What is one airway complication that can occur during surgery when the patient is receiving general anesthesia care?

Myocardial Infarction (MI)

Hernia

Cerebral Vascular Accident (CVA)

Aspiration

Answer and Explanation

The Correct Answer is D

Aspiration refers to the inhalation of gastric contents or other substances into the respiratory tract. During surgery, when the patient is under general anesthesia, the protective airway reflexes may be suppressed, increasing the risk of aspiration. If stomach contents enter the lungs, it can lead to aspiration pneumonia, respiratory distress, and other complications.

While myocardial infarction (MI), hernia, and cerebral vascular accident (CVA) are possible complications that can occur during surgery, they are not specifically related to airway issues.

MI is a cardiac event involving the blood supply to the heart muscle, hernia refers to the protrusion of an organ or tissue through an abnormal opening, and CVA refers to a disruption of blood flow to the brain. These complications can have various causes but are not directly related to the airway during surgery.

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Correct Answer is C

Explanation

The patient bending over the sink while brushing teeth requires intervention by the nurse. After hip arthroplasty using the posterior approach, the patient should avoid bending at the hip greater than 90 degrees to prevent dislocation of the prosthesis. The nurse should instruct the patient to bend at the knees instead of the hips while brushing teeth or doing any other activity that requires bending. The other actions mentioned in the options are appropriate for a patient after hip arthroplasty.

A. 3 units of his prescribed long acting insulin. B. 3 units of his prescribed rapid acting insulin. C. 5 units of his prescribed long acting insulin. D. 150 units of prescribed rapid acting insulin.

Correct Answer is B

Explanation

According to the given information, Aydan's insulin lispro (Humalog) dosage is 1 unit per 50 grams of carbohydrates eaten. As Aydan has just consumed 150 grams of carbs for lunch, we can calculate the insulin dose as follows:

Insulin dose = Carbohydrates eaten / Insulin-to-carbohydrate ratio Insulin dose = 150 grams / 50 grams/unit

Insulin dose = 3 units

Therefore, the nurse should prepare to administer 3 units of Aydan's prescribed rapid-acting insulin (Insulin lispro) to cover the carbohydrates he consumed for lunch. The long-acting insulin (Glargine) is typically given at bedtime to provide a basal insulin level and is not directly related to meal coverage.

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What is one airway complication that can occur during surgery when the patient is receiving general anesthesia care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is being discharged 4 days after hip arthroplasty using the posterior approach. Which patient action requires intervention by the nurse?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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