AORN Final exam with complete solution 2023.what are the American society of anesthesiologists preoperative fasting guidelines for a
healthy adult
... [Show More] scheduled for surgery? - correct answer Clear liquids- stop 2 hours
before surgery
Breast milk- stop 4 hours before surgery
infant formula- stop 6 hours before surgery
light meal (toast and clear liquids)-stop 6 hours before surgery
fried foods, fatty foods, meat- stop 8 hours before surgery
when should you assess the patient's NPO status? - correct answer In the
preoperative area during the initial interview.
Explain why cricoid pressure may need to be applied? - correct answer cricoid
pressure is applied to prevent passive regurgitation and aspiration of gastric contents
what is the nurses role in applying cricoid pressure during intubation? - correct answer
To apply cricoid pressure until the ET tube is cuff is inflated, the tube placement is
confirmed and the anesthesia provider has given verbal confirmation that the pressure
can be released.
critical actions nurse can take when confronted with a malignant hyperthermia MH
crisis? - correct answer Retrieve the malignant hyperthermia cart and the Dantrolene
(only medication for MH)
What is malignant hyperthermia? - correct answer A side effect of general anesthesia
(tigered by inhaled genetic anesthetic and succinylcholine) - tachycardia, hypertension,
increased end tidal carbon dioxide, muscle rigidity, hyperthermia.
what is the most specific sign of malignant hyperthermia MH? - correct answer
increased end tidal carbon dioxide
How is hypothermia defined? - correct answer A core body temperature of >36
Celsius or 96.8 Fahrenheit
what is the RN role when patient is scheduled to receive local-only anesthesia during
surgery? - correct answer To monitor the patients vital signs: blood pressure, ECG,
pulse oximetry and heart rate. And observe for LAST (local anesthetic systemic toxicity).
what is L.A.S.T? - correct answer Local Anesthetic Systemic Toxicity
Drugs used for local anesthetics? - correct answer bupivacaine, lidocaine.
What is the role of the RN when patient is scheduled to receive moderate sedation
during surgery? - correct answer not have any competing responsibilities,
continuously assess for and provide moderate sedation/analgesia. [Show Less]