NURS 3632 EVALUATION EXAM ACTUAL QUESTIONS AND
SOLUTIONS GRADED A+
✔✔reconstructive sx - ✔✔using body parts to reconstruct something else for the body
✔✔constructive sx - ✔✔build something up, congenital abnormalities
✔✔transplantive sx - ✔✔remove and replace
✔✔General Anesthesia - ✔✔Inhalation or IV (patient is OUT most of the sx)
✔✔moderate anesthesia - ✔✔conscious sedation/analgesia (neuraleptanalgesia)
short term and minimally invasive, relaxed
✔✔Regional anesthesia - ✔✔anesthetic agent injected near a nerve or nerve pathway
or operative site
ex: lower ABD sx
(bowel dysfunction is less that why it is best for OLDER PATIENTS)
✔✔On-Q is a type of ___________ Anesthesia - ✔✔Regional, it delivers throughout
surgery
a non-narcotic elastomeric pump that delivers local anesthetic medication directly to the
surgical site
✔✔Topical/local Anesthesia - ✔✔-Mucous membranes
-Open skin
-Wounds
-Burns
✔✔phases of general anesthesia
Induction - ✔✔administration - incision
✔✔phases of general anesthesia
Maintainence - ✔✔incision - completion of sx
✔✔phases of general anesthesia
Emergence - ✔✔(SX is finished, giving fluids to rinse anesthesia out of body)
anesthesia wearing off, patient going to PACU, assessing for complication
, ✔✔Medication that help with if the patient wakes up during sx, helps them forget? -
✔✔Amnesia
✔✔Besides On-Q, what are other regional anesthesia? - ✔✔-epidural
-spinal
-nerve blocks
✔✔What are advance directives? - ✔✔legal documents that allow people to choose
what medical care they wish to have if they are unable to make those decisions
themselves (POA or Living will)
✔✔What are benefits of outpatient or same day sx? - ✔✔reduces length of hospital stay
and $$$, reduces stress of patient, may require of pre/post op sx teaching
GOOD for patients with support system or family to help afterwards, otherwise w/o
these support system inpatient is best to stay in hospital a couple days after
✔✔Patient risk factors after surgery - ✔✔-coping patterns
-literacy level
-nutrition
-smoke/alcohol
-daily living (are they independent)
FOLLOW WEIGHT RESTRAINTS TO AVOID RE-ADMISSION
✔✔SX risk of meds - ✔✔-anticoagulant incr risk of bleeding
-diuretics (check electrolytes)
-adrenal steroids (can cause cardiovasc collapse if stopped abruptly)
-Mycin drugs (can cause resp paralysis if combined with certain muscle relaxers)
✔✔What are examples of PREsurgical screening test/ - ✔✔-urinalysis
-chest x-rays
-CBG (blood cell count)
-Electrolyte levels
✔✔T/F
Therapeutic effect is what you want, the desired effect from the drug. - ✔✔True
ex: NORCO, pain is diminishing
✔✔Meperidine can cause what in geriatric patients for pain? - ✔✔Delirium, remember it
is neurotoxic
SOLUTIONS GRADED A+
✔✔reconstructive sx - ✔✔using body parts to reconstruct something else for the body
✔✔constructive sx - ✔✔build something up, congenital abnormalities
✔✔transplantive sx - ✔✔remove and replace
✔✔General Anesthesia - ✔✔Inhalation or IV (patient is OUT most of the sx)
✔✔moderate anesthesia - ✔✔conscious sedation/analgesia (neuraleptanalgesia)
short term and minimally invasive, relaxed
✔✔Regional anesthesia - ✔✔anesthetic agent injected near a nerve or nerve pathway
or operative site
ex: lower ABD sx
(bowel dysfunction is less that why it is best for OLDER PATIENTS)
✔✔On-Q is a type of ___________ Anesthesia - ✔✔Regional, it delivers throughout
surgery
a non-narcotic elastomeric pump that delivers local anesthetic medication directly to the
surgical site
✔✔Topical/local Anesthesia - ✔✔-Mucous membranes
-Open skin
-Wounds
-Burns
✔✔phases of general anesthesia
Induction - ✔✔administration - incision
✔✔phases of general anesthesia
Maintainence - ✔✔incision - completion of sx
✔✔phases of general anesthesia
Emergence - ✔✔(SX is finished, giving fluids to rinse anesthesia out of body)
anesthesia wearing off, patient going to PACU, assessing for complication
, ✔✔Medication that help with if the patient wakes up during sx, helps them forget? -
✔✔Amnesia
✔✔Besides On-Q, what are other regional anesthesia? - ✔✔-epidural
-spinal
-nerve blocks
✔✔What are advance directives? - ✔✔legal documents that allow people to choose
what medical care they wish to have if they are unable to make those decisions
themselves (POA or Living will)
✔✔What are benefits of outpatient or same day sx? - ✔✔reduces length of hospital stay
and $$$, reduces stress of patient, may require of pre/post op sx teaching
GOOD for patients with support system or family to help afterwards, otherwise w/o
these support system inpatient is best to stay in hospital a couple days after
✔✔Patient risk factors after surgery - ✔✔-coping patterns
-literacy level
-nutrition
-smoke/alcohol
-daily living (are they independent)
FOLLOW WEIGHT RESTRAINTS TO AVOID RE-ADMISSION
✔✔SX risk of meds - ✔✔-anticoagulant incr risk of bleeding
-diuretics (check electrolytes)
-adrenal steroids (can cause cardiovasc collapse if stopped abruptly)
-Mycin drugs (can cause resp paralysis if combined with certain muscle relaxers)
✔✔What are examples of PREsurgical screening test/ - ✔✔-urinalysis
-chest x-rays
-CBG (blood cell count)
-Electrolyte levels
✔✔T/F
Therapeutic effect is what you want, the desired effect from the drug. - ✔✔True
ex: NORCO, pain is diminishing
✔✔Meperidine can cause what in geriatric patients for pain? - ✔✔Delirium, remember it
is neurotoxic
