Nur 227 Exam 1 Questions and 100%
Correct Answers
What is the minimum urine output per hour for a patient? ✅>30 ml/hr
How would you prepare the OR for a patient with a latex allergy? ✅Make sure that it is
free of latex equipment. Ideally schedule them in the morning. Everything should be
washed down.
Why are smokers at a higher risk for complications in the post op period? ✅15% of
oxygen binding sites on hemoglobin are occupied by carbon monoxide which reduces
oxygen carrying capacity
How often should you assess a pt after surgery? ✅Immediately assess after surgery
and monitor vitals every 15 minutes.
What assessments are key in the immediate post op period/ what are you looking for?
✅- Vital signs including temp and pain
- LOC
- Pressure reading (ICU stuff)
- Position of the patient
- Condition and color of skin
- Neurovascular if possible
- Condition of dsgs, drainage tubes, catheters amount, and type of drainage
- Muscular response and strength
- Pupillary response
- Fluid therapy
- Physical and emotional comfort
Why should you do a neuro assessment post-op? ✅Assess risks for
- delirium
- fever
- hypothermia
- pain
- post op cognitive dysfunction
Why should you do a GI assessment post-op? ✅Assess risks for
- delayed gastric emptying
- distention/flatulence
- hiccups
- n/v
- paralytic ileus!!!!!
,Why should you do a urinary assessment post-op? ✅Assess risks for urinary retention
or infection (UTI)
Why should you do a fluid and electrolyte assessment post-op? ✅Assess risk for
- acid-base disorders
- electrolyte imbalances
- fluid deficits
- fluid overload
Why should you do a skin assessment post-op? ✅Assess risk for
- dehiscence
- hematoma
- infection
Why should you do a cardiovascular assessment post-op? ✅Assess risk for
- dysrhythmias
- hemorrhage
- HTN/hypotension
- weak pulses
- DVT
- pulmonary embolus
Why should you do a respiratory assessment post-op? ✅Assess risk for
- airway obstruction
- aspiration
- atelectasis
- resp depression
- hypoxia (shallow breath)
- pneumonia
- laryngospasm
- obesity-related concerns
Which nursing action will help the patients most with pain control post-op? ✅-
Administering medications
- Repositioning
- Use pharmacologic and nonpharmacologic techniques lol
What is malignant hyperthermia? Manifestations? Antidote? ✅- inherited muscle
disorder triggered by certain types of anesthesia that may cause a fast acting life-
threatening crisis.
- manifestations: sustained muscle contraction and breakdown, with anaerobic
metabolic and metabolic acidosis
- antidote: dantrolene IV
What is malignant hyperthermia triggered by? ✅certain volatile anesthetics
, What are EARLY clinical manifestations of malignant hyperthermia? ✅- hypercarbia
(increase in CO2)
- sinus tachycardia
- muscle rigidity
- hyperthermia is not a presenting sign, initially absent when other s/s are occurring
How can you prevent malignant hyperthermia from happening? ✅During the patient
interview ask about the patient's family health history. If they have a hx of family dying
under anesthesia, it's not a good sign. Include adverse reactions to anesthesia.
What are common nursing roles in the pre-op process? ✅- Nursing and anesthesia
provider assessment
- patient interview/history: explore patients understanding of surgery, ask about previous
surgeries or anesthetics, pts family health hx, current meds, allergies, recreational drug
use/abuse/addiction, tobacco use, possibility of pregnancy (want to know last menstrual
period if applicable), and informed consent and legal concerns!!
- Planning of care
- Interventions to prepare for surgical procedure
What are common nursing roles in the intraoperative process? ✅- Circulating nurse:
not scrubbed, gowned, and gloved and remain in unsterile field; records all nursing care
- Scrub nurse: follow designated scrub procedure; are gowned
- Registered nurse first assistant (RNFA): assists with surgery
- Nurse anesthetist (CRNA)
- Actions: use 2 patient identifiers, time out, patient positioning (prevention of injury such
as muscle strain, joint damage, pressure ulcers, nerve damage, skin breakdown)
What are common nursing roles in the post-op process? ✅PACU nursing focused on
recovery from...
- general anesthesia
- airway management
- PAIN MANAGEMENT
- close observation of physiologic indicators
What is general anesthesia? ✅inhaled or injection of anesthetic drugs resulting in loss
of all sensation and consciousness with amnesia
What is regional anesthesia? ✅Medication is instilled into or around nerves to block
transmission of nerve impulses in a particular region. Nerve block, bier block, spinal,
epidural
What is local anesthesia? ✅temporary loss of feeling as result of inhibition of nerve
endings in part of body (ex. Used for removing wart, skin tag, etc)
Correct Answers
What is the minimum urine output per hour for a patient? ✅>30 ml/hr
How would you prepare the OR for a patient with a latex allergy? ✅Make sure that it is
free of latex equipment. Ideally schedule them in the morning. Everything should be
washed down.
