NUR 3250 EXAM 1 VERIFIED STUDY GUIDE
Requirements for informed consent - Answers - - cognitively aware
- 18 years of age or older (parent or legal guardian if under 18)
3 types of stages of peri operative - Answers - - pre operative
- intraoperative
- post operative
5 classifications of surgery - Answers - - emergent
- urgent
- required
- elective
- optional
Emergent surgery - Answers - -Needs to happen immediately/ without delay
- ex: gunshot wound
Urgent surgery - Answers - -needs to happen within 24-48hrs
-ex: closed fracture
Required surgery - Answers - -plan within a few weeks or months
-ex: cataracts, thyroid disorder
Elective surgery - Answers - - failure to have surgery is not catastrophic
- ex: repair of scars
Optional surgery - Answers - - personal preference
- ex: cosmetic surgery
Nursing activities in preoperative phase - Answers - -pre admission testing
- preoperative consent
- education
- review medical record
- psychological support
- establishes IV line
Nursing activities in intraoperative phase - Answers - - maintain aseptic
- intraoperative documentation
- reports changes in vital signs
- communicates about fluid instillation and blood loss
- emotional support if patient is awake during procedure
- updates family
, Nursing activities in postoperative phase - Answers - - transfer of patient to PACU
- vital signs monitoring
- discharge planning with patient
- describe physical limitations
Risk factors for surgical complications - Answers - - cardiovascular disease
- electrolyte imbalance
- extremes of age
- extremes of weight
- immunologic abnormalities
- pregnancy
- medications
- nicotine use
When do you tell the doctor that the patient has an allergy? - Answers - When the
doctor orders something that the patient is allergic to, or latex allergies
Malignant hyperthermia - Answers - A hereditary condition of uncontrolled heat
production that occurs when susceptible people receive certain anesthetic drugs.
What to remove for surgery? - Answers - - pierced jewelry
- artificial nails
- hearing aids
- contact lenses
- wedding bands
Important nutrients for wound healing - Answers - - protein
- amino acids
- carbohydrates and fats
- water
- vitamin c
- zinc
- magnesium
Medications with potential interaction with anesthetics - Answers - - corticosteroids
- diuretics
- phenothiazines
- tranquilizers
- insulins
- anticoagulants
- anticonvulsants
- thyroid hormone
- opioids
When to check for possible infection - Answers - 24 hours after surgery
Requirements for informed consent - Answers - - cognitively aware
- 18 years of age or older (parent or legal guardian if under 18)
3 types of stages of peri operative - Answers - - pre operative
- intraoperative
- post operative
5 classifications of surgery - Answers - - emergent
- urgent
- required
- elective
- optional
Emergent surgery - Answers - -Needs to happen immediately/ without delay
- ex: gunshot wound
Urgent surgery - Answers - -needs to happen within 24-48hrs
-ex: closed fracture
Required surgery - Answers - -plan within a few weeks or months
-ex: cataracts, thyroid disorder
Elective surgery - Answers - - failure to have surgery is not catastrophic
- ex: repair of scars
Optional surgery - Answers - - personal preference
- ex: cosmetic surgery
Nursing activities in preoperative phase - Answers - -pre admission testing
- preoperative consent
- education
- review medical record
- psychological support
- establishes IV line
Nursing activities in intraoperative phase - Answers - - maintain aseptic
- intraoperative documentation
- reports changes in vital signs
- communicates about fluid instillation and blood loss
- emotional support if patient is awake during procedure
- updates family
, Nursing activities in postoperative phase - Answers - - transfer of patient to PACU
- vital signs monitoring
- discharge planning with patient
- describe physical limitations
Risk factors for surgical complications - Answers - - cardiovascular disease
- electrolyte imbalance
- extremes of age
- extremes of weight
- immunologic abnormalities
- pregnancy
- medications
- nicotine use
When do you tell the doctor that the patient has an allergy? - Answers - When the
doctor orders something that the patient is allergic to, or latex allergies
Malignant hyperthermia - Answers - A hereditary condition of uncontrolled heat
production that occurs when susceptible people receive certain anesthetic drugs.
What to remove for surgery? - Answers - - pierced jewelry
- artificial nails
- hearing aids
- contact lenses
- wedding bands
Important nutrients for wound healing - Answers - - protein
- amino acids
- carbohydrates and fats
- water
- vitamin c
- zinc
- magnesium
Medications with potential interaction with anesthetics - Answers - - corticosteroids
- diuretics
- phenothiazines
- tranquilizers
- insulins
- anticoagulants
- anticonvulsants
- thyroid hormone
- opioids
When to check for possible infection - Answers - 24 hours after surgery
