RELIAS PROPHECY PACU RN A V1 COMPLETE TEST / 70+ QUESTIONS AND ANSWERS 2023/2024 GRADED A+. (2024)

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RELIAS PROPHECY PACU RN AV1 COMPLETE TEST / 70+QUESTIONS AND ANSWERS2023/2024 GRADED A+.2 / 101. Meperidine (Demerol) 12.5mg every 15 minutes,IV prn is ordered for shiv-ering in thePACU. Meperidine is available in 50mg/1ml. How many mililitersshould be given?: 0.25mililiters2. Upon ...

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  • October 28, 2023
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RELIAS PROPHECY PACU RN A V1 COMPLETE TEST / 70+ QUESTIONS AND ANSWERS 2023/2024 GRADED A+. (15)

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RELIAS PROPHECY PACU RN A
V1 COMPLETE TEST / 70+
QUESTIONS AND ANSWERS
2023/2024 GRADED A+.

,1. Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for shiv-ering in the
PACU. Meperidine is available in 50mg/1ml. How many mililitersshould be given?: 0.25
mililiters
2. Upon inspecting a patient's epidural insertion site, you notice swelling around the catheter.
What should you do?: A) Position the patient on their side
B) Place the patient in a prone position
C) Check the epidural line for kinks
***D) Contact the anesthesia provider
3. What set of findings indicates a patient is likely to be ready for phase 1 discharge?: A) Has

received discharge instructions, pain level 9 out 10, shortnessof breath
B) Drowsy, blood pressure returned to preoperative levels, on 6 liters oxygen via facemask
***C) Drowsy, oxygen saturation of 96%, able to cough, and move all extremities
D) Fully alert, shallow breathing, on 3 liters via T-piece, can move 2 extremities
4. What do you consider to be a safe dose of intravenous fentanyl for an adultwho does not have

tolerance to opioids?: A) 1.5 miligrams
***B) 25 micrograms
C) 100 microgramsD 25
miligrams
5. Your patient in the PACU has a blood pressure of 171/92 mmHg, a heart rate of 120, respiratory

rate of 24, is grimacing, restless, and moaning in bed. What medication should you prepare to give
FIRST?: A) 10 mg hydralazine IV push
***B) 50 mcg fentanyl IV push
C) 2 mg lorazepam IV push
D) 5 mg metoprolol IV push
6. You are about to discharge a day surgery patient with aphasia and you discover the family

members are not available for the discharge instructionsand are not responding to your phone
calls. Business hours are over and thePACU is about to close. How will you handle the situation?:
***A) Wait until thefamily returns
B) Leave the discharge education on voicemail and discharge patient

, C) Discharge patient with non-emergency transport
D) Take patient home yourself
7. You received a patient from OR post hip replacement surgery. The anesthe-siologist is planning

a nerve block in PACU, but the patient did not sign the consent for the nerve block. How will you
proceed?: A) Wake up the patient tosign the consent
B) Ask a friend to sign the consent

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RELIAS PROPHECY PACU RN A V1 COMPLETE TEST / 70+ QUESTIONS AND ANSWERS 2023/2024 GRADED A+. (2024)

FAQs

Which patient is most at risk for developing postoperative cardiogenic shock? ›

Patients with low preoperative ejection fraction (EF) and treatable cardiac lesions have the most to gain from surgery but are at high risk of death from postcardiotomy cardiogenic shock (PCCS), which carries mortality as high as 50 to 75%.

What department approves and reviews medical aspects of care in Pacu? ›

The medical aspects of care in the PACU (or equivalent area) shall be governed by policies and procedures which have been reviewed and approved by the Department of Anesthesiology.

What assessment finding indicates that a patient is ready to tolerate ice chips? ›

One assessment finding that indicates a patient is ready to tolerate ice chips is the evaluation of their airway and risk of aspiration. If the patient's airway is stable and there is a low risk of aspiration, they can safely consume ice chips.

Which client is most at risk for developing cardiogenic shock? ›

This response increases afterload and worsens fluid overload, causing pulmonary edema. Patients at greatest risk for cardiogenic shock are those with diabetes, older patients, history of prior MI, female gender, peripheral vascular disease, angina, and EF less than 35%.

What is the most common postoperative cause of cardiogenic shock? ›

Mechanisms of Shock

Patients after cardiac surgery can suffer from low cardiac preload (e.g. bleeding or tamponade) or pump failure (e.g. myocardial stunning, infarction or mechanical complication), which can lead to hypovolemic, obstructive and/or cardiogenic shock.

What are PACU nurses called? ›

PACU stands for post-anesthesia care unit; these types of nurses are highly specialized critical care RNs.

What is the most common PACU emergency? ›

Respiratory arrest

Hypoventilation is a common concern in the PACU. [ 1 ] Many of the medications administered preoperatively (i.e. benzodiazepines, barbiturates, opioids, and other sedative hypnotics such as propofol and the potent inhaled anesthetics) depress respiratory drive.

How often do you monitor a patient in PACU? ›

The PACU is under the direction of the Department of Anesthesiology. Patients are admitted to the PACU immediately after surgery. your vital signs every 5 to 15 minutes, unless your condition requires more attention.

What factor puts a patient most at risk for confusion upon awakening from general anesthesia? ›

Older adults or those with serious medical problems are at increased risk of confusion after surgery. They're also at higher risk of pneumonia, stroke or a heart attack after surgery. This is particularly true if they're undergoing more-extensive procedures.

When caring for a patient who is recovering from placement of a new arteriovenous fistula? ›

Care of your arteriovenous fistula (AVF) after surgery
  1. Your wound will take 10-14 days to heal.
  2. We advise that the dressing stay dry for at least three days before being changed. ...
  3. Keep your wound covered for seven days.
  4. Avoid any heavy lifting/ pressure with your fistula arm for two weeks.

Which symptom is managed by the nurse offering ice chips to the dying patient? ›

A nurse offering ice chips to a dying patient is managing the symptom of dehydration, providing moisture and comfort to the mouth and throat, and aiding in keeping mucous membranes moist.

Prophecy PACU RN A v1 correct Answers latest ...Docsityhttps://www.docsity.com ›

Download Prophecy PACU RN A v1 correct Answers latest 2022. and more Exams Nursing in PDF only on Docsity! Prophecy PACU RN A v1 correct Answers latest 2022 Mep...
Meperidine (Demerol) 12.5mg every 15 minutes, IV prn is ordered for shivering in thePACU. Meperidine is available in 50mg/1ml. How many mililiters should be giv...
Prophecy health medical surgical RN A Learn with flashcards, games, and more — for free.

What patients are at risk for cardiogenic shock? ›

Risk factors include:
  • Heart failure.
  • A prior heart attack.
  • Coronary artery disease.
  • High blood pressure.
  • High cholesterol.
  • Diabetes.
  • Use of tobacco products.
  • Overweight and obesity.

Which of the following is most likely to cause cardiogenic shock? ›

What causes cardiogenic shock? A heart attack is the most common cause of cardiogenic shock.

What is cardiogenic shock most likely to result from quizlet? ›

Cardiogenic shock results from a decrease in stroke volume, followed by a decrease in cardiac output. This can result from heart failure, MI, trauma and or cardiac tamponade.

Which of these conditions is the most probable cause of cardiogenic shock? ›

Cardiogenic shock is a life-threatening condition in which your heart suddenly can't pump enough blood to meet your body's needs. The condition is most often caused by a severe heart attack, but not everyone who has a heart attack has cardiogenic shock.

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