complication. E.g. walking without stopping
Castillo - Mets that is less than 5 is poor. 5 - 8 is fair. 9 to 11 is good, and 12 or more is excellent
Slide 4
The third AANA Standards of Care require that a patient-specific plan is formulated by the healthcare team and if needed a ________.
A) Nutritionist
B) Legal representative
C) Pharmacist
D) Administrative assistant
B) Legal representative
Slide 5
True or False
Patient should give consent prior to any procedure starting
True
Check your hospital policy, if patient does not sign consent, two licensed professionals might be able to sign
Slide 5
How is the synthetic graft placed in the described procedure?
A) Surgically implanted through an incision
B) Inserted through a vessel using a catheter
C) Applied topically
D) Injected intramuscularly
B) Inserted through a vessel using a catheter
Slide 5
What is the key requirement for anesthesia equipment before use according to the sixth AANA Standards of Care?
A) Calibration by a technician
B) Immediate replacement
C) Verification of functionality
D) Warranty check
C) Verification of functionality
- Mobile carts/machines
Slide 6
According to the seventh AANA Stardard of Care, plan/modification of plan, the CRNA must provide anesthesia care until ________ accepts responsibility for the patient.
A) The patient’s family
B) The primary nurse
C) Another anesthesia professional
D) The attending physician
C) Another anesthesia professional
…we can get charged with abandonment of care
Slide 6
According to the eighth AANA Stardard of Care, patient positioning is primarily a responsibility of the ________ team.
A) CRNA
B) Surgical
C) Nursing
D) Post-operative
B) Surgical
Slide 6
For the ninth AANA Stardard of Care, what aspects of patient condition are continuously monitored in anesthesia care with monitors/alarms?
Select 5
A) Cardiovascular status
B) Oxygenation
C) Thermoregulation
D) Emotional state
E) Ventilation
F) Neuromuscular
G) Hearing function
A) Cardiovascular status
B) Oxygenation
C) Thermoregulation
E) Ventilation
F) Neuromuscular
Slide 7
Alarms should have a ________ pitch to indicate varying levels of patient status, such as oxygen saturation.
A) Static
B) Variable
C) Monotone
D) Silent
B) Variable
Slide 7
The maximum allowable time for muting alarms on most anesthesia machines is ________.
A) 5 minutes
B) 3 minutes
C) 2 minutes
D) 10 minutes
C) 2 minutes
Slide 7
In monitoring, ________ is a potential anesthetic complication that requires temperature regulation.
A) Hypoxia
B) Malignant hyperthermia
C) Hypotension
D) Hyperglycemia
B) Malignant hyperthermia
Slide 7
True or False:
For the tenth AANA Stardard of Care, for infection control and prevention, it is acceptable to share leftover medications drawn into a syringe with another provider to reduce waste.
False
One syringe, one needle, one patient, one time.
Slide 8
For the eleventh AANA Stardard of Care, a thorough post-anesthesia handoff includes details about the patient’s ________.
Select 3
A) Family members
B) Vital signs
C) Upcoming appointments
C) Diet restrictions
D) Procedure
E) Anesthesia plan
B) Vital signs
D) Procedure
E) Anesthesia plan
GA needs appropriate recovery
slide 8
Which components are assessed in the Modified Aldrete Scoring System?
Select 3
A) Respirations
B) Consciousness
C) Intake and output
D) Surgical bleeding
E) Pain
F) Activity
A) Respirations
B) Consciousness
F) Activity
- Oxygen Saturation
- Circulation
Slide 9
What is the minimum acceptable score required for discharge from PACU using the Modified Aldrete or Post-Anesthesia Discharge Scoring System?
A) 5
B) 7
C) 9
D) 12
C) 9
Each of the 5 components are worth 2 points, for a total of 10.
Slide 10
Which factors are evaluated in the Post-Anesthesia Discharge Scoring System?
Select 3
A) Circulation
B) Surgical bleeding
C) Oxygen Saturation
D) Wound dressing changes
E) Pain
F) Vital signs
B) Surgical bleeding
E) Pain/Nausea/Vomiting
F) Vital signs
- Intake and output
- Activity and mental status
Slide 10
Which factors are critical for anesthesia monitoring and patient safety in NORA settings?
Select 3
A) Reliable oxygen source
B) Automated inventory tracking system
C) Adequate and reliable suction
D) Two-way communication
E) Inadequate access to medications
F) Battery-operated backup lights
⭐️A) Reliable oxygen source -including backup supply
⭐️C) Adequate and reliable suction
D) Two-way communication
Slide 12
Which features are required for emergency preparedness in a NORA environment?
Select 3
A) Emergency cart with defibrillator
B) Self-inflating resuscitation bag
C) Access to an emergency internet line
D) Observation of bulding safety codes
E) Automated inventory tracking system
⭐️A) Emergency cart with defibrillator and emergency drugs
⭐️B) Self-inflating resuscitation bag
D) Observation of bulding safety codes
Slide 12
Which of the following are part of the ASA guidelines for NORA patients?
Select 3
A) A nursing station nearby
B) Post-anesthesia management area
C) Restricted medication sharing
D) Sufficient space for equipment and personnel
E) Adequate monitoring equipment
B) Post-anesthesia management area
D) Sufficient space for equipment and personnel
⭐️ E) Adequate monitoring equipment
Slide 12
Inadequate emergency power can disrupt anesthesia care in ________ areas of the hospital.
A) Operating room
B) Stockroom
C) Wet
D) Waiting
C) Wet
Sufficient electrical outlets, isolated electrical power or electric circuits with ground fault interruption in ‘wet areas’ like cystoscopy, arthroscopy, labor and delivery suites, with access to emergency power supply
Slide 12