WKU Med Surg 1 Exam 1 Questions With Correct Answers

WKU Med Surg 1 Exam 1 Questions With Correct
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Answers
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The //operative //experience //is //broken //up //into //these //three //phases: //- //CORRECT
ANSWERS(S)✔✔(1) //Preoperative, //(2) //Intraoperative, //(3) //Postoperative
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The //preoperative //phase //commences //when: //- //CORRECT //ANSWERS(S)✔✔the //decision //for
//surgery //is //made //and //ends //when //the //patient //is //transferred //to //the //surgical //suite.



-The //preoperative //nurse //takes //on //roles //of //educator, //advocator, //and //admittance //nurse.



Components //of //the //preoperative //checklist: //- //CORRECT //ANSWERS(S)✔✔Includes //but //not
//limited //too:



-a //full //medical //history

-assessment //of //the //patient's //health //status

-paperwork //necessary //for //intraoperative //and //postoperative //care

-completion //of //preoperative //orders //(antibiotics, //ted //hose, //ect.)

-patient //education //regarding //the //entire //surgical //process

-patient //and //witness //sign //the //informed //consent

-the //initial //"time-out" //phase //where //the //patient //verifies //information



Informed //Consent //- //CORRECT //ANSWERS(S)✔✔is //when //a //patient //autonomously //and
//cognitively //grants //permission //to //a //provider //to //perform //a //surgical //procedure //after


//considering //all //alternatives, //benefits, //and //risks. //



-This //is //the //role //of //the //provider //BUT //the //nurse //is //to //ensure //the //patient //has //all //the
//information //needed //to //make //an //informed //decision.

,Components //of //an //informed //consent: //- //CORRECT //ANSWERS(S)✔✔-a //consent //for //the
//procedure //itself //(should //include: //1. //name, //type //and //reason //for //surgery, //2. //name //of //the


//surgeon //to //perform, //3. //reason //that //intervention //will //benefit //the //patient, //4. //all


//alternative //options //to //surgery, //5. //potential //outcomes //if //surgery //is //not //performed)



-consent //for //anesthesia //(this //is //the //role //of //the //anesthesiologist //or //the //nurse //anesthetist
//to //explain //the //type //of //anesthesia, //risks, //and //meds //used. //The //nurse's //role //is //to //ensure


//the //patient //understands //the //information.)



-consent //to //administer //blood //products //(must //be //witnessed //by //two //people. //In
//emergency //situations, //a //verbal //consent //is //acceptable //until //after //surgery //for //paperwork.


//If //no //one //is //able //to //consent, //two //physicians //must //sign //off //on //the //need //for //it.




A //formal //process //of //identification //performed //by //the //patient //and //the //health-care //team
//to //identify //the //correct //patient, //correct //procedure, //and //correct //surgical //site. //- //CORRECT


ANSWERS(S)✔✔Time-out, //"Pause //for //Cause"
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When //and //how //many //times //does //the //time-out //(Pause //for //Cause) //occur? //- //CORRECT
//ANSWERS(S)✔✔Starts //when //the //patient //enters //the //facility //and //receives //a //wristband
//with //his/her //information. //After //reviewing //the //wristband, //the //patient //confirms //all //the


//information //is //correct //and //name //the //procedure //and //site. //This //is //then //performed //again


//by //the //circulating //nurse //upon //transfer //to //the //surgical //suite //and //once //more


//immediately //preceding //incision //by //the //entire //team. //The //surgeon //will //then //mark //the


//surgical //site //with //a //permanent //marker.




Acceptable //patient //identifiers: //- //CORRECT //ANSWERS(S)✔✔patient //name, //date //of //birth,
//social //security //number, //photo //printed //on //band, //address, //telephone //number




Complete //preoperative //patient //assessment //includes: //- //CORRECT //ANSWERS(S)✔✔Patient
//history, //advance //directives, //physical //assessment, //systems //assessment.




Patient //history //includes: //- //CORRECT //ANSWERS(S)✔✔medical, //surgical //and //anesthesia
//history, //age, //allergies, //medications, //last //oral //intake, //alcohol/smoking //and //drug //use.

, -all //psychological //questions //(abuse //at //home), //gynecological //and //mental //illness //questions
//must //be //asked //with //no //other //family //or //support //person //present.




Physical //assessment //includes: //- //CORRECT //ANSWERS(S)✔✔-height //and //weight: //to //assess
//the //amount //of //medication //needed //and //for //larger //patients //to //accommodate //larger


//stretch, //ect.



-vital //signs: //bp, //respirations, //pulse, //temp, //o2, //and //pain //using //an //age/mental //appropriate
//scale.



-system //assessments: //cardiovascular, //respiratory, //neurological, //liver/renal, //integumentary,
//gastrointestinal, //genitourinary.




Patient //preparation //for //the //surgical //experience: //- //CORRECT //ANSWERS(S)✔✔-Laboratory
//assessment



-Radiological //assessment

-Patient //teaching

-Physical //Preparations //(IV //line, //bowel //and //bladder //prep, //skin //prep, //medications)

-Transfer



The //preoperative //nurse //must //assure //that //all //this //has //been //completed //before //transfer //to
//intraoperative //care: //- //CORRECT //ANSWERS(S)✔✔Patient //identification, //physical
//preparations, //confirmation //of //NPO //status, //documentation //of //complete //medical //history


//and //admission //vital //signs //and //laboratory //work, //allergy //bracelet //visible, //documentation


//of //initial //time-out, //copies //of //all //appropriate //documentation //are //on //patient's //file,


//patient //education //with //verbalized //return //of //information, //and //family/patient //questions


//answered.




Inpatient //surgical //setting //- //CORRECT //ANSWERS(S)✔✔surgical //procedures //that //require
//admittance //to //the //hospital //unit //postoperatively. //Patients //require //monitoring //for //more


//than //24 //hours //after //procedure.