NUR 256 EXAM 1 WITH VERIFIED SOLUTIONS
1.5 Rights of Delegation: Task, circumstance, person,
direction/communication, supervision
2.Three phases of perioperative patient care: Preoperative
Phase Intraoperative Phase
Postoperative Phase
3.Preoperative Phase:
4.Intraoperative Phase:
5.Postoperative Phase:
6.5 purposes of surgery: Diagnostic, curative, repair (reconstructive),
palliative, rehabilitative
7.5 urgency levels of surgery: Emergent, urgent, required, elective,
optional
8.2 locations of surgery: In-patient, out-patient
9.Components of comprehensive preoperative assessment: Admission
H&P Diagnostics
Special Considerations
10.Admission H&P: admission history (HPI, surgical, medical, social,
psycho-spir- itual), physical exam, home medications, and allergies
(iodine and shellfish)
11.Diagnostics: Chest x ray, ECG, CBC, CMP, coagulopathy panel, type
and cross, special tests
12.Special considerations: Geriatric pts, comorbidities, disabilities,
discharge needs
13.why should you document herbal drugs?: most herbal drugs cause
bleeding
14.why should you document psych drugs?: most psych drugs cause
CNS depression
15.If allergic to latex what are other potential food allergies?: Kiwi,
avocado, banana, chestnuts, strawberry
,16.If allergic to iodine what are other potential food allergies?: Shellfish,
shrimp
17.What is the difference between CBC and CMP?: CBC =
glucose CMP = Liver function
18.When do you need consent?: When anything is going to be cut open,
invasive, sedation/anesthesia, high risk blood transfusion, radiation,
stress test
19.Who can sign consent?: Pt 18 or
older parent/guardian
MPOA
Mentally competent
Emancipated minor
20.When is it appropriate for two providers to sign consent on pts behalf?: -
Emergent procedure and the pt is incapacitated
21.Who obtains consent?: Provider doing the procedure or surgery
, 22.What should the provider discuss with the pt pre-op?: Risks and
benefits Alternatives
Possible outcome
Signature/date/time
23.What is milieu therapy?: Environment/people/pt/equipment
24.Atelectasis: Lung collapse
25.Flutter valve: Blow into it to help mucous secretions
26.TRUE OR FALSE
Shaving is required for skin prep?: FALSE
27.TRUE OR FALSE
Always turn pregnant pt to left side?: TRUE
28.Members of surgical team?:
Surgeon Anesthesiologist
Scrub RN/tech
Circulating RN
29.Average time for stitches to heal?: 6-8 weeks
30.What does PQRSTU stand for?:
P-Provoking/precipitating Q-Quality
R-
Radiation
S-Severity
T-Timing
U-Understanding
31.Required documents prior to pt entering surgery?: Valid informed
consent Verified health records
Current diagnostic
results Current
allergies, HT, WT
Advanced directive
32.Key topics to be discussed during pre-operative pt education?:
Milieu management
Physical and psychosocial preparations
Signs and symptoms to report and
manage
33.Examples of physical and psychosocial preparations: Anxiety and
fears Cultural and spiritual concerns
Bowel and skin prep
34.Signs and symptoms to report and manage:
Anaphylaxis Pain
1.5 Rights of Delegation: Task, circumstance, person,
direction/communication, supervision
2.Three phases of perioperative patient care: Preoperative
Phase Intraoperative Phase
Postoperative Phase
3.Preoperative Phase:
4.Intraoperative Phase:
5.Postoperative Phase:
6.5 purposes of surgery: Diagnostic, curative, repair (reconstructive),
palliative, rehabilitative
7.5 urgency levels of surgery: Emergent, urgent, required, elective,
optional
8.2 locations of surgery: In-patient, out-patient
9.Components of comprehensive preoperative assessment: Admission
H&P Diagnostics
Special Considerations
10.Admission H&P: admission history (HPI, surgical, medical, social,
psycho-spir- itual), physical exam, home medications, and allergies
(iodine and shellfish)
11.Diagnostics: Chest x ray, ECG, CBC, CMP, coagulopathy panel, type
and cross, special tests
12.Special considerations: Geriatric pts, comorbidities, disabilities,
discharge needs
13.why should you document herbal drugs?: most herbal drugs cause
bleeding
14.why should you document psych drugs?: most psych drugs cause
CNS depression
15.If allergic to latex what are other potential food allergies?: Kiwi,
avocado, banana, chestnuts, strawberry
,16.If allergic to iodine what are other potential food allergies?: Shellfish,
shrimp
17.What is the difference between CBC and CMP?: CBC =
glucose CMP = Liver function
18.When do you need consent?: When anything is going to be cut open,
invasive, sedation/anesthesia, high risk blood transfusion, radiation,
stress test
19.Who can sign consent?: Pt 18 or
older parent/guardian
MPOA
Mentally competent
Emancipated minor
20.When is it appropriate for two providers to sign consent on pts behalf?: -
Emergent procedure and the pt is incapacitated
21.Who obtains consent?: Provider doing the procedure or surgery
, 22.What should the provider discuss with the pt pre-op?: Risks and
benefits Alternatives
Possible outcome
Signature/date/time
23.What is milieu therapy?: Environment/people/pt/equipment
24.Atelectasis: Lung collapse
25.Flutter valve: Blow into it to help mucous secretions
26.TRUE OR FALSE
Shaving is required for skin prep?: FALSE
27.TRUE OR FALSE
Always turn pregnant pt to left side?: TRUE
28.Members of surgical team?:
Surgeon Anesthesiologist
Scrub RN/tech
Circulating RN
29.Average time for stitches to heal?: 6-8 weeks
30.What does PQRSTU stand for?:
P-Provoking/precipitating Q-Quality
R-
Radiation
S-Severity
T-Timing
U-Understanding
31.Required documents prior to pt entering surgery?: Valid informed
consent Verified health records
Current diagnostic
results Current
allergies, HT, WT
Advanced directive
32.Key topics to be discussed during pre-operative pt education?:
Milieu management
Physical and psychosocial preparations
Signs and symptoms to report and
manage
33.Examples of physical and psychosocial preparations: Anxiety and
fears Cultural and spiritual concerns
Bowel and skin prep
34.Signs and symptoms to report and manage:
Anaphylaxis Pain
