New assignments will be posted every Wednesday and the discussion will continue through Tuesday. End of day on Tuesday the previous week’s discussion thread will close and the discussion will move to the new assignment. I will be monitoring the discussion throughout the week and adding comments and instruction as we go. I encourage you to comment and ask for clarification as well.   ~ Wendy




Video Summary


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. What is the indications and nursing precautions for Precedex?
  2. A patient comes to the pacu after carotid endarterectomy vitals are BP 189/101, respiratory 21 breaths/min, HR 84, Spo2 98%, and temp 36.7 degrees Celsius. A nitroglycerin drip is infusing. All of the following are true about Nitroglycerin except it:
  1. relaxes smooth muscle in small blood vessels
  2. is used to treat htn
  3. increases coronary artery perfusion
  4. is a vasoconstrictor
  1. A 57-year-old woman is recovering in the pacu after a LTHA. The monitor alarm goes off and the nurse checks the patient. The patient is awake and alert vitals signs are BP 130/60, RR 18 breaths/min, and HR 188 bpm, the monitor is showing svt. The most appropriate immediate intervention by the nurse is to
  1. prepare the patient for immediate synchronized cardioversion
  2. get an order for adenosine 6 mg rapid iv push
  3. get an order for amiodarone bolus 150 mg iv
  4. have the patient perform Valsalva maneuver (bear down)
  1. Which of the following is a clinical picture of cardiogenic shock?
  1. decreased cvp
  2. collapsed neck veins.
  3. elevated systemic vascular resistance.
  4. elevated cardiac index.
  1. A 4-year-old boy is admitted to the post anesthesia care unit (PACU) after a biopsy of a mass of the tibia under general anesthesia. He is incoherent, crying, thrashing, and kicking. His behavior is non-purposeful. The nurse should immediately assess the patient for sign and symptoms of:
  1. hypoxemia & hypercarbia
  2. hemodynamic instability
  3. inadequate reversal
  4. Fever and sepsis?


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

  1. What would you tell pt receiving tropicamide from cataract surgery to expect after drops are administered?
  2. How many weeks gestation is the definition of prematurity in an infant?
  3. What is the physiological anemia of pregnancy?
  4. The patient is experiencing HELLP syndrome. What combination of lab results do you expect to find?
  5. The pediatric patient received Ketamine for pain control and is now experiencing frightening hallucinations. How will the perianesthesia nurse help this patient?


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

  1. What dermatome level is the navel?
  2. What nerve is irritated by pneumoperitoneum commonly resulting in deferred pain to the shoulder?
  3. What are the indications and nursing precautions for Verapamil?
  4. What do you do for your patient with SVT if the 6mg dose of Adenosine is not effective?
  5. What does the perianesthesia nurse anticipate for a patient with an epidural leak? 


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

  1. What is this rhythm and what treatment is necessary?
  1. After ear surgery the patient should be positioned on which side?  
  2. What is the purpose of a passive motion device?
  3. There are several procedures in which you would instruct the patient to sneeze and cough with the mouth open. Name three.
  4. What are the indications and nursing precautions for Sugammadex?


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

  1. Your 12-year-old patient is agitated upon arrival from the OR. The perianesthesia nurse should…A. Reorient and reassure, B. Oxygen and warm blanket, C. Something different?
  2. TRALI (transfusion related acute lung injury) is sometimes confused with what condition?
  3. When recovering an Obstructive sleep Apnea patient, how do you position?
  4. Piloerection can occur during autonomic dysreflexia below a spinal cord injury between T-1 and T-6 What is Piloerection?
  5. The preop patient with a history of asthma reports that she takes Ginseng regularly. Why is chronic use of Ginseng significant in surgical patients?

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