NRSG 3420 Exam 1
Quality and Safety Education for Nurses (QSEN) - ANS develop curricula that prepare future nurses with
the knowledge, skills, and attitudes (KSA) required to continuously improve the quality and safety of the
HC system; competency in patient-centered care, teamwork and collaboration, EBP, quality
improvement, safety, and informatics
interprofessional collaborative practice - ANS employing multiple health professionals to work together
with patients, families, and communities to deliver best practices, thus ensuring best patient outcomes
interprofessional collaboration competency domains - ANS community and population oriented/patient
and family centered care:
1. interprofessional teamwork and team-based practice
2. interprofessional communication practices
3. values/ethics for interprofessional practice
4. roles and responsibilities for collaborative practice
Maslow's Hierarchy of Needs - ANS (level 1) Physiological Needs, (level 2) Safety and Security, (level 3)
Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization
metacognition - ANS thinking about one's own thinking or the awareness and understanding of one's
cognitive processes
critical thinking skills - ANS Interpretation
Analysis
Inference
Evaluation
,Explanation
Self-Regulation
ambulatory surgery - ANS includes outpatient, same-day, or short-stay surgery that does not require an
overnight hospital stay
informed consent - ANS the patient's autonomous decision about whether to undergo a surgical
procedure, based on the nature of the condition, the treatment options, and the risks and benefits
involved
intraoperative phase - ANS period of time that begins with transfer of the patient to the operating room
area and continues until the patient is admitted to the postanesthesia care unit
perioperative phase - ANS period of time that constitutes the surgical experience; includes the
preoperative, intraoperative, and postoperative phases of nursing care
postoperative phase - ANS period of time that begins with the admission of the patient to the
postanesthesia care unit and ends after follow-up evaluation in the clinical setting or home
preoperative phase - ANS period of time from when the decision for surgical intervention is made to
when the patient is transferred to the operating room table
diagnostic surgery - ANS biopsy, exploratory laparotomy, laparoscopy
surgical classifications - ANS -Facilitating a diagnosis, a cure, or repair
-Reconstructive, cosmetic, or palliative
-Rehabilitative
-Based upon the degree of urgency involved: emergent, urgent, required, elective, and optional
,medications that potentially affect surgical experience - ANS corticosteroids, anticoagulants,
anticonvulsants, thyroid hormone, opioids, OTC/herbals, diuretics, phenothiazines, tranquilizers, insulin,
a/bs
geriatric considerations for surgery - ANS more susceptible to temp changes and skin breakdown
emergent surgery - ANS Patient requires immediate attention; disorder may be life threatening
e.g., severe bleeding, bladder or intestinal obstruction, fractured skull, GSW or stab wounds, extensive
burns
urgent surgery - ANS patient requires prompt attention; within 24-30 hours
e.g., closed fracture, infected wound
required surgery - ANS patient needs to have surgery; plan within a few weeks or months
e.g., prostatic hyperplasia, thyroid disorder, cataracts
elective surgery - ANS patient should have surgery, failure to have surgery not catastrophic
e.g., repair of scars, simple hernia, vaginal repair
optional surgery - ANS decision rests with patient; personal preference
e.g., cosmetic
, latex allergy can manifest as - ANS rash, asthma, or anaphylactic shock
corticosteroid and anesthesia - ANS CV collapse can occur if discontinued suddenly; may need bolus of
steroid IV before and after surgery
diuretics and anesthesia - ANS may cause excessive respiratory depression from electrolyte imbalance
circulating nurse - ANS RN who coordinates and documents patient care in the OR: monitor surgical
team activities, checking OR conditions, assessing for signs of injury and implementing interventions prn,
verifying consent, monitor aseptic techniques, ensure time-out occurs
malignant hyperthermia - ANS triggered by exposure to most anesthetic agents inducing drastic and
uncontrolled increase in skeletal muscle oxidative metabolism that can overwhelm the body's capacity
to supply O2, remove CO2, and regulate body temperature, eventually leading to circulatory collapse
and death if untreated; often inherited
moderate sedation - ANS involves the use of sedation to depress the LOC without altering the pt's ability
to maintain a patent airway and to response to physical stimuli and verbal commands
RN first assistant - ANS a member of the operating room team whose responsibilities may include
handling tissue, providing exposure at the operative field, suturing, and maintaining hemostasis
scrub role - ANS registered nurse, licensed practical nurse, or surgical technologist who scrubs and dons
sterile surgical attire, prepares instruments and supplies, and hands instruments to the surgeon during
the procedure
Unrestricted Zone of OR - ANS - street clothing allowed
- patients family can say goodbye
