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WorksheetsMinimum Monitoring Recommendations
Total questions: 66
Worksheet time: 33mins
According to the Minimum Monitoring Recommendations, how often should core body temperature be monitored during anesthesia?
Every 10–20 minutes
Every 30–60 minutes
Every 2 hours
Only at the beginning and end of anesthesia
A rectal thermometer underestimates core body temperature and is safe for all patients.
True
False
An esophageal thermometer can be inserted during anesthesia, but should not be left in place during ________.
recovery
induction
surgery
intubation
Multiparameter monitors include which types of temperature probes?
Oral or axillary
Rectal or esophageal
Tympanic or skin
Forehead or wrist
Which of the following is NOT listed as a vital sign to monitor during anesthesia?
Heart/pulse rate
Respiratory rate
Blood glucose
Mucous membrane color
Capillary ________ time is one of the vital signs to monitor during anesthesia.
refill
pulse
pressure
volume
Which of the following vital signs includes rhythm, strength, and quality?
Heart/pulse rate
Respiratory rate
Capillary refill time
Blood pressure
Respiratory rate, rhythm, and quality are important vital signs to monitor during anesthesia.
True
False
What is the purpose of using pulse oximetry during recovery from anesthesia?
To aid early recognition and intervention of post-anesthetic hypoxia.
To monitor blood pressure fluctuations.
To assess the depth of anesthesia.
To measure carbon dioxide levels in the blood.
At what SpO₂ value should supplemental oxygen be provided according to minimum monitoring recommendations?
If SpO₂ is less than 94%.
If SpO₂ is less than 98%.
If SpO₂ is less than 90%.
If SpO₂ is less than 80%.
Supplemental oxygen should be stopped when the patient can maintain SpO₂ values above 94% for 5 minutes off oxygen.
True
False
When are IV fluids typically stopped during recovery according to minimum monitoring recommendations?
IV fluids are typically stopped during recovery.
IV fluids are typically stopped before anesthesia induction.
IV fluids are typically stopped during the preoperative assessment.
IV fluids are typically stopped after discharge from the recovery area.
If a patient is hypovolemic and requires fluid therapy, what should be checked regularly on the IV catheter?
Patency, cleanliness, irritation, and security; re-bandage if necessary.
Only the color of the fluid in the IV line.
Just the patient's temperature and heart rate.
The IV catheter should not be checked once placed.
What are possible complications of IV catheter care mentioned in the minimum monitoring recommendations?
T-port or cap coming off, leading to blood loss.
Catheter causing immediate allergic reaction.
IV catheter turning into a permanent implant.
Catheter transmitting wireless signals.
According to the Minimum Monitoring Recommendations, pain assessment should be made by the same person in the same manner each time.
True
False
Which of the following may cause a patient to vocalize according to the Minimum Monitoring Recommendations?
Pain
Emergency delirium
Dysphoria
All of the above
What is likely to occur if a patient is extubated and immediately becomes vocal and begins thrashing, according to the Minimum Monitoring Recommendations?
Emergence delirium
Respiratory depression
Anaphylactic reaction
Cardiac arrest
If a patient does not settle or gets worse, what should be assessed according to the Minimum Monitoring Recommendations?
Assess for pain versus dysphoria
Check for fever and infection
Monitor blood glucose levels
Evaluate for dehydration
According to the Minimum Monitoring Recommendations, patients in pain are generally:
Consolable
Not consolable
Patients with dysphoria commonly respond to gentle palpation of the surgical site.
True
False
According to the Minimum Monitoring Recommendations, what other differentials should be considered besides pain and dysphoria?
Need to urinate or defecate, inability to breathe due to hypoxemia, or just wanting to be held
Hunger and thirst, excessive sleepiness, or excitement from loud noises
Allergic reaction to medication, dehydration, or exposure to cold temperatures
Overstimulation from light, lack of exercise, or boredom
What is included in mentation assessment according to the Minimum Monitoring Recommendations?
Assessment of level of consciousness and patient’s reaction to environment
Assessment of blood pressure
Assessment of heart rate
Assessment of body temperature
How often should mentation assessment be performed according to the recommendations?
Only once
At regular intervals
Every hour
Only when patient is obtunded
According to the recommendations, significant changes or trend toward less responsiveness should be _______.
reported
ignored
delayed
celebrated
Who is optimal to assess mentation according to the Minimum Monitoring Recommendations?
Different people each time
The same person
The patient’s family
The veterinarian only
If a patient remains extremely obtunded, what should be assessed?
Blood glucose
Vital signs and other parameters
Body weight
Appetite
Administering diluted reversal drug is generally recommended unless the patient is having an adverse effect.
True
False
Supplemental oxygen should be provided during recovery if the patient’s oxygen saturation drops below what level?
87%
90%
94%
96%
Supplemental oxygen should be provided during recovery if the patient’s oxygen saturation drops below what level?
90%
92%
94%
96%
How long should oxygen be administered before moving a patient into the recovery area whenever possible?
1 to 2 minutes
5 to 10 minutes
15 to 20 minutes
30 minutes
Which of the following is a method for supplying oxygen to patients in recovery?
Patient remains attached to breathing circuit with vaporizer turned off and oxygen left on
Patient is immediately moved to recovery without oxygen
Patient is given oral oxygen tablets
Patient is placed under a heat lamp
If administration in extubated patient during routine recovery causes undo stress, ______ oxygen or move patient to oxygen cage.
discontinue
increase
humidify
monitor
Which method is more common for horses when post-anesthetic oxygen is medically necessary?
