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Exam (elaborations)

NUR 256 Exam 1 (Questions and Answer) | 100% CORRECT | (GRADED A+)

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NUR 256 Exam 1 (Questions and Answer) | 100% CORRECT | (GRADED A+)

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NUR 256 Exam 1 (Questions and Answer) |
100% CORRECT | (GRADED A+)
1. What is our main concern when a patient goes to the PACU?
- ANSWER: ABC framework
Airway: Ensuring airway is clear, patent and unobstructed
Breathing: monitor respiratory rate, depth, and oxygen saturation
Circulation: monitor heart rate, BP, peripheral pulses, skin
color/temperature to detect shock, hemorrhage, or dysrhythmias

LOC

Surgical Site & dressing

Pain management

2. Signs and Symptoms of hypovolemic shock?
- ANSWER: Cardiovascular: Rapid heart rate (tachycardia), low blood pressure
(hypotension), weak pulse, and poor capillary refill.
Neurological: Confusion, agitation, anxiety, dizziness, or loss of
consciousness.
Skin/Extremities: Cool, clammy, pale, or mottled skin.
Respiratory: Rapid and shallow breathing (tachypnea).
Renal: Significantly decreased or no urine output (oliguria).
Other: General weakness, extreme thirst, or muscle cramps

3. What an important post op teaching? Is prevents pneumonia
- ANSWER: Preventing complications through wound care (keeping incisions
clean/dry), pain management, early mobility (walking to prevent clots),
and recognizing warning signs like fever, increased redness, or severe
pain

4. Pre operative assessment that would be very important to make notes of?
- ANSWER: Allergies

5. How do we get rid of gas post op with general anesthetic?
- ANSWER: Through the lungs & if lungs are decreased that's an issue. This is seen
with the elderly.

6. What is one thing in anesthesiologist is going to assess before giving any kind of
gas?
- ANSWER: Pulse ox = oxygen levels

7. Purpose of a Jackson Pratt drain?
- ANSWER: JP (Jackson-Pratt) drain's purpose is to remove excess fluid (like blood,
pus, or lymph) from a surgical site, preventing buildup, swelling, and

, NUR 256 Exam 1 (Questions and Answer) |
100% CORRECT | (GRADED A+)
infection, thereby promoting faster, cleaner healing by creating gentle
suction to pull fluids into a collection bulb.

8. What is the importance of respiratory care?
- ANSWER: Post-operative respiratory care (including deep breathing, coughing, and
incentive spirometry) is critical to prevent lung complications like
pneumonia and atelectasis (collapsed air sacs) caused by anesthesia,
pain medication, and shallow breathing. It aims to clear fluid/phlegm,
maintain oxygen levels, and restore lung function.

9. What is something we do to increase respiratory?
- ANSWER: Deep breaths, coughs, and use an incentive spirometer

10. What do we know about depression along with anesthesia? Decrease effects -
ANSWER:
11. If a patient has just had a total hip surgery and it's not responding to verbal stimuli
what do you want to do? What position would you put him in?
- ANSWER: Place the pt in a left lateral position

12. If a pt is Allergic to bananas?
- ANSWER: They are Allergic to latex

13. Diabetics that are NPO for surgery?
- ANSWER: Monitor blood glucose

14. Pre-op before they're given a pre-and aesthetic make sure they go to the bathroom
T/F
- ANSWER: True
15. What is something that will give to prevent blood clots?
- ANSWER: SCDs Anticoagulants

16. When should a patient take there pain meds?
- ANSWER: Before it becomes to painful

17.What the purpose of an incentive spirometer?
- ANSWER: to help you take slow, deep breaths to expand your lungs, preventing
fluid buildup and infections like pneumonia

18. How should they deep breathe and cough ?
- ANSWER: Using the splint method

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