7.1. Aldosterone release does all the following except:

7.2. Which of the following factors places the patient most at risk for acidosis?

7.3. After a bilateral adrenalectomy because of metastatic cancer, a cortisone titration was administered during general anesthesia and is continued in the PACU to:

7.4. The most common blood transfusion risk is:

7.5. While caring for an adrenalec-tomy patient, the PACU nurse can anticipate:

7.6. Which of the following statements about electrolytes is not true?

7.7. The perianesthesia nurse observes that a patient with cirrhosis and an actively bleeding gastric ulcer received 5 units of packed red blood cells (RBCs) during a partial gastrectomy, vagotomy, and pyloroplasty. A unit of whole blood infuses now, and bleeding has abated. This patient has an increased potential for which of the following?

7.8. One type of surgery that may include planned perioperative hypothermia includes:

7.9. Blood type O negative is considered the “universal donor” because it carries:

7.11 A preoperative complete blood count (CBC) is:

7.12 A male patient is recovering from general anesthesia in the Phase 1 PACU after a 3-hour partial gastrectomy. Arterial blood gases (ABGs) ordered by the surgeon, collected 30 minutes after PACU admission, showed pH = 7.28; PaO₂ = 80 mmHg; PaCO₂ = 67 mmHg; HCO₃ = 26 mEq/L. These results indicate:

7.13 Based on the ABG results, the nurse can anticipate the patient demonstrating all the following except:

7.14 After ensuring the patient has a patent airway with an adequate oxygen device in place, the next most immediate nursing action is to:

7.15 The primary goal of transfusing packed RBCs is to:

7.16 The nurse caring for a postoperative type 1 diabetic patient who received epidural anesthesia is aware that:

7.17 After the infusion of 1 unit of packed RBCs, the postanesthesia nurse would expect a post-transfusion hemoglobin and hematocrit (Hgb & Hct) to show an increase of:

7.19 Thyroid storm can occur up to 18 hours postoperatively and is characterized by:

7.20 The specific indication for fresh frozen plasma (FFP) is to:

7.21 Body temperature is regulated in which part of the brain?

During a lumbar decompression and fusion of vertebrae L2 to S1, a female patient’s estimated blood loss was 800 mL. Her Hgb in PACU is 7.2 g/dL, and the surgeon orders an infusion of 2 units of autologous blood. The blood bank technician informs the PACU nurse that the patient has “cold agglutinins.”

7.22 Safe infusion of autologous blood requires:

7.23 Red blood cell production is:

7.24 A female patient is having a hypophy-sectomy procedure under general anesthesia because of a diagnosed tumor. This tumor resulted in a decreased hormone secretion from the involved gland. The nurse can expect all the following except:

7.25 The operative approach commonly used for a hypophysectomy procedure is:

7.26 Old red blood cells are normally:

7.27 Which of the following statements regarding pulse oximetry is true?

7.28 A type 2 male diabetic has a history of successful blood sugar management by careful adherence to a diabetic exchange diet, regular brisk walks for exercise, and daily oral metformin doses. The patient arrives in the PACU with a blood glucose level of 251 mg/dL. The nurse understands that this elevation is most likely related to:

7.29 The primary role of parathormone is to:

7.30 Sickle cell disease is the result of:

7.32 Respiratory alkalosis may be caused by:

7.33 A patient on long-term steroid therapy experiences suppressed cortisone production. The incapacity to generate endogenous adrenocorticoids can:

7.34 Hypertonic intravenous (IV) solutions:

7.35 In the immediate postoperative period, the hemoglobin and hematocrit values of a stable 47-year-old male after elective total knee replacement are Hgb 11 g/dL and Hct 35%. Reported blood loss was 200 mL; IV fluids given were 2600 mL of lactated Ringer’s. The postanesthesia nurse recognizes that the patient’s Hgb and Hct:

7.36 During emergency treatment of abdominal hemorrhage, rapidly infusing 4 units of packed red blood cells through a blood warmer:

7.37 The drug of choice in the treatment of malignant hyperthermia (MH) is:

7.38 During an inflammatory response, leukocytes function within the:

7.39 Polycythemia may be a response to all the following except:

7.40 Endocrine changes that occur in the elderly patient population result in which of the following?

7.41 Serum calcium deficiency is of concern when administering muscle relaxants because hypocalcemia:

7.43 A 62-year-old female patient arrives in the preoperative unit at 8 am for an exploratory bowel procedure. She reports completing the bowel prep as instructed with excellent results and maintaining NPO status for 8 hours; she states that she is feeling “exceptionally weak” today. Potential causes for the reported weakness include all except:

7.44 Clinical symptoms of Addisonian crisis include all the following except:

7.45 A male patient is admitted for repair of an incarcerated hernia. He has been on warfarin (Coumadin) since having a mitral valve replacement 2 years ago and took his usual dose 16 hours before admission. The admitting perianesthesia nurse recognizes that:

7.46 The drug of choice to administer in the PACU if Addisonian crisis is suspected would be:

7.47 Which of the following statements best describes properties of a nonrebreathing O₂ mask?

7.48 A diabetic patient exhibits symptoms of tachypnea, polyuria, tachycardia, hyperkalemia, and hypotension. The perianesthesia nurse recognizes these symptoms as consistent with:

7.49 The most important preoperative considerations for a patient after a total thyroidectomy procedure include all the following except: