NRNP 6560 Midterm exam/NRNP 6560 Midterm
Exam Latest 2024/2025 COMPREHENSIVE
FREQUENTLY TESTEDthis
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Terms in this set (196)
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Classwith
Motivate learners 1: benefits outweigh
self-directed study risk, should be done
Class 2a: reasonable to perform
Surgery risk classes
Class 2b: should be considered
Class 3: rarely appropriate
ECG before surgery only if coronary disease, except
General rules for surgery: when low risk surgery
testing Stress test not indicated before surgery
Do not do prophylactic coronary revascularization
- Diabetic agents: Use insulin therapy to maintain
glycemic goals(iii) Discontinue biguanides, alpha
glucosidase inhibitors, thiazolidinediones,
sulfonylureas, and GLP-1 agonists
- Do not start aspirin before surgery
Meds before surgery
- Stop Warfarin 5 days before surgery. May be
bridged with Lovenox.
- Do not stop statin before surgery
- Do not start beta-blocker on day of surgery, but
may continue
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,10/9/25, 2:58 PM NRNP 6560 Midterm exam/NRNP 6560 Midterm Exam Latest 2024/2025 COMPREHENSIVE FREQUENTLY TESTED QUESTION…
- Unstable cardiac condition (recent MI, active angina,
active HF, uncontrolled HTN, severe valvular disease),
concern with CAD, CHF. arrhythmia, CVD
- patient stable or unstable?
- urgency of the procedure (oncology will be time
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Assessment of surgical risk this material
sensitive)
- risk of procedure
- nutritional status
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immune competence
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- determine
than 4 METS, more than 10 METs makes low risk)
catarcts
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breast biopsy
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Low risk surgeries cystoscopy, vasectomy
laporascopic procedures
Plastic surgery
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Head/
Motivate learners neck
with surgery study
self-directed
thyroidectomy
Intraperitoneal
Prostate
Laminectomy
intermediate risk surgeries
Hip/ knee
Hysterectomy
cholecystectomy
nephrectomy
non majot intrathoracic
aortic/ cabg
transplants
High risk surgeries
spinal reconstruction
peripheral vascular surgery
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,10/9/25, 2:58 PM NRNP 6560 Midterm exam/NRNP 6560 Midterm Exam Latest 2024/2025 COMPREHENSIVE FREQUENTLY TESTED QUESTION…
6 points:
High risk surgery = 1
CAD = 1
CHF = 1
Cerebrovascular disease = 1
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Lee's revised cardiac risk
index
this
DM 1 on insulin material
=1
Creat greater than 2 = 1
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2 = moderate
3 = high risk
- Prophylactic antibiotics should be received within 1
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h prior to surgical incision
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SCIP pre-operative - be selected for activity against the most probable
infection measures antimicrobial contaminants
- be discontinued within 24 h after the surgery end-
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time
Motivate learners with self-directed study
- pre-op hair removal (clippers)
- wash hands
Postoperative infection - normothermia
reduction methods - maintain euglycemia
- urinary catheters are to be removed within the first
two postoperative days
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, 10/9/25, 2:58 PM NRNP 6560 Midterm exam/NRNP 6560 Midterm Exam Latest 2024/2025 COMPREHENSIVE FREQUENTLY TESTED QUESTION…
Slow destruction of bones/ joint followed by
production of replacement collagen which causes
inflammatory changes
- older than 60
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Osteoarthritis: what,
- morethis material
female after 55
- more black than white women
incidence
- men and women equal risk between 45 - 55
abnormal height or You
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(obesity)
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- repetitive
- prior trauma (sprains/ dislocations)
- diabetic neuropathy
- genetic
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- Pain in weight bearing joints
- stiffness after sitting, gets better when arising
- feeling of instability on stairs
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- fine motor skills deficit
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- larger affected joints
- Heberden nodules (bony bumps on the finger joint
Osteoarthritis findings and closest to the fingernail)
diagnostics - Bouchard's nodules (bony bumps on the middle joint
of the finger)
- limited ROM with crepitus
- xr shows narrowing of joint space (need
anteroposterior and lateral knee films bilaterally)
- synovial fluid is clear and without WBC
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