Nur 227- exam 1 Final Review, Questions and Verified!!! Answers 100% Pass A+ Graded

Nur 227- exam 1 Final Review, Questions and Verified!!! Answers 100% Pass A+ Graded Phases of perioperative care - CORRECT ANSWER-1. pre-op, pre-anesthesia 2. intraoperative 3. post-op, post-anesthesia, PACU pre-operative focuses on - CORRECT ANSWER-assessment establish plan of care, discharge plans intraoperative focuses on - CORRECT ANSWER-everything dealing with actual surgery post-op focuses on - CORRECT ANSWER-general recovery from anesthesia airway management pain management purpose of surgery - CORRECT ANSWER-diagnose, cure, palliative, prevention, exploration, cosmetic types of surgery - CORRECT ANSWER-ambulatory, same-day admit, inpatient ambulatory surgery - CORRECT ANSWER-comes in, has surgery, leaves same day i.e. wisdom teeth same-day admit surgery - CORRECT ANSWER-comes in, has surgery, post-op admit inpatient - CORRECT ANSWER-admitted to hospital, has surgery, stays post-op elective timing for surgery - CORRECT ANSWER-improves quality of life, not time sensitive risks: bleeding, infection, anesthetic exposure i.e. cataract removal semi-elective timing for surgery - CORRECT ANSWER-more time-sensitive, but not needed w/in 24 hours low risk i.e. gallstone removal urgent timing for surgery - CORRECT ANSWER-required w/in 24 hours of diagnosis prevents unnecessary complications i.e. hip fracture repair emergency timing for surgery - CORRECT ANSWER-CAN'T be delayed, must be w/in 24 hours (ideal is 2 hours) delay could cause code/serious conditions i.e. stabilize gi bleed purpose of patient interview/history for surgery - CORRECT ANSWER-obtain health info determine expectations provide/clarify procedure info assess emotional state/readiness 8 steps/questions of patient interview for surgery - CORRECT ANSWER-1. explore understanding of why getting surgery 2. history of surgeries and anesthetics? 3. family history? (r/t anesthesia) 4. current meds, prescriptions, otc meds, herbals? 5. medication intolerances and allergies? (LATEX) 6. recreational drug use/abuse/addiction 7. tobacco use 8. possibility of pregnancy? latex allergy risk factors - CORRECT ANSWER-kiwi, banana, avocado, chestnut allergy poinsettia plant allergy hx of reaction daily latex exposure objective pre-op info - CORRECT ANSWER-informed consent!! informed consent requirements - CORRECT ANSWER-disclose diagnosis, reasoning, risks, alt. treatments/risks who's doing the procedure short/long term costs (pain, function, recovery length) pt must demonstrate significant competency voluntary role of nurse in informed consent - CORRECT ANSWER-witness patient signature act as patient advocate how does informed consent work with a minor/unconscious/mentally incompetent patient? - CORRECT ANSWER-legal guardian or representative can give written permission pre-op fasting - CORRECT ANSWER-clear liquids: 2 hrs breast milk: 4 hrs full liquids: 6 hrs light meal: 6 hrs regular meal: 8+ hrs nursing roles in intraoperative phase - CORRECT ANSWER-circulating, scrub nurse, RN first assistant, CRNA circulating nurse - CORRECT ANSWER-records all nursing care not scrubbed, gowned, gloved in unsterile field scrub nurse - CORRECT ANSWER-follows designated scrub procedure gowned/gloved in sterile attire remains in sterile field RN first assistant - CORRECT ANSWER-helps with actual medical procedure CRNA - CORRECT ANSWER-helps manage anesthesia intra-op safety/identification - CORRECT ANSWER-use 2 identifiers identify site and use marker to mark (surgeon's role) time-outs time-outs during surgery - CORRECT ANSWER-entire team verifies/agrees to... - correct pt, sx site, level/laterality/structure, procedure, position - availability of specific equipment patient positioning for surgery - CORRECT ANSWER-nurse secures position and prevents pressure injuries effects of improper positioning for surgery? - CORRECT ANSWER-muscle strain, joint damage, pressure ulcers, nerve damage general anesthesia - CORRECT ANSWER-inhalation and/or injection resulting in loss of all sensation/consciousness and amnesia