Fundamentals Exam #2 (Chapters 20 & 26) NURS 101: Comprehensive Nursing Fundamentals Questions with Complete Solutions
Fundamentals Exam #2 (Chapters 20 & 26) NURS 101: Comprehensive Nursing Fundamentals Questions with Complete Solutions what do anticholinergics do - Answer : dry secretions that would interfere with intubation during OR what is the role of SCRUB nurse - Answer : maintain sterile field adhere to surgical asepsis must scrub, sterile gown, glove prior assist with draping hand instrument to surgeon what is the role of CIRCULATING NURSE - Answer : prepare pt count/track sponges, instruments accurate complete documentation assist anesthesia provider monitor sterile technique of team What is a time out in surgery - Answer : ID vs Chart validation Surgery Permit Tells X marks the correct spot what is universal protocol in surgery - Answer : Check patient ID check procedure check site what are some POST OP complications - Answer : HEMORRAGE INFECTION DEHISENCE EVISERATION FISTULA s/s of POST OP infection - Answer : VS- increase temp Incision- red tender Drainage- purulent Feelings- general malaise Skin- hot dry diaphoretic what is hemoptysis - Answer : coughing up blood what is hematemesis - Answer : vomiting blood PLAN FOR INFECTION (goals/intervention) - Answer : - decrease fever (increase fluids, provide rest, give RX) - decrease infection (GHWT, give RX ABX, change drsg) - promote healing (protein vit.c) what is a fistula - Answer : abnormal opening between organs/ body cavities ASSESSMENT of GI function - Answer : - listen to BS x4 - asked if passed flatus - check ABD being soft and pliable - identify gas pains vs incision pain - walk, TCDB - assess appetite - assess intake of fluids (type/amount) Objective s/s of Hypoxia - Answer : restless, increase respirations, decreased SPO2, retractions, pale to cyanotic Subjective s/s of Hypoxia - Answer : anxiety, decrease in focus, confusion, dizzy, fatigue, dyspnea Objective s/s of Anemia - Answer : pallor, low/irreg. pulse, cold hand/feet, feels cold Subjective s/s of Anemia - Answer : fatigue, weakness, lightheaded, headache definition of Orthopnea - Answer : difficulty breathing while lying down definition of Dyspnea - Answer : Subjective feeling of difficulty or labored breathing
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