Nurs 305 exam 3 (Latest Update) Questions and Verified
Answers| 100% Correct| Grade A+
ASA II - ANSWER-A patient with mild systemic disease
ex. current smoker, social alcohol drinker, pregnancy, obesity, well controlled DM/HTN, mild lung
disease
ASA III - ANSWER-A patient with severe systemic disease
ex. poorly controlled DM/HTN, COPD, morbid obesity, active hepatitis, alcohol abuse, pacemaker,
moderate reduction of cardiac ejection fraction
ASA IV - ANSWER-A patient with severe systemic disease that is a constant threat to life
ex. ongoing ischemia or severe valve dysfunction, TIA, CVA, sepsis
ASA V - ANSWER-A moribund patient who is not expected to survive without the operation
ex. massive trauma, intracranial bleeding
ASA VI - ANSWER-A patient declared brain dead whose organs are being removed for donor purposes.
ex. aggressive fluid replacement, blood pressure medications
moderate (conscious) sedation - ANSWER-is used routinely for short-term surgical, diagnostic, and
therapeutic procedures that do not require complete anesthesia but rather a depressed level of
consciousness
preferred sedative- short acting IV sedatives such as midazolam
,Regional anesthesia - ANSWER-results in loss of sensation in an area of the body by anesthetizing
sensory pathways. This type of anesthesia is accomplished by injecting a local anesthetic along the
pathway of a nerve from the spinal cord.
For controlling pain
Reasons for Preoperative Instructions and Exercises. - ANSWER-Patients are better prepared to
participate in their recovery when they receive rationale for preoperative and postoperative procedures.
Patients who undergo surgery need to learn how to promote a healthy recovery and prevent
complications, which will allow them to return to a normal lifestyle asap.
Inpatient surgery patients need to understand what is required for recovery such as pain control, early
ambulation, diet progression, wound care, exercises
Post operative diet
The following measures promote the return of normal elimination: - ANSWER-Advance a patient's
dietary intake gradually.
Most surgeons rely on the return of flatus or bowel sounds to order a normal diet.
provide clear liquids, If a patient tolerates liquids without nausea, advance the diet
Patients who had abdominal surgery are usually NPO the first 24 to 48 hours.
As peristalsis return, provide clear liquids, followed by full liquids, a light diet of solid foods, and finally a
patient's usual diet.
Encourage intake of foods high in protein and vitamin C.
Promote ambulation and exercise, it stimulates a return of peristalsis.
Maintain an adequate fluid intake.
, Promote adequate food intake by stimulating a patient's appetite; remove sources of noxious odors
Avoid moving a patient suddenly to minimize nausea.
Help the patient get comfortable during mealtime.
Provide frequent oral hygiene.
Administer fiber supplements, stool softeners
Informed Consent. - ANSWER-Except in emergencies, surgery cannot be performed legally or ethically
until a patient fully understands a surgical procedure and all implications.
Surgical procedures are not performed without documentation of a patient's informed consent in the
medical record.
It is the surgeon's responsibility to explain the procedure, associated risks, benefits, alternatives, and
possible complications before obtaining the patient's oral and documented informed consent
The patient also needs to know who will perform the procedure.
To ensure that a patient understands the information about the surgery, recommends that consent
materials be written at a fifth-grade or lower reading level.
After the patient or power of attorney signs the consent form, place it in the medical record.
Documentation and Hand-Off. - ANSWER-Before a patient goes to the OR, an accurate medical record is
essential to ensure safe and appropriate patient care.
Answers| 100% Correct| Grade A+
ASA II - ANSWER-A patient with mild systemic disease
ex. current smoker, social alcohol drinker, pregnancy, obesity, well controlled DM/HTN, mild lung
disease
ASA III - ANSWER-A patient with severe systemic disease
ex. poorly controlled DM/HTN, COPD, morbid obesity, active hepatitis, alcohol abuse, pacemaker,
moderate reduction of cardiac ejection fraction
ASA IV - ANSWER-A patient with severe systemic disease that is a constant threat to life
ex. ongoing ischemia or severe valve dysfunction, TIA, CVA, sepsis
ASA V - ANSWER-A moribund patient who is not expected to survive without the operation
ex. massive trauma, intracranial bleeding
ASA VI - ANSWER-A patient declared brain dead whose organs are being removed for donor purposes.
ex. aggressive fluid replacement, blood pressure medications
moderate (conscious) sedation - ANSWER-is used routinely for short-term surgical, diagnostic, and
therapeutic procedures that do not require complete anesthesia but rather a depressed level of
consciousness
preferred sedative- short acting IV sedatives such as midazolam
,Regional anesthesia - ANSWER-results in loss of sensation in an area of the body by anesthetizing
sensory pathways. This type of anesthesia is accomplished by injecting a local anesthetic along the
pathway of a nerve from the spinal cord.
For controlling pain
Reasons for Preoperative Instructions and Exercises. - ANSWER-Patients are better prepared to
participate in their recovery when they receive rationale for preoperative and postoperative procedures.
Patients who undergo surgery need to learn how to promote a healthy recovery and prevent
complications, which will allow them to return to a normal lifestyle asap.
Inpatient surgery patients need to understand what is required for recovery such as pain control, early
ambulation, diet progression, wound care, exercises
Post operative diet
The following measures promote the return of normal elimination: - ANSWER-Advance a patient's
dietary intake gradually.
Most surgeons rely on the return of flatus or bowel sounds to order a normal diet.
provide clear liquids, If a patient tolerates liquids without nausea, advance the diet
Patients who had abdominal surgery are usually NPO the first 24 to 48 hours.
As peristalsis return, provide clear liquids, followed by full liquids, a light diet of solid foods, and finally a
patient's usual diet.
Encourage intake of foods high in protein and vitamin C.
Promote ambulation and exercise, it stimulates a return of peristalsis.
Maintain an adequate fluid intake.
, Promote adequate food intake by stimulating a patient's appetite; remove sources of noxious odors
Avoid moving a patient suddenly to minimize nausea.
Help the patient get comfortable during mealtime.
Provide frequent oral hygiene.
Administer fiber supplements, stool softeners
Informed Consent. - ANSWER-Except in emergencies, surgery cannot be performed legally or ethically
until a patient fully understands a surgical procedure and all implications.
Surgical procedures are not performed without documentation of a patient's informed consent in the
medical record.
It is the surgeon's responsibility to explain the procedure, associated risks, benefits, alternatives, and
possible complications before obtaining the patient's oral and documented informed consent
The patient also needs to know who will perform the procedure.
To ensure that a patient understands the information about the surgery, recommends that consent
materials be written at a fifth-grade or lower reading level.
After the patient or power of attorney signs the consent form, place it in the medical record.
Documentation and Hand-Off. - ANSWER-Before a patient goes to the OR, an accurate medical record is
essential to ensure safe and appropriate patient care.
