CPAN CPAN Post-Operative Complications and Interventions

Question 1

Why is post-operative nausea and vomiting (PONV) a significant concern in the PACU?

Accepted Answer

It can cause aspiration, wound dehiscence, increased intracranial pressure, and significant patient distress

Answer

PONV is a common post-operative complication that can lead to aspiration, wound dehiscence, elevated intracranial pressure, and significant patient discomfort.

Question 2

Which medication is commonly used as first-line pharmacologic treatment for PONV in the PACU?

Accepted Answer

Ondansetron (Zofran)

Answer

Ondansetron is a 5-HT3 receptor antagonist commonly used as first-line antiemetic therapy for PONV management in the PACU.

Question 3

What is the underlying cause of post-operative shivering and how should a PACU nurse manage it?

Accepted Answer

A thermoregulatory response to hypothermia managed with warming blankets and warm IV fluids

Answer

Post-operative shivering is most often caused by hypothermia acquired during surgery and is managed with active warming measures including warm blankets and warmed IV fluids.

Question 4

What is emergence delirium (emergence agitation) in the PACU?

Accepted Answer

An acute state of confusion, agitation, and disorientation occurring upon emergence from anesthesia

Answer

Emergence delirium is an acute neurological complication characterized by confusion, agitation, and disorientation that can occur during recovery from anesthesia.

Question 5

How should a PACU nurse objectively assess for post-operative hypothermia?

Accepted Answer

Monitor core temperature with a reliable thermometer and assess for shivering and vital sign changes

Answer

Post-operative hypothermia assessment requires objective core temperature measurement in conjunction with clinical signs such as shivering, pallor, and hemodynamic changes.

(CPAN) Certified Post Anesthesia Nurse Practice Test

(CPAN) Certified Post Anesthesia Nurse Practice Test

CPAN CPAN Post-Operative Complications and Interventions