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EXAM 2 - Nursing Theory N12 Cabrillo College (3/3) Questions & Answers correct $21.49
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EXAM 2 - Nursing Theory N12 Cabrillo College (3/3) Questions & Answers correct

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  • NURS 5012
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  • NURS 5012

EXAM 2 - Nursing Theory N12 Cabrillo College (3/3) Questions & Answers correct What are the different classifications of surgery? - Serious : Major (extensive reconstruction/alteration; increased risk), to minor (minimal alteration, correction of deformities, decreased risk) - Urgency: Electiv...

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  • April 6, 2025
  • 15
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS 5012
  • NURS 5012
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Pogba119
EXAM 2 - Nursing Theory N12 Cabrillo
College (3/3) Questions & Answers correct
What are the different classifications of surgery? - answer - Serious : Major
(extensive reconstruction/alteration; increased risk), to minor (minimal alteration,
correction of deformities, decreased risk)

- Urgency: Elective, urgent (necessary for pt health, prevention of additional problems),
emergent (immediately to save life/function of body part)

- Purpose: Diagnostic, ablative, palliative, reconstructive/restorative, procurement for
transplant, constructive, cosmetic

What are some surgical risk factors - answer - Smoker
- Age (very young/very old)
- Mal-nutrition
- Obesity
- Obstructive Sleep Apnea (OSA)
- Immunosuppression
- Fluid/electrolyte imbalance
- Postoperative nausea/vomiting (PONV)
- Venous Thromboembolism (VTE)

What does glycemic control have to do with infection? - answer Poor glucose control
increases risk for wound infection/mortality

Pressure ulcer prevention aids - answer - Positioning
- Pressure-relieving surfaces

What is the importance of warfarin (coumadin) in surgery? - answer Warfarin is a
blood thinning medication and must be ceased 24-48 hrs pre-op

What allergies should be assessed pre-op? - answer - Medications
- Topical agents
- Latex
- Food

What are the phases of preop? - answer ADPIE

- Assessment (pt history: medical/surgical, psychological; Risk factors; Medications;
Allergies; Smoker; Substance abuse; Pregnancy; Knowledge r/t surgery; Support;
Cultural/spiritual factors; Physical exam; N. diagnosis)

, - Planning (Goals & Outcomes; Setting priorities)

- Implementation (Informed consent; Privacy; Health promotion; Post-op activity; Pain-
Relief; Rest; Acute Care)

- Evaluation

What are some of the tasks of the PCU nurse? - answer PCU - Preanesthesia Car
Unit
- Inserts IV cath (if not already present)
- Administers preop meds
- Monitors Vitals
- Inserts Urinary Cath (can also happen in OR)

What are the Intraoperative Phases - answer - Surgical Phase
- Implementation
- Evaluation

Intraoperative surgical phase: implementation: Aspects of Acute Care - answer
Acute Care
- Physical prep
- Intraoperative warming
- Latex sensitivity/allergy
- Positioning of pt for/during surgery
- DOCUMENTATION

Intraoperative surgical phase: implementation: Types of anesthesia - answer -
General Anesthesia: pt is unconscious, feels nothing

- Regional anesthesia: Pt is awake, parts of body are asleep

- Moderate (conscious) sedation: Depressed level of consciousness; Versed/Fentanyl

Nursing roles during surgery? - answer - Circulating nurse
- Scrub Nurse
- Registered nurse First Assistant

What is the role of the Circulating Nurse in the OR? - answer - Remains unscrubed
- Uses the nursing process in the mngmnt of pt care activities in OR suite
- Manages pt positioning, antimicrobial skin preparation, medications, implants,
placement and function of IPC devices, specimens, warming devices, and surgical
counts of instruments and dressings
- Ensures safety by minimizing risk/error
- Ensures cost efficient use of supplies

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