NUR 314 EXAM 1 Complete Questions with Correct Answers (100% Accurate)

Pre-operative Nursing Care checklist (6 things) Correct Answer 1. Complete pre-op assessment 2. ensure informed consent 3. ensure correct surgical site 4. prevent complications (pt hx) 5. complete pre-op teaching 6. address anxiety Pre-op assessment (ABCDE) Correct Answer Allergies, bleeding tendencies, cortisone (medications), diabetes, emboli Special groups (most at risk) during surgery Correct Answer elderly, obese, co-morbid conditions, disabled, emergency surgery why are elderly at risk during surgery Correct Answer -usually have co-morbid conditions -likely to have kidney dysfunction bc you lose nephrons as you age -inc risk for skin breakdown & infection -narcotics are risky bc they do not excrete as well (PAY ATTN TO DOSING) why is emergency surgery risky? Correct Answer bc you do not know their medical history, which makes you unprepared medication considerations Correct Answer corticosteroids, diuretics, phenothiazines, tranquilizers, insulin, antiHTN, antibiotics, anticoagulants, anticonvulsants, thyroid, opioids, herbals for informed consent, what must the nurse verify? Correct Answer -all Qs are answered -drug free -signed and witnessed -blood, anesthesia consents in chart for informed consent, what must the surgeon disclose? Correct Answer purpose, prognosis, risks, benefits, alternatives what defines an incompetent pt? Correct Answer -individual who is not autonomous -cannot give or withold consent (cognitively impaired, mentally ill, neurologically incapcitated) -if no POA, next kin signs or 2 physicians document necessity when should you teach a pt post-op care? Correct Answer pre-op