As the pediatric cardiac team prepared to cannulate for a coarctation repair, their neonate patient presented with a sudden dysrhythmia, ectopy, and failure to respond to digitalis. Point of-care serum electrolyte measurements revealed low potassium, sodium, and magnesium levels. On anesthesia induction, only 35 minutes earlier, these values were at normal levels, and the patient status was secure. The electrolyte levels were treated to normal and the patient was cannulated and placed on cardiopulmonary bypass. As the procedure continued the team pondered the cause to prevent a recurrence. What possible event could have caused, or contributed to, this loss of electrolytes?

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Perioperative Care Practice Questions Questions

Question 1 of 5

As the pediatric cardiac team prepared to cannulate for a coarctation repair, their neonate patient presented with a sudden dysrhythmia, ectopy, and failure to respond to digitalis. Point of-care serum electrolyte measurements revealed low potassium, sodium, and magnesium levels. On anesthesia induction, only 35 minutes earlier, these values were at normal levels, and the patient status was secure. The electrolyte levels were treated to normal and the patient was cannulated and placed on cardiopulmonary bypass. As the procedure continued the team pondered the cause to prevent a recurrence. What possible event could have caused, or contributed to, this loss of electrolytes?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

The mechanism of action of general anesthetics primarily results in:

Correct Answer: A

Rationale: Choice A as it lists general anesthesia's primary effects. Choices B, C, and D mix secondary or inaccurate effects. This informs perioperative nursing care during anesthesia.

Question 3 of 5

During a hypermetabolic MH crisis, the patient will require major modalities of treatment. In addition to dantrolene what is another priority intervention?

Correct Answer: B

Rationale: Choice B as cooling reduces hyperthermia. Choices A, C, and D are secondary or irrelevant. This stabilizes the patient, a perioperative nursing action.

Question 4 of 5

The circulating nurse instructed the new anesthesia resident in the proper positioning of the arm and hands on the OR bed armboards. She cautioned him to avoid pressure on the elbow to prevent:

Correct Answer: A

Rationale: Choice A as elbow pressure risks ulnar nerve injury. Choices B, C, and D are less specific. This protects nerve function, a perioperative nursing concern.

Question 5 of 5

The primary use for suture is essentially to:

Correct Answer: B

Rationale: Choice B as sutures ligate, approximate, and close wounds. Choices A, C, and D miss key functions. This supports healing, a perioperative nursing role.

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