D446 ADULT HEALTH 2 QUESTIONS WITH
CORRECT ANSWERS 2025
PREOPERATIVE NURSING
*OVERALL GOAL
*HERBS & ALLERGIES
*REQUIREMENTS BEFORE SURGERY - CORRECT ANSWER -OVERALL GOALS:
-establish a baseline
-provide teaching about the procedure and anesthesia
-assess the readiness and understanding of the pt
-
review all of diagnostic procedures like labs, XR to check status of pt before surgery (ABGs, BG,
BUN, creatinine, CXR, ECG, lfts, PTT, INR, Urinalysis)
*-make sure the pt understands and that the consent sign is signed and WITNESSED (you)
HERBS AND ALLERGIES:
- X ginseng or astralgus (increases BP )
- X St Johns Wort (prolongs anesthesic effects)
-X garlic, Vitamin E, Ginko, fish oils (increase bleeding)
-X Kava, valerian, (excessive sedation)
-X multivitamins (nausea, bc on an empty stomach)
-Latex allegies
-LATEX-
FRUIT syndrome: B.A.C. K bananas, avocado, kiwi, and chest nut has the same type of protein t
hat latex ppl are allergic to
REQUIREMENTS PREOP:
,-INFORMED CONSENT: active, shared decision-
making process between HCP and the pt and the pt has to willingly sign. There must be adequ
ate disclosure of the diagnosis, nature and purpose of the proposed treatment, probability of s
uccessful outcome, availability, benefits , and risk of alternatic
-Nutrition: consider docs orders of NPO or no food or drinks 24-3 hrs before surgery
-
Elimination: make sure they pee before surgery. if having abd surgery make sure they get presc
ribed orders of an enema, laxative the day or night before surgery. clear any urinary collection
bags and document output in chart.
-
Surgical Site: clean as prescribed with antibacterial soap or mild antiseptic the night before sur
gery
-BREATHING EXERCISE: incentive spirometry, cough, deep breathing, splinting, sitting upright
-pt teaching: post-op expected pain, tubes, ivs, drips, early ambulation to prevent DVTs
PREOP NURSING - CORRECT ANSWER -SUBSTANCES THAT AFFECT CLIENT IN SURGERY
-Antibiotics: potentiate the action of anesthetic agents
-Anticholinergics: can increase confusion, tachycardia, intestinal hypomobility and hypotonicity
-Insulin: need may be increased r/t stress under surgery
INTRAOPERATIVE NURSING
*OVERALL GOAL
*NURSE PRIORITY - CORRECT ANSWER -*Overall goal
-maintain sterility (maintain sterile field)
-
TIME OUTS: mandatory pause before the first cuts to make sure right patient, right side, right
procedure, allergies, equipment
-Documentation
, -
Pt safety: Padding pressure points (elbows,hips, heels), making sure airway isnt obstructed, co
mplete access of surgical site, no nerve compression
-correct positioning can prevent numbness, nerve weakness, and possible permanent paralysis
POSTOP CARE
*NURSE PRIORITY, GOALS - CORRECT ANSWER --
postop care we want to prevent complications to promote healing of the surgical incision
-RESPIRATORY: assess breath sounds for: stridor, wheezing, larygospasm, bronchospasm,
*crackles/rhonchi may indicate atelectsais, pneumonia, or pulm edema
-prolonged mechanical ventilation may affect postop lung function
-monitor for bleeding (pulse rate and rhythm)-
bounding pulse can mean HTN, fluid overlead, or client anxiety
-
Sequential compression devices to promote venous return, strengthen muscle tone, prevent p
ooling in the extremities
-leg exercises
-encourage ambulation but check for OT Hypotension before they get out of bed*
-Low Fowlers position to increase size of thorax for lung expansion (not supine)
-if pt cant get out of bed, turn them every 2 hrs
NEURO: reattempt to fully awake pt, reorient pt, prevent body heat loss
-monitor s/s of hypothermia r/t anesthesia
RENAL: assess for bladder distention, if pt doesnt have a catheter pt should void between 6-
8 hrs Postop depending on the anesthesia given ensure at least 200 ml
