NUR 227 EXAM 1 QUESTIONS WITH 100% VERIFIED ANSWERS!!
what is the minimum urine output per hour for a patient? Answer - 30 ml/hr
how would you prepare the OR for a patient with a latex allergy Answer - make it a latex free environment
why are smokers higher risk for complications in the post-op period Answer - 15% of
oxygen binding sites on Hgb are occupied by carbon monoxide (reducing oxygen carrying capacity)
what assessments are key in the immediate post op period and how frequent do you plan to asses? why? Answer - -vital signs including temp and pain -level of consciousness -pressure reading (icu cuff) -position of patient -condition of color and skin -neurovascular -condition of drains and tubes and amount of drainage -muscular response and strength -pupillary response -fluid therapy -physical and emotional comfort
which nursing action will help the patients most with pain control post operatively? Answer - pharmacologic and non-pharmacologic
describe malignant hypothermia Answer - an inherited muscle disorder triggered by certain types of anesthesia that may cause a fast-acting life-threatening crisis
how can you prevent malignant hypothermia from happening? Answer - look at family history, you can't truly prevent it because there is no test to see if you have it
what questions in your history and physical would help you asses the risk for malignant hypothermia? Answer - ask if any family members have had any reaction to anesthesia
what are common nursing roles in the peri-op process Answer - what are the different types of anesthesia Answer - - general
-regional
-local
-monitored anesthesia care (conscious sedation)
talk about the consent process Answer - -the explanation and discussion of these issues should be conducted by the preforming surgen
-voluntary process -patient must demonstrate significant comprehension
what is the nursings role in the consent process Answer - -witness the patients signature -act as patient advocate
when should consent happen Answer - before the procedure
in what situation can we override the consent process Answer - a true medical emergency
what is the purpose of being NPO prior to surgery Answer - avoid aspiration and incase they have to go further than planned like opening bowels
what is the purpose of the "time out" in the OR Answer - to make sue that everything
about the procedure is correct
-correct patient, surgical site, procedure, position, correct structure, equipment
what is important post-op nursing care and teaching for preventing respiratory complications Answer - -positioning, VS, O2 stat, oxygen, suctioning, effective coughing - splint PRN, incentive spirometry, early ambulation and turning
what is important post-op nursing care and teaching for preventing cardiac complications Answer - -monitor VS - compare to baseline, leg exercise-knee bends, plantar/dorsiflexion, SCDs, ambulation, phlebitis assessment, monitor/protect
wound
what is important post-op nursing care and teaching for preventing wound complications Answer - -asses risk, monitor wound at least each shift, protect with appropriate dressing, keep clean and dry, infection control, nutrition
what is important post-op nursing care and teaching for preventing uncontrolled pain Answer - pharmacologic and non-pharmacologic relief
what is important post-op nursing care and teaching for preventing paralytic ileus Answer - asses and treat nausea, gradually advance diet, monitor dietary intake, ambulation, hydration, monitor BS and BM each shift, privacy to use bathroom
oral route Answer - -follow tubing connection standards
-verify tube is compatible with medication absorption -use liquid medications when possible -flush between medication
what is the minimum urine output per hour for a patient? Answer - 30 ml/hr
how would you prepare the OR for a patient with a latex allergy Answer - make it a latex free environment
why are smokers higher risk for complications in the post-op period Answer - 15% of
oxygen binding sites on Hgb are occupied by carbon monoxide (reducing oxygen carrying capacity)
what assessments are key in the immediate post op period and how frequent do you plan to asses? why? Answer - -vital signs including temp and pain -level of consciousness -pressure reading (icu cuff) -position of patient -condition of color and skin -neurovascular -condition of drains and tubes and amount of drainage -muscular response and strength -pupillary response -fluid therapy -physical and emotional comfort
which nursing action will help the patients most with pain control post operatively? Answer - pharmacologic and non-pharmacologic
describe malignant hypothermia Answer - an inherited muscle disorder triggered by certain types of anesthesia that may cause a fast-acting life-threatening crisis
how can you prevent malignant hypothermia from happening? Answer - look at family history, you can't truly prevent it because there is no test to see if you have it
what questions in your history and physical would help you asses the risk for malignant hypothermia? Answer - ask if any family members have had any reaction to anesthesia
what are common nursing roles in the peri-op process Answer - what are the different types of anesthesia Answer - - general
-regional
-local
-monitored anesthesia care (conscious sedation)
talk about the consent process Answer - -the explanation and discussion of these issues should be conducted by the preforming surgen
-voluntary process -patient must demonstrate significant comprehension
what is the nursings role in the consent process Answer - -witness the patients signature -act as patient advocate
when should consent happen Answer - before the procedure
in what situation can we override the consent process Answer - a true medical emergency
what is the purpose of being NPO prior to surgery Answer - avoid aspiration and incase they have to go further than planned like opening bowels
what is the purpose of the "time out" in the OR Answer - to make sue that everything
about the procedure is correct
-correct patient, surgical site, procedure, position, correct structure, equipment
what is important post-op nursing care and teaching for preventing respiratory complications Answer - -positioning, VS, O2 stat, oxygen, suctioning, effective coughing - splint PRN, incentive spirometry, early ambulation and turning
what is important post-op nursing care and teaching for preventing cardiac complications Answer - -monitor VS - compare to baseline, leg exercise-knee bends, plantar/dorsiflexion, SCDs, ambulation, phlebitis assessment, monitor/protect
wound
what is important post-op nursing care and teaching for preventing wound complications Answer - -asses risk, monitor wound at least each shift, protect with appropriate dressing, keep clean and dry, infection control, nutrition
what is important post-op nursing care and teaching for preventing uncontrolled pain Answer - pharmacologic and non-pharmacologic relief
what is important post-op nursing care and teaching for preventing paralytic ileus Answer - asses and treat nausea, gradually advance diet, monitor dietary intake, ambulation, hydration, monitor BS and BM each shift, privacy to use bathroom
oral route Answer - -follow tubing connection standards
-verify tube is compatible with medication absorption -use liquid medications when possible -flush between medication
