NUR 227 Exam 1_updated and correct Questions and Answers 100% A+ Graded Excel

NUR 227 Exam 1_updated and correct Questions and Answers 100% A+ Graded Excel What is the minimum urine output per hour for a patient - CORRECT ANSWER->30ml/hr Why are smokers higher risk for complications in the post op period - CORRECT ANSWER-due to the reduced oxygen caring capacity What assessments are key in the immediate post op period and how frequent do you plan to assess - CORRECT ANSWER-Vitals, LOC, pt condition, skin, muscular response/strength Which nursing action will help the patients most with pain control post-operatively - CORRECT ANSWER-pharmacological and non pharmacological interventions Describe malignant hypothermia - CORRECT ANSWER-Sustained muscle contraction & breakdown (rhabdomyolysis), anaerobic metabolism & metabolic acidosis Malignant hypothermia history and physical pertinent questions - CORRECT ANSWER-family history of malignant hyperthermia or a relative who has problems with anesthesia What are common nursing roles in the periop process - CORRECT ANSWER-RNFA, scrub nurse, circulating nurse What are the different types of nursing roles in anesthesia - CORRECT ANSWER-nurse anesthetist What is the purpose of being NPO prior to surgery - CORRECT ANSWER-prevention of aspiration risk during surgery What is the purpose of the "time out" in the OR - CORRECT ANSWER-to ensure the correct patient, surgical procedure and location Preventing respiratory complications - CORRECT ANSWER-Consider positioning; HOB ↑ if possible, VS, O2 sat, oxygen, suctioning, Effective coughing - splint PRN, Incentive spirometry, Turn q 2; early ambulation, Pain management Preventing cardiac complications - CORRECT ANSWER-moniter vital signs, ambulation of patient, leg exercises, moniter wound Preventing wound complications - CORRECT ANSWER-Assess risk Monitor wound at least each shift, Protect with appropriate dressing/keep clean and dry, Infection control—aseptic tech during dressing change, Nutrition—increased CHO, proteins, calories, vitamins, hydration Preventing paralytic ileus - CORRECT ANSWER-Assess and treat nausea, Gradually advance diet, Monitor dietary intake, Ambulation, Hydration, Monitor BS and BM each shift, Privacy to use bathroom Oral route considerations - CORRECT ANSWER-Food sometimes affects absorption, Protect patients from aspiration Topical Route considerations - CORRECT ANSWER-When applying a transdermal patch, ask the patient whether he or she has an existing patch, Wear disposable clean gloves when removing and applying transdermal patches Nasal route considerations - CORRECT ANSWER-Caution patients to avoid the rebound effect, Serious systemic effects also develop if excess decongestant solution is swallowed - CORRECT ANSWER- Eye drop considerations - CORRECT ANSWER-Avoid the cornea, Avoid touching eye or eyelid with droppers or tubes, Use only on the affected eye, Never share eye medications Ear drop considerations - CORRECT ANSWER-Never occlude the ear canal Delgating tasks to LPN - CORRECT ANSWER-Performs routine procedures (ostomy care,catheter insertion, wound care, check blood glucose, obtaining EKG etc.), Always assign patients who are predictable (stable), Does NOT evaluate patient care, teach,assesses (RN does), Give medications (not IV meds), Doesn't give blood products, Performs all the duties of UAP Delegating task to UAP - CORRECT ANSWER-Ambulating, turning, bathing, I/O, feeding, mouth care, toileting (include basic ostomy emptying), linen changes, Vitals, weights What can NOT be delegated by RN - CORRECT ANSWER-TAPE- teaching assessment planning evaluation Describe how you would give an IM injection - CORRECT ANSWER-z track method Describe how you would give an subQ injection - CORRECT ANSWER-Medications placed into loose connective tissue under dermis - pinch skin