CPAN Thermoregulation and Temperature Management 3

Question 1

Which pharmacological agent is most commonly used to treat post-operative shivering in the PACU?

Accepted Answer

Meperidine (pethidine)

Answer

Ondansetron

Answer

Metoclopramide

Answer

Ketorolac

Question 2

Unexplained hyperthermia in the PACU should prompt the nurse to first assess for which condition?

Accepted Answer

Malignant hyperthermia or infection

Answer

Dehydration

Answer

Hyperglycemia

Answer

Hypertension

Question 3

The initial recommended dose of dantrolene sodium for treatment of malignant hyperthermia is:

Accepted Answer

2.5 mg/kg IV, repeated up to 10 mg/kg

Answer

1 mg/kg IV, repeated up to 10 mg/kg

Answer

0.5 mg/kg IV, repeated as needed

Answer

5 mg/kg IV single dose

Question 4

Which of the following is an example of a passive warming technique used in the PACU?

Accepted Answer

Cotton blankets and head coverings

Answer

Forced-air warming blanket

Answer

Heated humidified oxygen

Answer

Warm water circulating mattress

Question 5

For non-invasive continuous temperature monitoring in PACU patients, which site is considered the most accurate accessible alternative to pulmonary artery measurement?

Accepted Answer

Tympanic membrane

Answer

Axillary

Answer

Rectal

Answer

Oral

Question 6

Hypothermia impairs drug metabolism in the PACU primarily by affecting which organ's enzymatic function?

Accepted Answer

Liver

Answer

Kidneys

Answer

Lungs

Answer

Spleen

Question 7

A core body temperature below which value defines severe hypothermia?

Accepted Answer

28.0°C (82.4°F)

Answer

35.0°C (95.0°F)

Answer

32.0°C (89.6°F)

Answer

30.0°C (86.0°F)