NUR242 EXAM 1 2026 EXAM PREP STUDY
GUIDE COMPREHENSIVE REVIEW
◉ Time Outs. Answer: Verify the Client- right person?
• Check History, documents, Client ID, Implants,
prothesis etc..
• Mark the procedure site with the surgeon's initials
• Time out for the team, Correct patient, Procedure side
and site.
◉ Malignant Hyperthermia. Answer: Unknown, Genetics
Muscle Rigidity, Tachycardia, increase end tidal CO2, increase body
temperature, decreased O2 salts
MH Cart
Call Anesthesia, Anesthesia stopes meds
Dantrolene is given, Cool IV fluids, O2, Cooling Blankets
Muscles Relax
Beta Blockers
ICU, Monitor 24 hours postoperative MH reaction
,◉ Regional Anesthesia. Answer: Between L4 & L5, pt is awake,
should be able to feel toes, check for reduced CMS (Color, Motor,
Sensation), monitor for hypotension, headache, respiratory paralysis
◉ Prioritize safety. Answer: CALL BELL
SIDE RAILS
BED ALARM
LOWEST POSITION
ASSESSMENT
◉ Nursing Assessment Sx. Answer: ABCs
Respiratory-Efforts, O2, breathing patterns, snoring, RR, strider
• Cardiac-BP- 15 to 20 points drop or increase call MD
• Vital signs
• Positioning
• Neurologic- postoperative delirium
• Dressing and drains- document output
• Nutritional needs
• Renal Function
• Bowel function
• VTE
, ◉ Post Op Dressing Change. Answer: Surgeon does 1st dressing
change
If you notice blood or drainage mark it
Monitor suture site( redness, warmth, drainage)
◉ Post op blood transfusion. Answer: MONITOR POST OP
TRANSFUSION REACTION FOR 7 DAYS
◉ Dehiscence. Answer: separation of wound bed, feels like splitting
open, can happen a couple days post-op
◉ Evisceration. Answer: insides coming out, EMERGENCY, sterile.
Sterile gauze & water, abd pads, stay with patient
◉ Hemorrhage. Answer: COLINS- FRONT OF ABDOMEN
TURNERS- BACK, FLANK BRUISING
BP & HR DROP
◉ Thromboembolic event. Answer: DVT- SWELLING, REDNESS,
ABSENT PULSES
GUIDE COMPREHENSIVE REVIEW
◉ Time Outs. Answer: Verify the Client- right person?
• Check History, documents, Client ID, Implants,
prothesis etc..
• Mark the procedure site with the surgeon's initials
• Time out for the team, Correct patient, Procedure side
and site.
◉ Malignant Hyperthermia. Answer: Unknown, Genetics
Muscle Rigidity, Tachycardia, increase end tidal CO2, increase body
temperature, decreased O2 salts
MH Cart
Call Anesthesia, Anesthesia stopes meds
Dantrolene is given, Cool IV fluids, O2, Cooling Blankets
Muscles Relax
Beta Blockers
ICU, Monitor 24 hours postoperative MH reaction
,◉ Regional Anesthesia. Answer: Between L4 & L5, pt is awake,
should be able to feel toes, check for reduced CMS (Color, Motor,
Sensation), monitor for hypotension, headache, respiratory paralysis
◉ Prioritize safety. Answer: CALL BELL
SIDE RAILS
BED ALARM
LOWEST POSITION
ASSESSMENT
◉ Nursing Assessment Sx. Answer: ABCs
Respiratory-Efforts, O2, breathing patterns, snoring, RR, strider
• Cardiac-BP- 15 to 20 points drop or increase call MD
• Vital signs
• Positioning
• Neurologic- postoperative delirium
• Dressing and drains- document output
• Nutritional needs
• Renal Function
• Bowel function
• VTE
, ◉ Post Op Dressing Change. Answer: Surgeon does 1st dressing
change
If you notice blood or drainage mark it
Monitor suture site( redness, warmth, drainage)
◉ Post op blood transfusion. Answer: MONITOR POST OP
TRANSFUSION REACTION FOR 7 DAYS
◉ Dehiscence. Answer: separation of wound bed, feels like splitting
open, can happen a couple days post-op
◉ Evisceration. Answer: insides coming out, EMERGENCY, sterile.
Sterile gauze & water, abd pads, stay with patient
◉ Hemorrhage. Answer: COLINS- FRONT OF ABDOMEN
TURNERS- BACK, FLANK BRUISING
BP & HR DROP
◉ Thromboembolic event. Answer: DVT- SWELLING, REDNESS,
ABSENT PULSES
