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Nursing 607 Final Exam Review Questions and Answers-A
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NIOSH safety standards - ANSWERSN20 used alone < 25 Agent used alone < 2 Agent used with N20 = 0. methyl methacrylate - ANSWERS100 ppm in 8 hours Noise - ANSWERS80 decibles in 8 hrs Radiation - ANSWERSduration, intensity, distance from radiation, protection 100 mrem per week, 5 rem for year - ANSWERSLimits of radiation Radiation - ANSWERS3 feet from source LASER - ANSWERSLight Ampoification by stimulated emission radiation 0.1 micron - ANSWERSmask for LASER plumes Best way to prevent Hep B - ANSWERSVaccination N95 mask - ANSWERSTB MRSA - ANSWERSMake sure it is the last case of the day... Disinfection - ANSWERSremoving all vegetative bacteria except sproes Sterilize - ANSWERSKills all microbial life
Minimal Sedation - ANSWERSNormal respone to verbal stimulation Moderate sedation "conscious sedation" - ANSWERSPurposeful response to verbal or tactile stimulation, protect airway Deep sedation - ANSWERSPurposeful response following repeated or painful stimulation General Anesthesia - ANSWERSUnarousable even with painful stimulus Posterior cricoarytenoid - ANSWERSAbducts vocal folds Lateral cricoarytenoids - ANSWERSAdduct vocal folds Sensory to mucous membrane of larynx superior to vocal cords - ANSWERSInternal branch of superior laryngeal nerve Glossopharyngeal nerve #9 - ANSWERSsensation and motor to posterior 1/3 of tongue. Where is larynx located? - ANSWERSCervical Vertebrae C3-C 6 What are the 3 axis of the airway? - ANSWERSoral, pharyngeal, laryngeal Functions of Larynx - ANSWERSRespiratory, sphincter, reflex, phonation Latent heat of vaporization - ANSWERSamount to raise 1 gram of voliatile agent to vapor without a temp change Heat to 39 degrees - ANSWERSDes L of O2 in full tank - ANSWERS L of N2O in full tank - ANSWERS
Pressure control setting - ANSWERSbetter to limit shearing, de-recruitment, and atelectasis. Enhances alveolar recruitment! Inspiration is fast. (weight x BE x 0.3) / 2 - ANSWERSBicarb dose (Hgb x 1.34 x SpO2) + (0.003 x PaO2) - ANSWERSContent of O2 in blood, normal range is 16 - 22 V/Q mismatch - ANSWERSventialtion/perfusion--> example of high VQ is PE Dead space...which one is bigger? - ANSWERSPhysiologic AC - ANSWERSpatient can initiate breath, but they will get set volume. Protective ventilation - ANSWERSSmall volumes, high RR, less and barotrauma. This setting is best when weaning. There are higher mean airway pressure, optimizes recruitment, and reduces shear stress. When do you insert OPA? - ANSWERSStage 3 When do you pull tube? - ANSWERSPull at end of inspiration with giving positive pressure Extubation criteria - ANSWERSKnow that you never extubate in stage 2 What is the most common complication in PACU? - ANSWERSPain Shivering... - ANSWERSincreases O2 400 - 500%, give demerol 25mg The STANDARD 5 monitors - ANSWERSVentilation, O2, Cardic (EKG & BP), Body temp, Neuromuscular function Which is NOT part of phase I assessment in PACU? - ANSWERSUO is not part of phase I assessment, the aldrete score IS part of the initial assessment
What BIS is considered general anesthesia? - ANSWERS40- 60 Tourniquet release - ANSWERSK washout, hypotension, lactic acid released, and pain. Give fluids before release of tourniquet! Autonomic dysreflexia - ANSWERSHypertension below lesion (vasoconstriction, pilioerection) and parasympathetic response above (vasodilation, brady, sweating). What do you do during fat embolism? - ANSWERSThe triad of symptoms: confusion, dyspnea, petechiae. Treatment is left lateral head down position, then aspirate from CVP.
