Patient Assessment and Monitoring Flashcards
6 cards from real CGRN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Patient Assessment and Monitoring flashcards as text
Which assessment finding would most likely lead to a higher ASA physical status classification?
Answer: Severe COPD requiring home oxygen
Severe COPD requiring home oxygen represents ASA III or higher, impacting sedation planning.
During moderate sedation, which Ramsay Sedation Scale level indicates the target depth?
Answer: Level 3 — responds to commands only
Ramsay level 3 represents appropriate moderate sedation where the patient is sedated but maintains protective reflexes.
A patient with a Mallampati score of IV is scheduled for upper endoscopy. What does this indicate?
Answer: Potentially difficult airway management if intervention is needed
Mallampati IV (only hard palate visible) indicates a potentially difficult airway.
What is the minimum monitoring requirement during the recovery phase after moderate sedation?
Answer: Vital signs every 5 minutes until discharge criteria are met
Post-procedure monitoring should include vital signs at least every 5 minutes until discharge criteria are met.
Which laboratory value is most important before endoscopic variceal band ligation?
Answer: Platelet count and INR/coagulation studies
Platelet count and coagulation studies are essential to assess bleeding risk in patients with portal hypertension.
A patient with obstructive sleep apnea needs colonoscopy with moderate sedation. What monitoring modification is recommended?
Answer: Continuous capnography in addition to standard monitoring
Continuous capnography provides early detection of respiratory depression in OSA patients.
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