Quality and Safety Education for Nurses (QSEN) - ANS develop curricula that prepare future nurses with
the knowledge, skills, and attitudes (KSA) required to continuously improve the quality and safety of the
HC system; competency in patient-centered care, teamwork and collaboration, EBP, quality
improvement, safety, and informatics
interprofessional collaborative practice - ANS employing multiple health professionals to work together
with patients, families, and communities to deliver best practices, thus ensuring best patient outcomes
interprofessional collaboration competency domains - ANS community and population oriented/patient
and family centered care:
1. interprofessional teamwork and team-based practice
2. interprofessional communication practices
3. values/ethics for interprofessional practice
4. roles and responsibilities for collaborative practice
Maslow's Hierarchy of Needs - ANS (level 1) Physiological Needs, (level 2) Safety and Security, (level 3)
Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization
metacognition - ANS thinking about one's own thinking or the awareness and understanding of one's
cognitive processes
critical thinking skills - ANS Interpretation
Analysis
Inference
Evaluation
,Explanation
Self-Regulation
ambulatory surgery - ANS includes outpatient, same-day, or short-stay surgery that does not require an
overnight hospital stay
informed consent - ANS the patient's autonomous decision about whether to undergo a surgical
procedure, based on the nature of the condition, the treatment options, and the risks and benefits
involved
intraoperative phase - ANS period of time that begins with transfer of the patient to the operating room
area and continues until the patient is admitted to the postanesthesia care unit
perioperative phase - ANS period of time that constitutes the surgical experience; includes the
preoperative, intraoperative, and postoperative phases of nursing care
postoperative phase - ANS period of time that begins with the admission of the patient to the
postanesthesia care unit and ends after follow-up evaluation in the clinical setting or home
preoperative phase - ANS period of time from when the decision for surgical intervention is made to
when the patient is transferred to the operating room table
diagnostic surgery - ANS biopsy, exploratory laparotomy, laparoscopy
surgical classifications - ANS -Facilitating a diagnosis, a cure, or repair
-Reconstructive, cosmetic, or palliative
-Rehabilitative
-Based upon the degree of urgency involved: emergent, urgent, required, elective, and optional
,medications that potentially affect surgical experience - ANS corticosteroids, anticoagulants,
anticonvulsants, thyroid hormone, opioids, OTC/herbals, diuretics, phenothiazines, tranquilizers, insulin,
a/bs
geriatric considerations for surgery - ANS more susceptible to temp changes and skin breakdown
emergent surgery - ANS Patient requires immediate attention; disorder may be life threatening
e.g., severe bleeding, bladder or intestinal obstruction, fractured skull, GSW or stab wounds, extensive
burns
urgent surgery - ANS patient requires prompt attention; within 24-30 hours
e.g., closed fracture, infected wound
required surgery - ANS patient needs to have surgery; plan within a few weeks or months
e.g., prostatic hyperplasia, thyroid disorder, cataracts
elective surgery - ANS patient should have surgery, failure to have surgery not catastrophic
e.g., repair of scars, simple hernia, vaginal repair
optional surgery - ANS decision rests with patient; personal preference
e.g., cosmetic
, latex allergy can manifest as - ANS rash, asthma, or anaphylactic shock
corticosteroid and anesthesia - ANS CV collapse can occur if discontinued suddenly; may need bolus of
steroid IV before and after surgery
diuretics and anesthesia - ANS may cause excessive respiratory depression from electrolyte imbalance
circulating nurse - ANS RN who coordinates and documents patient care in the OR: monitor surgical
team activities, checking OR conditions, assessing for signs of injury and implementing interventions prn,
verifying consent, monitor aseptic techniques, ensure time-out occurs
malignant hyperthermia - ANS triggered by exposure to most anesthetic agents inducing drastic and
uncontrolled increase in skeletal muscle oxidative metabolism that can overwhelm the body's capacity
to supply O2, remove CO2, and regulate body temperature, eventually leading to circulatory collapse
and death if untreated; often inherited
moderate sedation - ANS involves the use of sedation to depress the LOC without altering the pt's ability
to maintain a patent airway and to response to physical stimuli and verbal commands
RN first assistant - ANS a member of the operating room team whose responsibilities may include
handling tissue, providing exposure at the operative field, suturing, and maintaining hemostasis
scrub role - ANS registered nurse, licensed practical nurse, or surgical technologist who scrubs and dons
sterile surgical attire, prepares instruments and supplies, and hands instruments to the surgeon during
the procedure
Unrestricted Zone of OR - ANS - street clothing allowed
- patients family can say goodbye
