NUR265: Final Exam LATEST 2025
Study online at https://quizlet.com/_hlzm9z
Initiates the nursing process
Admission data: demographics, health
hx, other information pertinent to the sur-
gical procedure
Verifies completion of preoperative diag-
nostic testing
Begins discharge planning by assessing
pt's need for postop care
Health hx and physical exam, medica-
tions and allergies, nutrition, fluid sta-
Describe a comprehensive preoperative
tus, dentition, drug or alcohol use, res-
assessment to identify pertinent health
piratory and cardiovascular status, he-
and surgical risk factors
patic and renal function, endocrine func-
tion, immune function, previous medica-
tion use, psychosocial factors, spiritual,
cultural beliefs
Medications that potentially affect surgi-
cal experience: corticosteroids, diuretics,
phenothiazines, tranquilizers, insulin, an-
tibiotics, anticoagulants, anticonvulsant
meds, thyroid hormone, opioids, OTC
and herbal
should be written before non emer-
gent surgery, legal mandate, sur-
geon must explain the procedure/ben-
Identify legal and ethical considerations efits/risks/complications/etc, nurse calci-
related to obtaining informed consent for fies information and witnesses signature,
surgery consent is valid ONLY when signed be-
fore administering psychoactive premed-
ication, consent accompanied patient to
OR
providing pt education, deep breathing,
coughing, and incentive spirometry, mo-
bility and active body movement, pain
management, cognitive coping strate-
gies, education for pts undergoing am-
bulatory surgery, providing psychosocial
interventions, reducing anxiety and de-
, NUR265: Final Exam LATEST 2025
Study online at https://quizlet.com/_hlzm9z
creasing fear, respecting cultural/spiritu-
al/religious beliefs, maintaining pt safety,
managing nutrition, fluids, preparing the
bowels, preparing the skin, pt changes
Describe preoperative nursing mea-
into gown, mouth inspection, jewelry
sures that decrease the risk for infection
removed, valuable stored in a secure
and other postoperative complications
place, administering preanesthetic med-
ication, maintaining preoperative record,
transporting pt to presurgical area, at-
tending to family needs
Provide care for patient until patient has
revered from effects of anesthesia. (Re-
sumption of motor and sensory function,
Oriented, Stable VS, shows no evidence
of hemorrhage or other complications or
surgery), vital to perform frequent skilled
assessment of patient, review pertinent
information, baseline assessment upon
admission to unit, assess airy, respirato-
ry function, cardiovascular function, skin
color, level of consciousness, and abil-
ity to respond to commands, reassess
Describe the responsibilities of the
VS, patient status every 15 minutes or
post-anesthesia care nurse in the pre-
more frequently as needed, administra-
vention of immediate post-operative
tion of postoperative analgesia, transfer
complications.
report, to another unit or discharge pa-
tient to home. Discharge planning, dis-
charge assessment, provide written, ker-
nel instructions regarding medications,
diet, give prescriptions, phone numbers,
discuss actions to take if complications
occur. Give instructions to patient, re-
sponsible adult who will accompany pa-
tient, patients are not to drive home or
be discharged to home alone, sedation,
anesthesia may affect memory, judge-
ment, affect ability.
Identify assessment parameters appro-
priate for the early detection of postop-
erative complications.
, NUR265: Final Exam LATEST 2025
Study online at https://quizlet.com/_hlzm9z
Assessment: Respiratory, pain, mental
status/LOC, general discomfort, prima-
ry consideration: necessary to maintain
ventilation, oxygenation, provide supple-
mental O2 as indicated, assess breath-
ing by placing hand near face to feel
movement of air. Keep head of bed ele-
vated 15 to 30 degrees unless contraindi-
cated-may require suctioning. If vomiting
occurs, turn patient, monitor all indica-
tors of cardiovascular status assess all
IV lines, potential for hypotension, shock,
potential for hemorrhage, potential for
hypertension, dysrhythmias, Pallor. Cool,
moist skin, rapid respirations, cyanosis,
rapid, weak, thready pulse, decreasing
pulse pressure, low blood pressure, con-
centrated urine, assess patient comfort,
control of environment: quiet, low lights,
noise level, administer analgesics as in-
dicated; usually short-acting Opioids IV.
Family visit, dealing with family anxiety.
Intervene at first indication of nausea,
medications, assessment of postopera-
tive nausea, vomiting risk, prophylactic
treatment.
Plan effective care of patients with the
following imbalances: fluid volume deficit
and fluid volume excess, sodium deficit
(hyponatremia) and sodium excess (hy-
pernatremia), and potassium deficit (hy-
pokalemia) and potassium excess (hy-
perkalemia).
