Medical-Surgical Nursing Exam #1 Questions and Answers 100% Solved

Medical-Surgical Nursing Exam #1 Questions and Answers 100% Solved What Are the 2017 Hospital National Patient Safety Goals? - Identify patients correctly - Improve staff communication - Use medicines safely - Use alarms safely - Identify patient safety risks - Prevent Infection - Prevent mistakes in surgery What Are the Purposes of Surgery? - Diagnosis (Yes or No) - Exploration (Find Problem) - Cure (Remove/Fix) - Prevention (Early Stages) - Palliation (Dying, Hospice, Comfort, No Cure) - Cosmetic Improvement (Burns, Mastectomy, Reconstruction) What Are the Three Surgical Phases? 1.) Preoperative (Until the OR) 2.) Intraoperative (Inside OR) 3.) Postoperative (PACU) What is Elective Surgery? A planned surgery Ex: Knee replacement What is An Emergency Surgery? Unplanned Ex: Burst appendix Inpatient vs. Outpatient Inpatient - Same day admission Outpatient (Ambulatory) - Leave hospital when recovered and awake Nursing Management of the Surgical Client - Knowledge of the nature of the disorder - Determine the client's response to the stress of surgery - Assess the results of preoperative diagnostic tests (Look at lab tests) *What does the patient know, why are they here* Preoperative: Client Interview 1.) Purpose: Where is the patient at mentally, most anxious, take vitals after a little while, reassurance 2.) Check documented information prior to the interview (Avoids repetition; see how nervous) 3.) Occurs in advance or on day of surgery Preoperative: Client Assessment 1.) Health Hx 2.) Medication Hx (Prescription and OTC) 3.) Diagnostic Testing 4.) Psychosocial