Medical surgical Nursing Cases and Answers

Medical surgical Nursing Cases and Answers Anesthesia Care Provider (ACP) - CORRECT ANSWER-Administers Anesthesia - "Knows everything" - Monitors breathing, insulin, etc - Maintenance of physiologic homeostasis throughout intraoperative period - Fluid replacement, blood pressure, etc Anxiety & Nursing Assessment - CORRECT ANSWER-Anxiety can arise from: - Lack of knowledge (More they know the better, use layman's terms) - Unrealistic expectations (I will have this surgery and be fine) - Information lessens anxiety Atropine - CORRECT ANSWER-Oral and respiratory secretions dry up!!!! Basic Information Before Arrival - CORRECT ANSWER-- Time and place - Fluids and food restrictions (Do not want to throw up) - Need for shower - Anesthesiologist makes decision about insulin *MOST CAREFUL DOCUMENTATION TAKES PLACE IN THE OR* Cardiovascular System Objective Data - CORRECT ANSWER-- Heart rate, blood pressure, skin color, sounds, capillary refill, edema, history of heart attack or cardiac problems, blood clots in legs? REPORT: Any cardiac problems so they can be monitored during the intraoperative period. The use of cardiac drugs, and the presence of a pacemaker/ICD (Implantable Cardioverter Defibrillator)