Study online at https://quizlet.com/_hlzm9z
Initiates the nursing process
Admission data: demographics, health
hx, other information pertinent to the sur-
gical procedure
Verifies completion of preoperative diag-
nostic testing
Begins discharge planning by assessing
pt's need for postop care
Health hx and physical exam, medica-
tions and allergies, nutrition, fluid sta-
Describe a comprehensive preoperative
tus, dentition, drug or alcohol use, res-
assessment to identify pertinent health
piratory and cardiovascular status, he-
and surgical risk factors
patic and renal function, endocrine func-
tion, immune function, previous medica-
tion use, psychosocial factors, spiritual,
cultural beliefs
Medications that potentially affect surgi-
cal experience: corticosteroids, diuretics,
phenothiazines, tranquilizers, insulin, an-
tibiotics, anticoagulants, anticonvulsant
meds, thyroid hormone, opioids, OTC
and herbal
should be written before non emer-
gent surgery, legal mandate, sur-
geon must explain the procedure/ben-
Identify legal and ethical considerations efits/risks/complications/etc, nurse calci-
related to obtaining informed consent for fies information and witnesses signature,
surgery consent is valid ONLY when signed be-
fore administering psychoactive premed-
ication, consent accompanied patient to
OR
providing pt education, deep breathing,
coughing, and incentive spirometry, mo-
bility and active body movement, pain
management, cognitive coping strate-
gies, education for pts undergoing am-
bulatory surgery, providing psychosocial
interventions, reducing anxiety and de-
, NUR265: Final Exam LATEST 2025
Study online at https://quizlet.com/_hlzm9z
creasing fear, respecting cultural/spiritu-
al/religious beliefs, maintaining pt safety,
managing nutrition, fluids, preparing the
bowels, preparing the skin, pt changes
Describe preoperative nursing mea-
into gown, mouth inspection, jewelry
sures that decrease the risk for infection
removed, valuable stored in a secure
and other postoperative complications
place, administering preanesthetic med-
ication, maintaining preoperative record,
transporting pt to presurgical area, at-
tending to family needs
Provide care for patient until patient has
revered from effects of anesthesia. (Re-
sumption of motor and sensory function,
Oriented, Stable VS, shows no evidence
of hemorrhage or other complications or
surgery), vital to perform frequent skilled
assessment of patient, review pertinent
information, baseline assessment upon
admission to unit, assess airy, respirato-
ry function, cardiovascular function, skin
color, level of consciousness, and abil-
ity to respond to commands, reassess
Describe the responsibilities of the
VS, patient status every 15 minutes or
post-anesthesia care nurse in the pre-
more frequently as needed, administra-
vention of immediate post-operative
tion of postoperative analgesia, transfer
complications.
report, to another unit or discharge pa-
tient to home. Discharge planning, dis-
charge assessment, provide written, ker-
nel instructions regarding medications,
diet, give prescriptions, phone numbers,
discuss actions to take if complications
occur. Give instructions to patient, re-
sponsible adult who will accompany pa-
tient, patients are not to drive home or
be discharged to home alone, sedation,
anesthesia may affect memory, judge-
ment, affect ability.
Identify assessment parameters appro-
priate for the early detection of postop-
erative complications.
, NUR265: Final Exam LATEST 2025
Study online at https://quizlet.com/_hlzm9z
Assessment: Respiratory, pain, mental
status/LOC, general discomfort, prima-
ry consideration: necessary to maintain
ventilation, oxygenation, provide supple-
mental O2 as indicated, assess breath-
ing by placing hand near face to feel
movement of air. Keep head of bed ele-
vated 15 to 30 degrees unless contraindi-
cated-may require suctioning. If vomiting
occurs, turn patient, monitor all indica-
tors of cardiovascular status assess all
IV lines, potential for hypotension, shock,
potential for hemorrhage, potential for
hypertension, dysrhythmias, Pallor. Cool,
moist skin, rapid respirations, cyanosis,
rapid, weak, thready pulse, decreasing
pulse pressure, low blood pressure, con-
centrated urine, assess patient comfort,
control of environment: quiet, low lights,
noise level, administer analgesics as in-
dicated; usually short-acting Opioids IV.
Family visit, dealing with family anxiety.
Intervene at first indication of nausea,
medications, assessment of postopera-
tive nausea, vomiting risk, prophylactic
treatment.
Plan effective care of patients with the
following imbalances: fluid volume deficit
and fluid volume excess, sodium deficit
(hyponatremia) and sodium excess (hy-
pernatremia), and potassium deficit (hy-
pokalemia) and potassium excess (hy-
perkalemia).
