NUR 425 - MedSurg 2 Exam 1 UPDATED ACTUAL Questions and CORRECT
Answers
1. Pt bleeding
2. Bt decreased LOC
3. Pt increased BP
Priority order 4. Pt is coughing (stable)
5. Pt in pain
6. Pt preoperative
7. Pt discharging
, Pt getting general anesthesia Ensure intubation, oxygen, and suctioning at bedside
What is an post removal epidural issue? Spinal fluid headache
Fluid may leak out during an? Epidural removal
1. Lay pt flat (take pressure off spine)
Epidural treatment? 2. Administer medication for headache
3. Call anesthesia
How much time do you have between About 1 minute
giving medication and intubating?
Priority for post-op regarding breathing? Ensure open airway (monitor breathing)
1. Oxygen
2. Suctioning
Resuscitation equipment? 3. Intubation
4. Ventilator
5. Bag
Postop positioning can cause? Nerve pinching
Pt has been removed from intubation, pt Call speech therapy. Make sure that pt has swallowed
wants to eat?
Pt done with surgery and acetylcholine is Remove intubation
wearing off?
Who marks surgical sites? Surgeon and patient
Who is responsible for obtaining consent? Surgeon
Why do patients have to remove jewelry? Safety for surgery due to equipment used
Why do patients remove denture and lose Pt can choke on them
teeth?
Why do patients remove hearing aids? They can fall out and they're too expensive to replace
1. Education
2. Check vitals/labs
3. Shaving
4. Premedicate
Nursing responsibilities preop? o Antibiotics
o PPI
o Chlorhexidine mouth rinse
5. May start fluids
6. Place IV (large gauge)
Preop required for all female patients? Pregnancy test
Preop pt: · If pt is anxious, give therapeutic Tell them it is normal to be nervous
communication?
What medication do you hold before blood thinners
surgery?
1. Stop 24-48hrs before
Blood thinner medication patient education 2. Takes 7-10 days for aspirin to wear off
3. Warfarin, Heparin, Lovenox
Answers
1. Pt bleeding
2. Bt decreased LOC
3. Pt increased BP
Priority order 4. Pt is coughing (stable)
5. Pt in pain
6. Pt preoperative
7. Pt discharging
, Pt getting general anesthesia Ensure intubation, oxygen, and suctioning at bedside
What is an post removal epidural issue? Spinal fluid headache
Fluid may leak out during an? Epidural removal
1. Lay pt flat (take pressure off spine)
Epidural treatment? 2. Administer medication for headache
3. Call anesthesia
How much time do you have between About 1 minute
giving medication and intubating?
Priority for post-op regarding breathing? Ensure open airway (monitor breathing)
1. Oxygen
2. Suctioning
Resuscitation equipment? 3. Intubation
4. Ventilator
5. Bag
Postop positioning can cause? Nerve pinching
Pt has been removed from intubation, pt Call speech therapy. Make sure that pt has swallowed
wants to eat?
Pt done with surgery and acetylcholine is Remove intubation
wearing off?
Who marks surgical sites? Surgeon and patient
Who is responsible for obtaining consent? Surgeon
Why do patients have to remove jewelry? Safety for surgery due to equipment used
Why do patients remove denture and lose Pt can choke on them
teeth?
Why do patients remove hearing aids? They can fall out and they're too expensive to replace
1. Education
2. Check vitals/labs
3. Shaving
4. Premedicate
Nursing responsibilities preop? o Antibiotics
o PPI
o Chlorhexidine mouth rinse
5. May start fluids
6. Place IV (large gauge)
Preop required for all female patients? Pregnancy test
Preop pt: · If pt is anxious, give therapeutic Tell them it is normal to be nervous
communication?
What medication do you hold before blood thinners
surgery?
1. Stop 24-48hrs before
Blood thinner medication patient education 2. Takes 7-10 days for aspirin to wear off
3. Warfarin, Heparin, Lovenox
