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MS-Care of Surgical Patient Study Guide Newest 2025 Latest With Complete Questions And answers Assured Success

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MS-Care of Surgical Patient Study Guide Newest 2025 Latest With Complete Questions And answers Assured Success

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MS-Care Of Surgical Patient
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Publié le
4 mai 2025
Nombre de pages
34
Écrit en
2024/2025
Type
Examen
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Questions et réponses

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MS-Care of Surgical Patient Study Guide
Newest 2025 Latest With Complete
Questions And answers Assured Success




surgical terminology - CORRECT ANSWER-page 19, table 2-2
AHN

Anastomosis - CORRECT ANSWER-surgical joining

ectomy - CORRECT ANSWER-Surgical removal

lysis - CORRECT ANSWER-destruction or dissolution

orrhaphy - CORRECT ANSWER-Surgical repair

oscopy - CORRECT ANSWER-direct visualization

ostomy - CORRECT ANSWER-open for passage of drainage, surgical incision

otomy - CORRECT ANSWER-opening into

pexy - CORRECT ANSWER-fixation

plasty - CORRECT ANSWER-plastic surgery

,ambulatory - CORRECT ANSWER-outpatient
discharge the same day

same-day admit - CORRECT ANSWER-undergoes surgery the same day and admitted
for convalescence

inpatient - CORRECT ANSWER-admitted to hospital-surgery-convalescence

major - CORRECT ANSWER-extensive reconstruction or alteration in body parts
e.g.
coronary artery bypass
gastric resection

minor - CORRECT ANSWER-minima alteration in body parts
e.g.
cataracts
tooth extraction

elective - CORRECT ANSWER-not necessary to preserve life and maybe performed at
a time the patient chooses

urgent - CORRECT ANSWER-required to avoid additional health problems from
occurring

emergency - CORRECT ANSWER-must be done immediately to sea life or preserve
function of a body part

pre-operative - CORRECT ANSWER-before surgery

intra-operative - CORRECT ANSWER-during surgery

influencing factors - CORRECT ANSWER-age
physical condition

ABCDE Mnemonics to ascertain serious illness or trauma in the pre-op pt - CORRECT
ANSWER-A - allergies
B - bleeding
C - cortisone
D - diabetes
E - emboli

pts whose immune systems are suppressed are at a much higher risk for development
of postop infection and are less capable of fighting that infection

Fears associated with surgery - CORRECT ANSWER-loss of control (anesthesia)
unknown (outcome, lack of knowledge)

,anesthesia (waking up)
pain (pain control)
death (surgery, anesthesia)
separation (support group)
disruption of life patterns (ADLs, work)
detection of cancer

Preoperative phase - CORRECT ANSWER-Assessment:
-acute and chronic condition hinders body's ability to repair itself (table 2-4 p 23)
Teaching:
-Helps decrease the stress that pts feel
-Post op care (wounds, pain & tubes)
-Include preoperative events
Preparation:
-Lab test abd diagnostic imaging
-Informed consent-Patients's Bill of Rights
-GI, skin, latex allergy, respiratory, CV, GU preparation
-Surgical wounds, pain, tubes, pre-operative meds
Anesthesia:
-General
-Regional
-Local
-Conscious
Positioning (figure 2-9 p 41)

preoperative teaching - CORRECT ANSWER-include patient and family
1-2 days before surgery
clarify preop and postop events
surgical procedure
informed consent
skin preparation
gastrointestinal cleanser
time of surgery
area to be transferred, if applicable
frequent vs (15-30min)
dressing, equip, etc
turning, coughing, and deep-breathing exercises
pain medication (prn)

preoperative nursing - CORRECT ANSWER-benefits of education - reduce
corticosteroid production allowing faster surgical healing, reduce amt. of anesthesia,
decrease post-surgical pain, lessen anxiety

preoperative preparation - CORRECT ANSWER-laboratory test
1. UA
2. CBC

, 3. blood chemistry profile - endocrine, hepatic, renal, and cardiovascular function
4. serum electrolytes
diagnostic imaging
1. chest x-ray
2. ECG

informed consent - CORRECT ANSWER-competent - mentally able to understand (not
under influence of pain meds)
agrees to procedure
information clear
risks explained
benefits identified
consequences understood
alternatives discussed
ability to understand (language disabilities)

legal obligations - CORRECT ANSWER-never let the pt sign consent when they are:
1. under influence of drugs
2. under anesthesia or sedatives
3. influence of alcohol
4. disoriented
5. not in correct state of mind
6. unconscious
7. mentally incompetent
8. consent they don't understand or different from originally given

substances that can affect the surgical client - CORRECT ANSWER-antibiotics -
increase action of anesthetic agents
anticholinergics - increase potential for confusion
anticoagulants - increase risk for bleeding
anticonvulsants - alter metabolism - alters the ion transport
antidepressants - lowers BP during anesthesia
antidysrhythmics - lowers cardiac contractibility
antihypertensives - can cause bradycardia, hypotension, impaired circulation
corticosteroids - atrophy of adrenal, lowers ability to handle stress
diuretics - increase risk for electrolyte imbalance

assessment questions - CORRECT ANSWER-chemical/substance and alcohol use
herbs used: gingko biloba
smoker
allergies
past surgeries
prescription meds taken
OTC drugs
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