NSG 123 Medical Surgical Nursing-- Lecture Questions For Exam One 100% Solved

T/F Surgery classification based on the degree of urgency is considered emergent if it is scheduled within 24 to 30 hours (e.g., acute gallbladder infection). - False, emergent is without delay, urgent is 24-30 hours T/F It is the doctor's responsibility to provide appropriate information concerning surgery and obtain written surgical consent. - True, nurse witnesses confirmed consent. If a patient does not understand, call the doctor back to re-educate them. Emergency and they are not awake is an exception T/F Any nutritional deficiency prior to surgery should be corrected before surgery to provide adequate protein for tissue repair and collagen deposition. - True, check especially in patients who are on corticosteroids, diabetes, dehydration, and malnourishment T/F Patients who smoke are urged to stop 1 to 3 weeks before surgery to significantly reduce pulmonary and wound healing complications. - False, stop smoking 30 days prior T/F Aspirin, a common over-the-counter (OTC) medication that inhibits platelet aggregation, should be prudently discontinued 7 to 10 days before surgery or the patient may be at increased risk for bleeding. - True, anything that will cause clotting issues Scrub nurses and circulating nurses care for patients during which perioperative phase? - Scrub nurses and circulating nurses care for patients during the intraoperative phase of perioperative nursing. Why is food and fluid withheld before surgery? - The purpose of withholding food and fluid before surgery is to prevent aspiration. Obese patients are at higher risk for what kind of postoperative complications? & why? - Pulmonary Complications An obese patient tends to have shallow respirations when supine, increasing the risk of hypoventilation and postoperative pulmonary complications. T/F Dehydration, hypovolemia, and electrolyte imbalances can lead to significant problems in patients with comorbid medical conditions or in older adults. - True What are patients with diabetes at a higher risk for with surgery? & why? - The patient with diabetes is at risk for hypoglycemia either during anesthesia or postoperatively WHY? Inadequate carbohydrates or excessive administration of insulin. T/F Age alone confers enough surgical risk that it is a clinical predictor of cardiovascular complications related to anesthesia and surgery. - True T/F Throughout surgery, nursing responsibilities include providing for the safety and wellbeing of the patient, coordinating the OR personnel, and performing scrub and circulating activities. - True T/F Nursing assessment of the intraoperative patient involves obtaining data from the patient and the patient's medical record to identify factors that can affect care. - True, only monitor during sleeping patient which is during the intraoperative phase T/F Constant surveillance and conscientious technique in carrying out aseptic practices are necessary to reduce the risk of contamination and infection. - True T/F