NURS 1117 UNIT 4 EXAM QUESTIONS AND ANSWERS | RCTC FUNDAMENTALS OF NURSING
STUDY GUIDE 2026/2027
anticoagulant - ANS ✔✔risk: increase hemorrhage
diuretics - ANS ✔✔risk: increase electrolyte imbalance
tranquilizers - ANS ✔✔risk: increase hypotensive effects of anesthesia
corticosteroids - ANS ✔✔cardiovascular collapse with abrupt withdrawal
antibiotics - ANS ✔✔interactions with muscle relaxants during anesthesia
preoperative assessment - ANS ✔✔-previous surgeries
-nutrition
-etoh
-drugs illicit
-adls
-job
-coping
-support systems
informed consent - ANS ✔✔-description of procedure
-underlying disease process
-name and qualifications of surgeon
-explanation of risks
,-explanation of right of refusal / consent can be withdrawn anytime
-explanation of expected outcome, recovery, and home going plan.
nurses make sure it is done but we don't do it
Implementation - Preoperative - ANS ✔✔-prepping the patient
-relieving anxiety and fear
-therapeutic communication
-avoiding false reassurance
-teaching about pain management after surgery
-teach about physical activities, deep breathing, coughing, incentive spirometry, leg exercises,
scds
-hygiene with antimicrobial solution
-elimination: voiding, catheter placement, bowel prep
-diet order and restrictions, iv lines
-rest and sleep increases recovery
sedatives - ANS ✔✔alleviate anxiety
-diazepam (Valium)
-midazolam (Versed)
-lorazepam (Ativan)
anticholinergics - ANS ✔✔decrease secretions and prevent laryngospasms
-atropine
-glycopyrrolate (Robinul)
opioid agonists - ANS ✔✔sedation and relaxation
, -morphine
-fentanyl
-oxycodone
Antihistamines - ANS ✔✔decrease gastric acid
-cimetidine (Tagamet)
Preoperative risk factors - ANS ✔✔Advanced age
Obesity
Malnutrition
Dehydration
Electrolyte imbalances
Cardiovascular disorders
Respiratory disorders
Diabetes
Renal and liver dysfunction
Alcoholism
Intraoperative - ANS ✔✔pt in operating room
they're identified and asked what they expect to happen
introduced to staff
-cardiac monitor, pulse ox, warming device, iv lines attached if not in, urine catheter
preventing surgical site infections - ANS ✔✔1. Before: Educating, chlorohexidine, clipping hair
STUDY GUIDE 2026/2027
anticoagulant - ANS ✔✔risk: increase hemorrhage
diuretics - ANS ✔✔risk: increase electrolyte imbalance
tranquilizers - ANS ✔✔risk: increase hypotensive effects of anesthesia
corticosteroids - ANS ✔✔cardiovascular collapse with abrupt withdrawal
antibiotics - ANS ✔✔interactions with muscle relaxants during anesthesia
preoperative assessment - ANS ✔✔-previous surgeries
-nutrition
-etoh
-drugs illicit
-adls
-job
-coping
-support systems
informed consent - ANS ✔✔-description of procedure
-underlying disease process
-name and qualifications of surgeon
-explanation of risks
,-explanation of right of refusal / consent can be withdrawn anytime
-explanation of expected outcome, recovery, and home going plan.
nurses make sure it is done but we don't do it
Implementation - Preoperative - ANS ✔✔-prepping the patient
-relieving anxiety and fear
-therapeutic communication
-avoiding false reassurance
-teaching about pain management after surgery
-teach about physical activities, deep breathing, coughing, incentive spirometry, leg exercises,
scds
-hygiene with antimicrobial solution
-elimination: voiding, catheter placement, bowel prep
-diet order and restrictions, iv lines
-rest and sleep increases recovery
sedatives - ANS ✔✔alleviate anxiety
-diazepam (Valium)
-midazolam (Versed)
-lorazepam (Ativan)
anticholinergics - ANS ✔✔decrease secretions and prevent laryngospasms
-atropine
-glycopyrrolate (Robinul)
opioid agonists - ANS ✔✔sedation and relaxation
, -morphine
-fentanyl
-oxycodone
Antihistamines - ANS ✔✔decrease gastric acid
-cimetidine (Tagamet)
Preoperative risk factors - ANS ✔✔Advanced age
Obesity
Malnutrition
Dehydration
Electrolyte imbalances
Cardiovascular disorders
Respiratory disorders
Diabetes
Renal and liver dysfunction
Alcoholism
Intraoperative - ANS ✔✔pt in operating room
they're identified and asked what they expect to happen
introduced to staff
-cardiac monitor, pulse ox, warming device, iv lines attached if not in, urine catheter
preventing surgical site infections - ANS ✔✔1. Before: Educating, chlorohexidine, clipping hair
