NUR2755 IV Exam 3 Comprehensive Review
1. Determining order of patient care needs. - ANSWER Prioritization of Care
2. Working with multidisciplinary teams for patient care. - ANSWER
Collaboration
3. Measures to prevent spread of infections. - ANSWER Infection Prevention
4. Assessing effectiveness of medical interventions. - ANSWER Evaluation of
Treatment
5. Care during procedures requiring sedation. - ANSWER Moderate Sedation
Management
6. Observing test results for necessary interventions. - ANSWER Diagnostic
Testing Monitoring
7. Immediate actions taken in critical situations. - ANSWER Emergency Care
Procedures
8. Targeted evaluations of specific health issues. - ANSWER Focused
Assessments
9. Techniques to alleviate discomfort without medication. - ANSWER Non-
pharmacological Comfort Measures
10.Identifying and addressing patient complications. - ANSWER Recognizing
Complications
11.Safety measures to avoid procedural injuries. - ANSWER Injury Prevention
Precautions
12.What is a sign of malignant hyperthermia that nurses must identify
intraoperatively? - ANSWER Early signs include increased CO₂, muscle
rigidity, and increased temperature.
,13.What medication is administered to treat malignant hyperthermia? -
ANSWER Dantrolene.
14.How can nurses maintain the optimal temperature of a client during surgery?
- ANSWER By using warming blankets, warmed IV fluids, and monitoring
core temperature.
15.What should nurses do if a client's temperature exceeds 104°F in the PACU?
- ANSWER Intervene immediately and assess for signs of hypermetabolism.
16.What preoperative care should be provided regarding malignant
hyperthermia? - ANSWER Screen for family history of MH, assess risk
factors, and educate on post-op temperature monitoring.
17.What postoperative care should be provided in the PACU? - ANSWER
Continue to assess temperature every 15 minutes.
18.What are the early signs of malignant hyperthermia that patients should be
educated about? - ANSWER Muscle cramps, dark urine, or fever.
19.What should be monitored to prevent complications related to hypothermia
in the OR? - ANSWER Monitor temperature continuously and use warming
devices correctly.
20.What is the risk associated with cold temperatures in the OR? - ANSWER
Hypothermia (temperature < 36°C) can lead to delayed healing and cardiac
events.
21.How should a nurse manage a client with impaired ventilation/oxygenation
who is hypothermic? - ANSWER Warm them up, provide oxygen, and
closely monitor their breathing.
22.What preoperative care should be provided to patients at risk for
hypothermia? - ANSWER Pre-warm patients, especially older adults or
those undergoing long surgeries.
23.What should be done if a patient shows cold, clammy skin and decreased
temperature? - ANSWER Intervene early and consider lab tests if
hypothermia persists.
, 24.What is the purpose of using a PCA pump postoperatively? - ANSWER To
manage pain effectively through patient-controlled analgesia.
25.What should nurses assess to evaluate a client's pain response? - ANSWER
Use a validated pain scale and reassess after administering pain medication.
26.What are the potential complications of unmanaged acute post-op pain? -
ANSWER Decreased mobility, increased risk of DVT, and pulmonary
issues.
27.What is the importance of educating patients about pain control
expectations? - ANSWER Patients should understand that pain control does
not mean experiencing zero pain.
28.What is a key nursing action to prevent aspiration in post-op patients? -
ANSWER Position patients laterally and ensure proper NPO adherence.
29.What should be monitored to ensure the effectiveness of pain management?
- ANSWER Level of consciousness (LOC) and sedation levels.
30.What interventions can help manage acute post-op pain? - ANSWER Use
multimodal analgesia, assess pain levels, and support mobility.
31.What should nurses do if they notice restlessness and shallow breathing in a
patient? - ANSWER Reassess pain management and medicate as necessary.
32.What is a common risk factor for peptic ulcer disease related to surgery? -
ANSWER Stress response and the risk of bleeding.
33.How can nurses prevent complications related to low temperatures during
surgery? - ANSWER Apply the warming protocol according to unit policy.
34.What should be monitored if stress ulcer prophylaxis is ordered post-
operatively? - ANSWER Assess GI symptoms.
35.Why is it important to maintain temperature in post-operative care? -
ANSWER To prevent shivering-induced stress that could trigger ulcers or
increase bleeding risk.
