NUR 256 EXAM 1 UPDATED ACTUAL Questions and CORRECT Answers
5 Rights of Delegation Task, circumstance, person, direction/communication, supervision
Preoperative Phase
Three phases of perioperative patient care Intraoperative Phase
Postoperative Phase
Preoperative Phase
Intraoperative Phase
, Postoperative Phase
5 purposes of surgery Diagnostic, curative, repair (reconstructive), palliative, rehabilitative
5 urgency levels of surgery Emergent, urgent, required, elective, optional
2 locations of surgery In-patient, out-patient
Admission H&P
Components of comprehensive
Diagnostics
preoperative assessment
Special Considerations
admission history (HPI, surgical, medical, social, psycho-spiritual), physical exam,
Admission H&P
home medications, and allergies (iodine and shellfish)
Diagnostics Chest x ray, ECG, CBC, CMP, coagulopathy panel, type and cross, special tests
Special considerations Geriatric pts, comorbidities, disabilities, discharge needs
why should you document herbal drugs? most herbal drugs cause bleeding
why should you document psych drugs? most psych drugs cause CNS depression
If allergic to latex what are other potential Kiwi, avocado, banana, chestnuts, strawberry
food allergies?
If allergic to iodine what are other potential Shellfish, shrimp
food allergies?
What is the difference between CBC and CBC = glucose
CMP? CMP = Liver function
When anything is going to be cut open, invasive, sedation/anesthesia, high risk blood
When do you need consent?
transfusion, radiation, stress test
Pt 18 or older
parent/guardian
Who can sign consent? MPOA
Mentally competent
Emancipated minor
When is it appropriate for two providers to Emergent procedure and the pt is incapacitated
sign consent on pts behalf?
Who obtains consent? Provider doing the procedure or surgery
Risks and benefits
What should the provider discuss with the Alternatives
pt pre-op? Possible outcome
Signature/date/time
What is milieu therapy? Environment/people/pt/equipment
Atelectasis Lung collapse
Flutter valve Blow into it to help mucous secretions
TRUE OR FALSE FALSE
Shaving is required for skin prep?
TRUE OR FALSE TRUE
Always turn pregnant pt to left side?
Surgeon
Anesthesiologist
Members of surgical team?
Scrub RN/tech
Circulating RN
5 Rights of Delegation Task, circumstance, person, direction/communication, supervision
Preoperative Phase
Three phases of perioperative patient care Intraoperative Phase
Postoperative Phase
Preoperative Phase
Intraoperative Phase
, Postoperative Phase
5 purposes of surgery Diagnostic, curative, repair (reconstructive), palliative, rehabilitative
5 urgency levels of surgery Emergent, urgent, required, elective, optional
2 locations of surgery In-patient, out-patient
Admission H&P
Components of comprehensive
Diagnostics
preoperative assessment
Special Considerations
admission history (HPI, surgical, medical, social, psycho-spiritual), physical exam,
Admission H&P
home medications, and allergies (iodine and shellfish)
Diagnostics Chest x ray, ECG, CBC, CMP, coagulopathy panel, type and cross, special tests
Special considerations Geriatric pts, comorbidities, disabilities, discharge needs
why should you document herbal drugs? most herbal drugs cause bleeding
why should you document psych drugs? most psych drugs cause CNS depression
If allergic to latex what are other potential Kiwi, avocado, banana, chestnuts, strawberry
food allergies?
If allergic to iodine what are other potential Shellfish, shrimp
food allergies?
What is the difference between CBC and CBC = glucose
CMP? CMP = Liver function
When anything is going to be cut open, invasive, sedation/anesthesia, high risk blood
When do you need consent?
transfusion, radiation, stress test
Pt 18 or older
parent/guardian
Who can sign consent? MPOA
Mentally competent
Emancipated minor
When is it appropriate for two providers to Emergent procedure and the pt is incapacitated
sign consent on pts behalf?
Who obtains consent? Provider doing the procedure or surgery
Risks and benefits
What should the provider discuss with the Alternatives
pt pre-op? Possible outcome
Signature/date/time
What is milieu therapy? Environment/people/pt/equipment
Atelectasis Lung collapse
Flutter valve Blow into it to help mucous secretions
TRUE OR FALSE FALSE
Shaving is required for skin prep?
TRUE OR FALSE TRUE
Always turn pregnant pt to left side?
Surgeon
Anesthesiologist
Members of surgical team?
Scrub RN/tech
Circulating RN
