NUR 155 PERIOPERATIVE EXAM QUESTIONS AND 100% APPROVED CORRECT ANSWERS GRADED A+ 2025 FIRST CLASS PASS

NUR 155 PERIOPERATIVE EXAM QUESTIONS AND 100% APPROVED CORRECT ANSWERS GRADED A+ 2025 FIRST CLASS PASS 2025 EXAM  NUR 155 PERIOPERATIVE EXAM QUESTIONS AND 100% APPROVED CORRECT ANSWERS GRADED A+ 2025 FIRST CLASS PASS Describe the three phases of periop patient care - CORRECT ANSWER Preoperative ■ Begins when the decision to proceed with surgical intervention is made, and ends with the transfer of the patient onto the OR table Intraoperative ■ Begins when the patient is transferred onto the OR table and ends with admission to the PACU Postoperative ■ Begins with the admission of the patient to the PACU and ends with a follow-up evaluation in the clinical setting or home What is included in the preoperative assessment - CORRECT ANSWER -Health History - Vital Signs - Blood Tests, X-rays, etc -Pregnancy test for all women of child-bearing age - Identify Risk Factors for Surgery What are some health factors that affect patients preoperatively - CORRECT ANSWER Drug/Alcohol use Respiratory status such as asthma or COPD or smoking Cardio status such as uncontrolled hypertension Hepatic or renal function Endocrine function such as diabetes Immune function such as allergies or medication reactions What are some complications that can happen in the intra-operative stage? - CORRECT ANSWER Nausea & Vomiting Anaphylaxis Respiratory Complications: Hypoxia Hypothermia Malignant Hyperthermia What are some risk factors for the intra-operative stage? - CORRECT ANSWER emergency surgery, unplanned changes in procedure, patient with higher BMI, multiple surgeons involved, multiple procedures, multiple personnel in OR involved in the surgery, and case duration that covers multiple nursing "shifts" What are some potential complications in the post-operative stage? - CORRECT ANSWER Hypotension / Shock ■ Result of blood loss, hypoventilation, position changes, pooling of blood in extremities, side effects of meds - Hemorrhage ■ Early s/s: feelings of apprehension, decreased cardiac output, breathing labored (air hunger). - Hypertension / Arrhythmias ■ HTN-secondary to pain, hypoxia, bladder distention ■ Arrhythmias-secondary to electrolyte imbalance, pain, stress, hypothermia, altered respiratory function, anesthetics Other post-operative complications/interventions - CORRECT ANSWER Respiratory: ■ Depressive effects of opioid medications ■ FVO - crackles ■ Use of IS, TCDB (can splint while coughing), early ambulation Deep Vein Thrombosis / Pulmonary Embolism: ■ DVT: Pain or cramping in extremity, edema, reddened, warm to touch, fever, chills, diaphoresis ■ Compression devices or stockings ■ Early ambulation, leg exercises ■ PE: Sudden SOB, tachypnea, tachycardia, low-grade temp, chest pain, apprehension Hematoma: ■ May need to remove large clot from wound Infection: ■ Care of dressings and drains as ordered ■ Monitor VS, Administer antibiotics as prescribed Wound Dehiscence / Evisceration: ■ Prevent with abdominal binder ■ Cover aseptically with moist saline dressing ■ Notify MD immediately What are the legal and ethical considerations related to obtaining informed consent for surgery - CORRECT ANSWER Must be voluntary and written - Patient has the legal right to make informed decisions regarding care - Must be in the patient's chart before surgery - Ensures the patient is provided with information necessary to enable him to evaluate the proposed surgery before agreeing to it - Protects the patient from unsanctioned surgery - Protects the surgeon from claims of unauthorized operation