1. Determining order of patient care needs. - ANSWER Prioritization of Care
2. Working with multidisciplinary teams for patient care. - ANSWER
Collaboration
3. Measures to prevent spread of infections. - ANSWER Infection Prevention
4. Assessing effectiveness of medical interventions. - ANSWER Evaluation of
Treatment
5. Care during procedures requiring sedation. - ANSWER Moderate Sedation
Management
6. Observing test results for necessary interventions. - ANSWER Diagnostic
Testing Monitoring
7. Immediate actions taken in critical situations. - ANSWER Emergency Care
Procedures
8. Targeted evaluations of specific health issues. - ANSWER Focused
Assessments
9. Techniques to alleviate discomfort without medication. - ANSWER Non-
pharmacological Comfort Measures
10.Identifying and addressing patient complications. - ANSWER Recognizing
Complications
11.Safety measures to avoid procedural injuries. - ANSWER Injury Prevention
Precautions
12.What is a sign of malignant hyperthermia that nurses must identify
intraoperatively? - ANSWER Early signs include increased CO₂, muscle
rigidity, and increased temperature.
,13.What medication is administered to treat malignant hyperthermia? -
ANSWER Dantrolene.
14.How can nurses maintain the optimal temperature of a client during surgery?
- ANSWER By using warming blankets, warmed IV fluids, and monitoring
core temperature.
15.What should nurses do if a client's temperature exceeds 104°F in the PACU?
- ANSWER Intervene immediately and assess for signs of hypermetabolism.
16.What preoperative care should be provided regarding malignant
hyperthermia? - ANSWER Screen for family history of MH, assess risk
factors, and educate on post-op temperature monitoring.
17.What postoperative care should be provided in the PACU? - ANSWER
Continue to assess temperature every 15 minutes.
18.What are the early signs of malignant hyperthermia that patients should be
educated about? - ANSWER Muscle cramps, dark urine, or fever.
19.What should be monitored to prevent complications related to hypothermia
in the OR? - ANSWER Monitor temperature continuously and use warming
devices correctly.
20.What is the risk associated with cold temperatures in the OR? - ANSWER
Hypothermia (temperature < 36°C) can lead to delayed healing and cardiac
events.
21.How should a nurse manage a client with impaired ventilation/oxygenation
who is hypothermic? - ANSWER Warm them up, provide oxygen, and
closely monitor their breathing.
22.What preoperative care should be provided to patients at risk for
hypothermia? - ANSWER Pre-warm patients, especially older adults or
those undergoing long surgeries.
23.What should be done if a patient shows cold, clammy skin and decreased
temperature? - ANSWER Intervene early and consider lab tests if
hypothermia persists.
, 24.What is the purpose of using a PCA pump postoperatively? - ANSWER To
manage pain effectively through patient-controlled analgesia.
25.What should nurses assess to evaluate a client's pain response? - ANSWER
Use a validated pain scale and reassess after administering pain medication.
26.What are the potential complications of unmanaged acute post-op pain? -
ANSWER Decreased mobility, increased risk of DVT, and pulmonary
issues.
27.What is the importance of educating patients about pain control
expectations? - ANSWER Patients should understand that pain control does
not mean experiencing zero pain.
28.What is a key nursing action to prevent aspiration in post-op patients? -
ANSWER Position patients laterally and ensure proper NPO adherence.
29.What should be monitored to ensure the effectiveness of pain management?
- ANSWER Level of consciousness (LOC) and sedation levels.
30.What interventions can help manage acute post-op pain? - ANSWER Use
multimodal analgesia, assess pain levels, and support mobility.
31.What should nurses do if they notice restlessness and shallow breathing in a
patient? - ANSWER Reassess pain management and medicate as necessary.
32.What is a common risk factor for peptic ulcer disease related to surgery? -
ANSWER Stress response and the risk of bleeding.
33.How can nurses prevent complications related to low temperatures during
surgery? - ANSWER Apply the warming protocol according to unit policy.
34.What should be monitored if stress ulcer prophylaxis is ordered post-
operatively? - ANSWER Assess GI symptoms.
35.Why is it important to maintain temperature in post-operative care? -
ANSWER To prevent shivering-induced stress that could trigger ulcers or
increase bleeding risk.