CORRECT ANSWERS 2025
PREOPERATIVE NURSING
*OVERALL GOAL
*HERBS & ALLERGIES
*REQUIREMENTS BEFORE SURGERY - CORRECT ANSWER -OVERALL GOALS:
-establish a baseline
-provide teaching about the procedure and anesthesia
-assess the readiness and understanding of the pt
-
review all of diagnostic procedures like labs, XR to check status of pt before surgery (ABGs, BG,
BUN, creatinine, CXR, ECG, lfts, PTT, INR, Urinalysis)
*-make sure the pt understands and that the consent sign is signed and WITNESSED (you)
HERBS AND ALLERGIES:
- X ginseng or astralgus (increases BP )
- X St Johns Wort (prolongs anesthesic effects)
-X garlic, Vitamin E, Ginko, fish oils (increase bleeding)
-X Kava, valerian, (excessive sedation)
-X multivitamins (nausea, bc on an empty stomach)
-Latex allegies
-LATEX-
FRUIT syndrome: B.A.C. K bananas, avocado, kiwi, and chest nut has the same type of protein t
hat latex ppl are allergic to
REQUIREMENTS PREOP:
,-INFORMED CONSENT: active, shared decision-
making process between HCP and the pt and the pt has to willingly sign. There must be adequ
ate disclosure of the diagnosis, nature and purpose of the proposed treatment, probability of s
uccessful outcome, availability, benefits , and risk of alternatic
-Nutrition: consider docs orders of NPO or no food or drinks 24-3 hrs before surgery
-
Elimination: make sure they pee before surgery. if having abd surgery make sure they get presc
ribed orders of an enema, laxative the day or night before surgery. clear any urinary collection
bags and document output in chart.
-
Surgical Site: clean as prescribed with antibacterial soap or mild antiseptic the night before sur
gery
-BREATHING EXERCISE: incentive spirometry, cough, deep breathing, splinting, sitting upright
-pt teaching: post-op expected pain, tubes, ivs, drips, early ambulation to prevent DVTs
PREOP NURSING - CORRECT ANSWER -SUBSTANCES THAT AFFECT CLIENT IN SURGERY
-Antibiotics: potentiate the action of anesthetic agents
-Anticholinergics: can increase confusion, tachycardia, intestinal hypomobility and hypotonicity
-Insulin: need may be increased r/t stress under surgery
INTRAOPERATIVE NURSING
*OVERALL GOAL
*NURSE PRIORITY - CORRECT ANSWER -*Overall goal
-maintain sterility (maintain sterile field)
-
TIME OUTS: mandatory pause before the first cuts to make sure right patient, right side, right
procedure, allergies, equipment
-Documentation
, -
Pt safety: Padding pressure points (elbows,hips, heels), making sure airway isnt obstructed, co
mplete access of surgical site, no nerve compression
-correct positioning can prevent numbness, nerve weakness, and possible permanent paralysis
POSTOP CARE
*NURSE PRIORITY, GOALS - CORRECT ANSWER --
postop care we want to prevent complications to promote healing of the surgical incision
-RESPIRATORY: assess breath sounds for: stridor, wheezing, larygospasm, bronchospasm,
*crackles/rhonchi may indicate atelectsais, pneumonia, or pulm edema
-prolonged mechanical ventilation may affect postop lung function
-monitor for bleeding (pulse rate and rhythm)-
bounding pulse can mean HTN, fluid overlead, or client anxiety
-
Sequential compression devices to promote venous return, strengthen muscle tone, prevent p
ooling in the extremities
-leg exercises
-encourage ambulation but check for OT Hypotension before they get out of bed*
-Low Fowlers position to increase size of thorax for lung expansion (not supine)
-if pt cant get out of bed, turn them every 2 hrs
NEURO: reattempt to fully awake pt, reorient pt, prevent body heat loss
-monitor s/s of hypothermia r/t anesthesia
RENAL: assess for bladder distention, if pt doesnt have a catheter pt should void between 6-
8 hrs Postop depending on the anesthesia given ensure at least 200 ml
