NUR 314 EXAM 1 with answers

NUR 314 EXAM 1 with answers
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Pre-operative Nursing Care checklist (6 things) - CORRECT |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔1. Complete pre-op assessment
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2. ensure informed consent
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3. ensure correct surgical site
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4. prevent complications (pt hx)
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5. complete pre-op teaching
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6. address anxiety
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Pre-op assessment (ABCDE) - CORRECT ANSWERS
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✔✔Allergies, bleeding tendencies, cortisone |\ |\ |\ |\



(medications), diabetes, emboli |\ |\




Special groups (most at risk) during surgery - CORRECT
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ANSWERS ✔✔elderly, obese, co-morbid conditions, |\ |\ |\ |\ |\



disabled, emergency surgery |\ |\




why are elderly at risk during surgery - CORRECT
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ANSWERS ✔✔-usually have co-morbid conditions |\ |\ |\ |\ |\




-likely to have kidney dysfunction bc you lose nephrons as
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you age
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-inc risk for skin breakdown & infection
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,-narcotics are risky bc they do not excrete as well (PAY
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ATTN TO DOSING) |\ |\




why is emergency surgery risky? - CORRECT ANSWERS
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✔✔bc you do not know their medical history, which makes
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you unprepared
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medication considerations - CORRECT ANSWERS |\ |\ |\ |\ |\



✔✔corticosteroids, diuretics, phenothiazines, |\ |\ |\



tranquilizers, insulin, antiHTN, antibiotics, anticoagulants, |\ |\ |\ |\ |\



anticonvulsants, thyroid, opioids, herbals |\ |\ |\




for informed consent, what must the nurse verify? -
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CORRECT ANSWERS ✔✔-all Qs are answered |\ |\ |\ |\ |\




-drug free |\




-signed and witnessed |\ |\




-blood, anesthesia consents in chart
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for informed consent, what must the surgeon disclose? -
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CORRECT ANSWERS ✔✔purpose, prognosis, risks, |\ |\ |\ |\ |\



benefits, alternatives |\




what defines an incompetent pt? - CORRECT ANSWERS
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✔✔-individual who is not autonomous |\ |\ |\ |\

,-cannot give or withold consent (cognitively impaired,
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mentally ill, neurologically incapcitated) |\ |\ |\




-if no POA, next kin signs or 2 physicians document
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necessity


when should you teach a pt post-op care? - CORRECT
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ANSWERS ✔✔pre-op |\




pt teaching for post op? - CORRECT ANSWERS ✔✔-c+db
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incentive spirometry (IS) |\ |\




-early ambulation |\




-leg exercises
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-turning in bed |\ |\




-pain management |\




-lines, drains |\




-coping strategies |\




-discharge plans/instructions |\




how to address anxiety - CORRECT ANSWERS ✔✔-explain
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what's going to happen and address their concerns of
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questions
-let their fams or chaplain go up w them
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-meds to ease them |\ |\ |\

, pre-op interventions (12) - CORRECT ANSWERS ✔✔- pt
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identification
-verify NPO status |\ |\




-bowel prep done prn |\ |\ |\




-empty bladder/drains |\




-sedative 30-60 mins prior |\ |\ |\




-antibiotic 60 min prior |\ |\ |\




-apply SCDs, gown cap
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-remove underwear, makeup, nail polish, jewelry,
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dentures, lenses, hearing aids |\ |\ |\




-pt safety
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-IV fliuds
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-skin prep |\




-PRE OP CHECKLIST (VS, h&P, labs, verify site, consent)
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-transport pt, attend to family |\ |\ |\ |\




members of the surgical team - CORRECT ANSWERS
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✔✔surgeon, scrub nurse, RN 1st assist, anesthesia, |\ |\ |\ |\ |\ |\ |\



circulator


role of the circulator in the OR - CORRECT ANSWERS ✔✔to
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watch everything (document, sterile field,
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communicating w lab) |\ |\