N120 Week 1 Assessment Questions and Correct Answers .

N120 Week 1 Assessment Questions and Correct Answers . The nursing process - Answer- allows us to individualize care for our patients What are the perioperative phases of surgery? - Answer- preoperative, intraoperative, postoperative Surgery can also be to - Answer- rule out a problem/illness Inpatient surgery can be - Answer- emergent, urgent, or elective Inpatient requires extra - Answer- monitoring of the patient Outpatient requires less than - Answer- 24 hours of monitoring Inpatient is for patients who have a risk for - Answer- complications An example of an ambulatory surgery is? - Answer- colonoscopy What are some assessments to perform during the preoperative stage of surgery? - Answer- - want to perform an interview -head to toe assessment -initiate a plan of care to ensure safety of patient Preoperative nursing takes place anytime before surgery. What are some examples? - Answer- - being seen at a clinic -on the phone -when pt signs inform consent The vital role of the preoperative nurse is to - Answer- give the assessment findings to the intraoperative nurse Malignant hyperthermia is a case that has a - Answer- genetic and/or reoccurrence link What complications can herbal remedies such as garlic and ginko biloba cause? - Answer- thinning of the blood They can potentially increase the pt's risk for bleeding As nurses, we cannot advise a patient but we can - Answer- note in their chart and notify the provider and let pt know what the provider advised What does the herbal remedy ginseng pose a risk for? - Answer- increased blood pressure What does the herbal root kava/valerian cause? - Answer- sleep; we are worried about difficulty to arouse; and cognitive status before and after surgery Asprin decreases the risk for - Answer- miocardial infarction If the patient is going for a procedure that has contrast we will ask if they have an allergy to - Answer- allergy to shellfish, iodine, or are you taking metformin Patients with latex allergy will be asked if they are allergic to? - Answer- banana, avocado, and/or kiwi Preoperative pt teaching includes - Answer- -turn cough and deep breathing -stress early ambulation -stress incentive spirometer -sequential compression devices (SCD) A designated driver is required for patients who are undergoing - Answer- ambulatory surgery NPO status is - Answer- 6 hour solid food 2 hour liquids Informed consent can be completed - Answer- days prior to the actual day of the procedure The legal prep for surgery requires three things which is - Answer- nurse is witnessing: -provider is obtaining the informed consent -witnessing that client is giving informed consent voluntarily -patient is competent (a&o x4) A type of benzodiazepine is - Answer- midazolam Benzodiazepines can - Answer- cause drowsiness, impair CNS, relieve anxiety Types of opioids include - Answer- fentanyl and morphine Informed consent must be taken before administering - Answer- benzodiazepines and opioids What is the purpose of anticholinergics? - Answer- decrease oral, resp, and GI secretions. It will help reduce risk for aspiration An anticholinergic would be given for - Answer- bradycardia What is the purpose of antiemetics? - Answer- N/V What is the purpose of antibiotics? - Answer- Infection. Should be given 30-60 mins prior to procedure What is the purpose of B-Adrenergic blockers (B-blockers) - Answer- for pt's with history of hypertension. Can reduce the risk of MI during surgery What is the purpose of insulin for preoperative procedure? - Answer- for pts who may be diabetic This nurse is the physicians right hand, completes surgical hand antisepsis and gowns and gloves of self and other members, prepares instrument table and arranges sterile equipment, passes instruments to surgeon, keeps track of irrigation solns used for circulation of blood loss - Answer- scrub nurse This nurse monitors practices of aseptic technique, monitors vitals, documents, gives report to post op nurse, is considered unsterile - Answer- circulating nurse