Why are smokers at a higher risk for complications in the post op period? ✅15% of
oxygen binding sites on hemoglobin are occupied by carbon monoxide which reduces
oxygen carrying capacity
How often should you assess a pt after surgery? ✅Immediately assess after surgery
and monitor vitals every 15 minutes.
What assessments are key in the immediate post op period/ what are you looking for?
✅- Vital signs including temp and pain
- LOC
- Pressure reading (ICU stuff)
- Position of the patient
- Condition and color of skin
- Neurovascular if possible
- Condition of dsgs, drainage tubes, catheters amount, and type of drainage
- Muscular response and strength
- Pupillary response
- Fluid therapy
- Physical and emotional comfort
Why should you do a neuro assessment post-op? ✅Assess risks for
- delirium
- fever
- hypothermia
- pain
- post op cognitive dysfunction
Why should you do a GI assessment post-op? ✅Assess risks for
- delayed gastric emptying
- distention/flatulence
- hiccups
- n/v
- paralytic ileus!!!!!
,Why should you do a urinary assessment post-op? ✅Assess risks for urinary retention
or infection (UTI)
Why should you do a fluid and electrolyte assessment post-op? ✅Assess risk for
- acid-base disorders
- electrolyte imbalances
- fluid deficits
- fluid overload
Why should you do a skin assessment post-op? ✅Assess risk for
- dehiscence
- hematoma
- infection
Why should you do a cardiovascular assessment post-op? ✅Assess risk for
- dysrhythmias
- hemorrhage
- HTN/hypotension
- weak pulses
- DVT
- pulmonary embolus
Why should you do a respiratory assessment post-op? ✅Assess risk for
- airway obstruction
- aspiration
- atelectasis
- resp depression
- hypoxia (shallow breath)
- pneumonia
- laryngospasm
- obesity-related concerns
Which nursing action will help the patients most with pain control post-op? ✅-
Administering medications
- Repositioning
- Use pharmacologic and nonpharmacologic techniques lol
What is malignant hyperthermia? Manifestations? Antidote? ✅- inherited muscle
disorder triggered by certain types of anesthesia that may cause a fast acting life-
threatening crisis.
- manifestations: sustained muscle contraction and breakdown, with anaerobic
metabolic and metabolic acidosis
- antidote: dantrolene IV
What is malignant hyperthermia triggered by? ✅certain volatile anesthetics
, What are EARLY clinical manifestations of malignant hyperthermia? ✅- hypercarbia
(increase in CO2)
- sinus tachycardia
- muscle rigidity
- hyperthermia is not a presenting sign, initially absent when other s/s are occurring
How can you prevent malignant hyperthermia from happening? ✅During the patient
interview ask about the patient's family health history. If they have a hx of family dying
under anesthesia, it's not a good sign. Include adverse reactions to anesthesia.
What are common nursing roles in the pre-op process? ✅- Nursing and anesthesia
provider assessment
- patient interview/history: explore patients understanding of surgery, ask about previous
surgeries or anesthetics, pts family health hx, current meds, allergies, recreational drug
use/abuse/addiction, tobacco use, possibility of pregnancy (want to know last menstrual
period if applicable), and informed consent and legal concerns!!
- Planning of care
- Interventions to prepare for surgical procedure
What are common nursing roles in the intraoperative process? ✅- Circulating nurse:
not scrubbed, gowned, and gloved and remain in unsterile field; records all nursing care
- Scrub nurse: follow designated scrub procedure; are gowned
- Registered nurse first assistant (RNFA): assists with surgery
- Nurse anesthetist (CRNA)
- Actions: use 2 patient identifiers, time out, patient positioning (prevention of injury such
as muscle strain, joint damage, pressure ulcers, nerve damage, skin breakdown)
What are common nursing roles in the post-op process? ✅PACU nursing focused on
recovery from...
- general anesthesia
- airway management
- PAIN MANAGEMENT
- close observation of physiologic indicators
What is general anesthesia? ✅inhaled or injection of anesthetic drugs resulting in loss
of all sensation and consciousness with amnesia
What is regional anesthesia? ✅Medication is instilled into or around nerves to block
transmission of nerve impulses in a particular region. Nerve block, bier block, spinal,
epidural
What is local anesthesia? ✅temporary loss of feeling as result of inhibition of nerve
endings in part of body (ex. Used for removing wart, skin tag, etc)
