NSG123- MedSurg Exam 1
1. Role of the circulating nurse?: Verification; right patient, right procedure.
2. Role of the scrub tech?: Sterility of surgical equipment. Set up prior to
surgery. Compare before and after (same amount of sponges before and after
procedure; none accidentally left in patient).
3. What is the priority care of an older adult post-op?: Assess for neurological
changes; delirium.
4. Which population(s) are most at risk for aspiration pneumonia?: -stroke -
head injury
-neuro injury (difficulty swallowing)
5. Isolation type for TB?: Airborne. (N95 mask, discard used tissues properly,
hand hygiene, private room).
6. What things might a COPD patient state during teach-back that display
understanding?: "I will practice pursed lip breathing"
"I will increase my fluid intake"
"I will try to stop smoking"
"I will take rests during activity"
"I will ask my husband to smoke outside at home"
7. Normal PAO2 (arterial o2 pressure) levels?: 60-95
*50 or lower is NOT good, not enough oxygen in blood*
8. How can the RN know if symptoms of disease are improving?: Assessing
the symptoms for signs of improvement. (tachycardia has slowed, checking
vitals, respirations are normal).
9. Teaching: Asthma patient?: -Trigger identification (exercise, pet fur, pollen,
medication?) - Peak flow meter
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, NSG123- MedSurg Exam 1
- Ensuring they know how to use their albuterol inhaler
10. Who is most at risk for wound dehiscence?: Post abdominal surgery and
obese patients
11. A patient has tachycardia and a RR of 27. RN should assume there is an
issue in which system?: Respiratory. ABCs!!!!!!
12. A patient is getting home infusion therapy and develops pneumonia.
What type of pneumonia is it?: Health-care pneumonia. The infection was
brought into the patient's home by the provider.
13. Teaching: TB?: - Medication adherence!!!!!
- Isolation
- Increase fluids
- Infection control (hand hygiene)
- Follow up appointments are crucial
14. Pre-op assessment consists of?: RN must check for allergies,
medications, NPO, infection
15. Intraoperative assessment consists of?: - Patient is admitted to the OR
- Last minute procedure verification
- OR table position
16. Operative assessment consists of?: - Procedure is about to begin
- Patient has been sedated with anesthesia
17. Which system is most affected by anesthesia?: Respiratory. After surgery,
patients are transferred to PACU.
2/5
1. Role of the circulating nurse?: Verification; right patient, right procedure.
2. Role of the scrub tech?: Sterility of surgical equipment. Set up prior to
surgery. Compare before and after (same amount of sponges before and after
procedure; none accidentally left in patient).
3. What is the priority care of an older adult post-op?: Assess for neurological
changes; delirium.
4. Which population(s) are most at risk for aspiration pneumonia?: -stroke -
head injury
-neuro injury (difficulty swallowing)
5. Isolation type for TB?: Airborne. (N95 mask, discard used tissues properly,
hand hygiene, private room).
6. What things might a COPD patient state during teach-back that display
understanding?: "I will practice pursed lip breathing"
"I will increase my fluid intake"
"I will try to stop smoking"
"I will take rests during activity"
"I will ask my husband to smoke outside at home"
7. Normal PAO2 (arterial o2 pressure) levels?: 60-95
*50 or lower is NOT good, not enough oxygen in blood*
8. How can the RN know if symptoms of disease are improving?: Assessing
the symptoms for signs of improvement. (tachycardia has slowed, checking
vitals, respirations are normal).
9. Teaching: Asthma patient?: -Trigger identification (exercise, pet fur, pollen,
medication?) - Peak flow meter
1/5
, NSG123- MedSurg Exam 1
- Ensuring they know how to use their albuterol inhaler
10. Who is most at risk for wound dehiscence?: Post abdominal surgery and
obese patients
11. A patient has tachycardia and a RR of 27. RN should assume there is an
issue in which system?: Respiratory. ABCs!!!!!!
12. A patient is getting home infusion therapy and develops pneumonia.
What type of pneumonia is it?: Health-care pneumonia. The infection was
brought into the patient's home by the provider.
13. Teaching: TB?: - Medication adherence!!!!!
- Isolation
- Increase fluids
- Infection control (hand hygiene)
- Follow up appointments are crucial
14. Pre-op assessment consists of?: RN must check for allergies,
medications, NPO, infection
15. Intraoperative assessment consists of?: - Patient is admitted to the OR
- Last minute procedure verification
- OR table position
16. Operative assessment consists of?: - Procedure is about to begin
- Patient has been sedated with anesthesia
17. Which system is most affected by anesthesia?: Respiratory. After surgery,
patients are transferred to PACU.
2/5