Place NT tube through nares and into trachea
Administer via face mask
Use nasal cannula
Place animal in oxygen cage
Face mask or end of breathing circuit can be used if a patient requires extubation during oxygen administration in recovery.
True
False
Methods if post-anesthetic oxygen is medically necessary include placing the animal in an oxygen cage or administering via ______ or nasal cannula.
face mask
endotracheal tube
intravenous line
oral tablet
Why is it important to keep the airway open during patient positioning?
To ensure the patient can breathe properly and prevent airway obstruction.
To increase the patient's blood pressure.
To improve the patient's digestion.
To reduce the risk of skin infections.
How should a patient be positioned for comfort and safety during recovery?
In lateral recumbency
In sternal recumbency whenever possible
Standing
Prone
Horses are an exception and can lay in lateral recumbency during patient positioning.
True
False
What can elevating the patient's head with pillows or rolled towels help prevent once ETT is removed?
Aspiration
Hypotension
Bradycardia
Hypertension
Why should you be aware of the surgery site and areas of the body that might be painful postoperatively?
To avoid causing additional pain or discomfort to the patient.
To increase the risk of infection.
To ignore the patient's complaints.
To ensure the patient remains unconscious.
It is best not to move the patient too much after surgery.
True
False
Why must you watch the position of the ETT carefully when turning the patient?
To prevent tracheal damage.
To increase oxygen delivery.
To improve patient comfort.
To reduce blood pressure.
If Elizabethan collar required, when should it be placed on the patient?
Well before patient completely awakens
After the patient is fully awake
Only if the patient starts scratching
Just before discharge from hospital
Why is it easier to apply the Elizabethan collar before the patient is able to bite and scratch at the collar?
Because the patient is less likely to resist or injure itself before fully awake.
Because the collar is more flexible when the patient is asleep.
Because the collar can only be fastened while the patient is unconscious.
Because the patient will not remember the collar being applied.
Handling Fractious Patients: What does applying the Elizabethan collar help reduce?
Level of fractiousness and degree of self-trauma to surgery site
Risk of infection from airborne pathogens
Need for sedation during recovery
Amount of medication required for pain management
What must you do after placing an Elizabethan collar on a patient?
Watch patient diligently in case it develops difficulties with collar
Remove the collar immediately after placement
Feed the patient through the collar
Ignore the patient for several hours
If a patient is too fractious to handle safely, what is the best option?
Crate may be best option
Give food immediately
Ignore the patient
Let the patient roam freely
Handling Fractious Patients: Where should you place the patient's head when putting it in a crate?
At the door
At the back of the crate
In the middle of the crate
Facing upwards
Handling Fractious Patients: Why should the crate be placed where the patient is visible?
So recovery can be monitored
To make the patient feel more comfortable
To allow other animals to see the patient
To keep the crate out of the way
Handling Fractious Patients: What may be required for large dogs once extubated?
Basket muzzle
Elizabethan collar
Bandage wrap
Sedation
What is the process of removing ETT called?
Extubation
Intubation
Tracheostomy
Bronchoscopy
What is the main indicator for extubation?
Swallow reflex
Cough reflex
Gag reflex
Ability to follow commands
Which of the following should prompt extubation?
Swallowing
Movement
Robust cranial nerve signs in response to touching or talking to patient
All of the above
For brachycephalic dogs, what is the safest position to recover after extubation?
Sternal recumbency with head elevated, mouth open, and tongue pulled forward
Lateral recumbency with head lowered and mouth closed
Dorsal recumbency with head flat and tongue inside the mouth
Standing position with head down and mouth closed
A dedicated technician to monitor recovery is essential for brachycephalic dogs after extubation.
True
False
Which of the following should be available to provide support after extubation?
Oxygen therapy
Pulse oximeter
Clean ETT
Induction agent
All of the above
Is tranquilization considered on a case-by-case basis after extubation?
True
False
According to the Guidelines for Extubation, prior to extubation, it is optimal for the patient to continue breathing oxygen for how many minutes after the vaporizer has been turned off?
5 to 10 minutes
1 to 2 minutes
15 to 20 minutes
30 to 40 minutes
According to the Guidelines for Extubation, delivery of 100% oxygen helps to remove which agent?
inhalant anesthetic agent
carbon dioxide
nitrous oxide
blood clot
According to the Guidelines for Extubation, before extubation, what should be visually inspected for foreign material and cleared of any accumulation of blood, gauze, lubricants, tartar, or other materials?
oropharynx
nasopharynx
larynx
trachea
According to the Guidelines for Extubation, in most patients, the cuff should be deflated immediately prior to removal of what?
ETT (endotracheal tube)
NG tube (nasogastric tube)
IV cannula
Urinary catheter
According to the Guidelines for Extubation, the ETT should be disconnected from which hose and the oxygen turned off?
breathing hose
suction hose
water hose
vacuum hose
According to the Guidelines for Extubation, the ETT should be untied and gently pulled to remove from what?
patient
ventilator
monitor
bed
According to the Guidelines for Extubation, animals anesthetized for GI surgery are prone to movement of fluid into which area?
pharynx
trachea
esophagus
nasal cavity
According to the Guidelines for Extubation, during GI surgery, the head should be positioned to allow drainage of fluid from where?
pharynx
trachea
esophagus
larynx
According to the Guidelines for Extubation, when removing the ETT in animals anesthetized for GI surgery, the cuff should be inflated and the head should be tilted in which direction?
down
up
left
right
