NURS 120 MED SURG FINAL EXAM STUDY GUIDE 2022/2023

NURS 120 MED SURG FINAL EXAM STUDY GUIDE 2022/2023 Nurs 120 Med Surg Final Study Guide Prep Week 1 Lewis l Ch. 11, 17, 18, 19 ATI l Ch. 94 - 96 Nursing concepts: Perioperative nursing - Pre-Op - Intra-Op - Post-Op Pre-Op Preparation - Assess patient, thorough assessment, consent form (NURSE WITNESSES, DOCTOR OBTAINS) - Administer prophylaxis med (to prevent infection), 30-60 minutes prior to surgery - For outpatient surgeries, if patient does not have support, we ARRANGE FOR TRANSPORTATION Intra-Op - Circulating Nurse prepares the room for Surgery - IMPORTANT complication r/t anesthesia Malignant hyperthermia e.g. high fever, muscle spasms/twitching - Ask about Family History of Malignant hyperthermia or complications after Surgery (Malignant Hyperthermia is hereditary) - Post-Op – 1st 24 hours after surgery ARE CRUCIAL ** Remember A,B,C ‘s - Biggest Concern AIRWAY, Bleeding, Pain o Best Position is : SIDE LATERAL (So tongue doesn’t go back and block the airway) - PAIN – Worst hours are the first 24-48 hours - Atelectasis d/t anesthesia - Anesthesia cause decreased peristalsis - Other Complications: Respiratory depression, constipation, monitor Urinary Output carefully, monitor vital signs- concern w/ temperature 100.8 to 101.0 deg. Fahrenheit, risk for injury (fall risk), NCLEX Practice Question: A nurse is caring for a client who reports nausea and vomiting 2 days post-op after hysterectomy. Which of the following actions should the nurse perform FIRST? a. Assess bowel sounds b. Administer antimetic med c. Restart prescribed IV Fluids d.  Paralytic ileus (Bowel Obstruction)