Your assignments this week are as follows. Do your assignments and post the answers in the forum. Remember to cite your source. We’ll comment and discuss in the forum.

Next Wednesday, I’ll post a video summary.  

If your last name starts with B, A, D, E, or F

1. Naltrexone, when does the patient discontinue taking before surgery?  a.  1 day  b.  3 days  c.  7 days  d.  10 days?
2. When transporting a patient with a chest tube, what is the most appropriate action?
3. Patient received in PACU with slightly elevated temp and ETCO2 36. Choices of early sepsis, MH, Serotonin Syndrome, Something else?
4. What conditions might the patient have that would cause the nurse to question an order for Nalbuphine?
5. The patient reports an allergy to papaya. Why is this significant in a surgical patient?

If your last name starts with C, G, I, J, or K

1. Your patient’s heartrate of 135 beats per minute.  Which herbal supplement might cause this:  ginkgo, kava, ephedra?
2. A patient with a history of seasonal allergies, smoking, and diabetes has a finger reattached, what do you teach them?
3. A patient is status post stapedectomy, what education do you provide them?
4. A patient received a supraclavicular block and is now complaining of loss of vision in one eye, what is your first action?
5. How is an inter-scalene block administered? 

If your last name starts with S, L, N, O, or P

1. Which of the following agents is okay to give to a patient with Muscular Dystrophy? Vecuronium, Succinylcholine, Rocuronium, Propofol?
2. After a thyroidectomy the patient complains of numbness in the fingers and toes. What is the probable cause and how might it be treated?
3. As a result of which block would Horner’s Syndrome be most likely?
4. Your patient reports during the follow up phone call that her teeth and upper lip were numb after nasal surgery. What advice would you give?
5. After pneumoretinopexy you advise the patient not to go diving. Why? 

If your last name starts with H, Q, R, T, or U

1. You’re caring for a CCU overflow patient. Do you follow the CCU policies and staffing ratio or the PACU policies and staffing ratio?
2. What paralytic is contraindicated in a patient with a family history of high fever with anesthesia?
3. A patient is having XYZ surgery done, when should discharge teaching begin? In the doctor’s office when surgery is scheduled, during the PAT visit, Day of surgery?
4. How does the nurse transport a patient with a chest tube?
5. S/P TURP patient arrives in the PACU. Anesthesia reports irrigation with Glycine. What lab do you expect to check?

If your last name starts with M, V, W, X, Y, or Z

1. What ASA class does a patient have a mild systemic disease? (I, II, III, IV)
2. How can a preop nurse evaluate the patients understanding of post op teaching after a hernia repair?
3. How do you treat Supraventricular Tachycardia?
4. How does long term steroid use affect somebody going to surgery?
5. What is a root cause analysis?