Patient Controlled Epidural Analgesia (Pcea) Post-test

6 Questions | Total Attempts: 464

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Patient Controlled Epidural Analgesia (Pcea) Post-test

Test your knowledge on PCEA.


Questions and Answers
  • 1. 
     Prior to ambulating a patient with a PCEA, you should:
    • A. 

      Assess their lower extremities for any further changes in sensory/ motor function and notify the anesthesiologist of his symptoms, i.e., heaviness, numbness, or other changes.

    • B. 

      Stop the epidural infusion prior to ambulating the patient

    • C. 

      Not worry about these symptoms

    • D. 

      Notify the anesthesiologist immediately

  • 2. 
    When a patient is receiving PCEA infusion:
    • A. 

      Anticoagulants may be given without the anesthesiologist’s consent

    • B. 

      Systemic narcotics need not be consented by the anesthesiologist

    • C. 

      The surgeon or anesthesiologist will specify the exact time when anticoagulants can begin after catheter removal

    • D. 

      None of the above

    • E. 

      All of the above

  • 3. 
    Which one do you like? 1.       If an epidural catheter is inserted at the bedside on the unit,
    • A. 

      The epidural cart/ bag must be present

    • B. 

      The anesthesiologist tech must be present to support placement

    • C. 

      The anesthesiologist will remain at the bedside until the patient is stable

    • D. 

      None of the above

    • E. 

      All of the above except D

  • 4. 
    During your shift you need to assess and document the following :
    • A. 

      Site & dressing condition, flow/patency, & safety assessment Q shift; vital signs, pain, neurological, & respiratory assessment, adverse effects, & verification of settings (and EtCO2 If ordered) Q4H

    • B. 

      Site & dressing condition, flow/patency, & safety assessment Q shift, vital signs, pain, neurological, & respiratory assessment, adverse effects, & verification of settings (and EtCO2 If ordered) Q8H

    • C. 

      PCEA charting is the same as PCA charting

    • D. 

      Site & dressing condition, flow/patency, & safety assessment Q8H, vital signs, EtCO2, pain, neurological, & respiratory assessment, adverse effects, & verification of settings (and EtCO2 if ordered) Q2H

  • 5. 
    Signs and symptoms that may be observed during an epidural emergency are:
    • A. 

      Diminished or loss of consciousness

    • B. 

      Respiratory distress or arrest

    • C. 

      Cardiac arrest

    • D. 

      Severe symptomatic hypotension

    • E. 

      A & B only

    • F. 

      All of the above (A,B,C,D)

  • 6. 
    A sudden increase in a patient’s sedation level may be due to the migration of the epidural catheter into the spinal space.
    • A. 

      True

    • B. 

      False

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