NURS2040 - PROFESSIONAL PRACTICE 4 (LATEST UPDATE)
REAL QUESTIONS AND VERIFIED ANSWERS |100%
CORRECT | ALREADY GRADED A
Emergency vs. Elective surgery: Ans✓✓✓ Emergency: unplanned due
to acute condition, usually to preserve life.
Elective: planned, usually to improve quality or longevity of life.
Purposes for a surgical procedure: Ans✓✓✓ Diagnostic: to confirm or
establish a diagnosis.
Palliative: reduce pain or symptoms without resolving the issue.
Ablative: removal of an organ.
Constructive: restore function or appearance of an organ.
Transplant: replace a malfunctioning organ.
Common surgical suffixes: Ans✓✓✓ -ectomy: removal of
-lysis: destruction of
-orrhaphy: repair of
-ostomy: looking into
-otomy: cutting into
,-plasty: repair or reconstruction of
5 points of patient discussion pre-operatively: Ans✓✓✓ 1. Information
on the procedure and expectations.
2. Psychosocial and emotional support.
3. Roles of both staff and the patient.
4. Skill training for post-procedure, retained better.
5. Pain relief planning.
6 factors that increase surgical risk: Ans✓✓✓ 1. Older than 60 years old
(may experience worse effects from anaesthesia, dementia may worsen,
may not follow post-op instruction).
2. Malnutrition (delayed wound healing).
3. Obesity (impaired drug clearance and added pressure increases risk of
airway obstruction, atelectasis, VTE and PI).
4. Cardiovascular conditions influencing coagulation.
5. Upper RT infections or COPD.
6. Previous smoking/drug/alcohol use.
4 steps of medication reconciliation: Ans✓✓✓ 1. Collect information on
home medications from patient.
2. Confirm accuracy.
3. Compare with what is prescribed by the doctor.
4. Supply medications, and list to the next provider.
, Purpose of pre-medication: Ans✓✓✓ analgesia, prevents nausea and
anxiety, decreases GI/RT secretions, promotes sedation (therefore
lowering anaesthetic requirement)
Nurse's role in the holding bay: Ans✓✓✓ - confirm patient ID, allergies,
consent
- surgical site and procedure confirmed
- Assess GCS, skin integrity, VTE and other relevant risks, review
previous medical history.
Nurse's role in the operating theatre: Ans✓✓✓ - maintain sterility of
field throughout procedure.
- count surgical instruments pre and post surgery.
- monitor for signs of deterioration.
- documents any incidents or complications for MDT handover.
Surgical safety checklist: Ans✓✓✓ Document completed at three stages
throughout surgery to prevent incidents:
1. Sign in
2. Time out (before incision)
3. Sign out
REAL QUESTIONS AND VERIFIED ANSWERS |100%
CORRECT | ALREADY GRADED A
Emergency vs. Elective surgery: Ans✓✓✓ Emergency: unplanned due
to acute condition, usually to preserve life.
Elective: planned, usually to improve quality or longevity of life.
Purposes for a surgical procedure: Ans✓✓✓ Diagnostic: to confirm or
establish a diagnosis.
Palliative: reduce pain or symptoms without resolving the issue.
Ablative: removal of an organ.
Constructive: restore function or appearance of an organ.
Transplant: replace a malfunctioning organ.
Common surgical suffixes: Ans✓✓✓ -ectomy: removal of
-lysis: destruction of
-orrhaphy: repair of
-ostomy: looking into
-otomy: cutting into
,-plasty: repair or reconstruction of
5 points of patient discussion pre-operatively: Ans✓✓✓ 1. Information
on the procedure and expectations.
2. Psychosocial and emotional support.
3. Roles of both staff and the patient.
4. Skill training for post-procedure, retained better.
5. Pain relief planning.
6 factors that increase surgical risk: Ans✓✓✓ 1. Older than 60 years old
(may experience worse effects from anaesthesia, dementia may worsen,
may not follow post-op instruction).
2. Malnutrition (delayed wound healing).
3. Obesity (impaired drug clearance and added pressure increases risk of
airway obstruction, atelectasis, VTE and PI).
4. Cardiovascular conditions influencing coagulation.
5. Upper RT infections or COPD.
6. Previous smoking/drug/alcohol use.
4 steps of medication reconciliation: Ans✓✓✓ 1. Collect information on
home medications from patient.
2. Confirm accuracy.
3. Compare with what is prescribed by the doctor.
4. Supply medications, and list to the next provider.
, Purpose of pre-medication: Ans✓✓✓ analgesia, prevents nausea and
anxiety, decreases GI/RT secretions, promotes sedation (therefore
lowering anaesthetic requirement)
Nurse's role in the holding bay: Ans✓✓✓ - confirm patient ID, allergies,
consent
- surgical site and procedure confirmed
- Assess GCS, skin integrity, VTE and other relevant risks, review
previous medical history.
Nurse's role in the operating theatre: Ans✓✓✓ - maintain sterility of
field throughout procedure.
- count surgical instruments pre and post surgery.
- monitor for signs of deterioration.
- documents any incidents or complications for MDT handover.
Surgical safety checklist: Ans✓✓✓ Document completed at three stages
throughout surgery to prevent incidents:
1. Sign in
2. Time out (before incision)
3. Sign out
