NUR 256 EXAM 1 WITH VERIFIED SOLUTIONS.

NUR 256 EXAM 1QUESTIONS WITH VERIFIED SOLUTIONS v v v v v vv




1.5 Rights of Delegation: Task, circumstance, person,
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direction/communication, supervision
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2.Three phases of perioperative patient care: Preoperative Phase
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Intraoperative Phase
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Postoperative Phase v




3.Preoperative Phase: v




4.Intraoperative Phase: v




5.Postoperative Phase: v




6.5 purposes of surgery: Diagnostic, curative, repair (reconstructive),
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palliative, rehabilitative
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7.5 urgency levels of surgery: Emergent, urgent, required, elective, optional
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8.2 locations of surgery: In-patient, out-patient
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9.Components of comprehensive preoperative assessment: Admission H&P v v v v v v




Diagnostics
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Special Considerations
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10.Admission H&P: admission history (HPI, surgical, medical, social, psycho-v v v v v v v v




spir- itual), physical exam, home medications, and allergies (iodine and
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shellfish)
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11.Diagnostics: Chest x ray, ECG, CBC, CMP, coagulopathy panel, type and v v v v v v v v v v




cross, special tests
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12.Special considerations: Geriatric pts, comorbidities, disabilities,
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discharge needs
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13.why should you document herbal drugs?: most herbal drugs cause bleeding
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14.why should you document psych drugs?: most psych drugs cause CNS
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depression
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15.If allergic to latex what are other potential food allergies?: Kiwi, avocado,
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banana, chestnuts, strawberry
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16.If allergic to iodine what are other potential food allergies?: Shellfish, shrimp
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17.What is the difference between CBC and CMP?: CBC = glucose
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,CMP = Liver function
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18.When do you need consent?: When anything is going to be cut open,
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invasive, sedation/anesthesia, high risk blood transfusion, radiation, stress
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test
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19.Who can sign consent?: Pt 18 or older
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parent/guardian
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MPOA
Mentally competent
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Emancipated minor
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20.When is it appropriate for two providers to sign consent on pts behalf?: -
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Emergent procedure and the pt is incapacitated
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21.Who obtains consent?: Provider doing the procedure or surgery
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, 22.What should the provider discuss with the pt pre-op?: Risks and benefits
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Alternatives
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Possible outcome v




Signature/date/time
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23.What is milieu therapy?: Environment/people/pt/equipment
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24.Atelectasis: Lung collapse v v




25.Flutter valve: Blow into it to help mucous secretions
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26.TRUE OR FALSE v v




Shaving is required for skin prep?: FALSE
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27.TRUE OR FALSE v v




Always turn pregnant pt to left side?: TRUE
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28.Members of surgical team?: Surgeon v v v v




Anesthesiologist
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Scrub RN/tech v




Circulating RN
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29.Average time for stitches to heal?: 6-8 weeks v v v v v v v




30.What does PQRSTU stand for?: v v v v




P-Provoking/precipitating Q-Quality
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R-
Radiation
S-Severity
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T-Timing
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U-Understanding
31.Required documents prior to pt entering surgery?: Valid informed consent
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Verified health records
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Current diagnostic v




results
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allergies,
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Advanced directive
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32.Key topics to be discussed during pre-operative pt education?: Milieu
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management
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Physical and psychosocial preparations
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Signs and symptoms to report and
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manage
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33.Examples of physical and psychosocial preparations: Anxiety and fears
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Cultural and spiritual concerns
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Bowel and skin prepv v v




34.Signs and symptoms to report and manage: Anaphylaxis
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Pain
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