NU 310 Exam 1

Question 1

What are the 5 surgical classifications?

Answer 1

1. Emergent, 2. Urgent, 3. Required, 4. Elective 5. Optional… (Every Urge Requires Erectile Operation)

Question 2

What is a nurses responsibilities in the preop process?

Answer 2

Assessment, Teaching (WITH FAMILY), verify diagnostic testing, pt. understanding.

Question 3

What does a preop nursing assessment encompass?

Answer 3

Nutrition, Dentition, Drugs, Alcohol, Respiratory/smoking habits, Cardiovascular Status, Hepatic, Renal, Endocrine, Immune function, Allergies, Medications, psychosocial, and spiritual factors.

Question 4

Which preop nursing assessment looks at the ability to be under anesthesia and intubation?

Answer 4

Dentition

Question 5

Which preop nursing assessment deals with 02 sat, V/S and HTN?

Answer 5

Cardiovascular

Question 6

Glucose, steroids and thyroid function are all a part of what preop assessment?

Answer 6

Endocrine

Question 7

What type of medications do people often leave out when asked?

Answer 7

OTC and Herbal

Question 8

Hydration, electrolyte balances and bowel movements are all a part of what preop assessment?

Answer 8

Nutrition

Question 9

When should post op teaching begin?

Answer 9

ASAP, during the preop process if able

Question 10

Nurses do not get but make sure this is done prior to surgery.

Answer 10

Informed consent

Question 11

I was just shot what class of surgery and time frame will I be placed?

Answer 11

Emergent (ASAP)

Question 12

How soon should an Urgent surgery be done?

Answer 12

within 24 hrs.

Question 13

What surgery class allows for 1-2 weeks before the surgery needs to be done?

Answer 13

Required

Question 14

The choice for setting a surgery date is given to what surgery class?

Answer 14

elective

Question 15

What is the most common optional surgery?

Answer 15

Cosmetic

Question 16

What are the 3 most common preop tests?

Answer 16

Urine Analysis, Chest Xray and CBC

Question 17

What other preop tests may a surgeon ask for?

Answer 17

Urine culture, EKG, ABG, Type and Screen, Pregnancy tests, Drug levels, HbA1c

Question 18

When should informed consent be taken?

Answer 18

Prior to preop medications.

Question 19

What should be focused on during post op teaching

Answer 19

Respiratory therapy, mobility (DVT), Pain management, Nutrition, Cognitive measures.

Question 20

What are some common preop medications given?

Answer 20

Tranquilizers, Sedatives, Analgesics, Anticholinergics, H2 receptor antagonists.

Question 21

What should a pt NEVER do after pre-op meds are administered?

Answer 21

move out of bed

Question 22

What is a “Time Out”?

Answer 22

During the intraoperative process the surgical team stops to identify the Right pt, right side, equiptment counts, blood typing and allergy documentation.

Question 23

What extra risks do Geriatric pt’s have in an OR.

Answer 23

Coexisting conditions, Aging organs, decreased homeostatic mechanisms, response to drugs, OTC meds

Question 24

Different types of Anesthesia

Answer 24

General, Regional, Moderate Sedation and Local Anesthesia

Question 25

What Anesthesias can be given IV

Answer 25

General and Moderate

Question 26

Which anesthesia is given by epidural, spinal or local block

Answer 26

Regional

Question 27

General Anesthesia can be given how many ways?

Answer 27

2 IV and inhaled

Question 28

Surgical Complications

Answer 28

Hypothermia, Malignant hyperthermia, DIC, infection, anesthesia awareness, nausea, vomiting, anaphylaxis, hypoxia

Question 29

What is malignant hyperthermia?

Answer 29

A rare condition that is usually paternal in nature. Altered calcium function leading to tachycardia, high temp and muscle rigidity.

Question 30

Anesthesia and surgery side effects

Answer 30

Allergic reactions, cardiac dysrhythmias, CNS changes, Trauma, Hypotension and Thrombosis

Question 31

What is focused on during the Post Op process

Answer 31

Physiologic stability, pain management, preventing complications and education

Question 32

A PACU nurses responsibilities

Answer 32

Baseline assessment, Airway, Cardio, Surgical site, CNS and IV assessments. VS q15 min and prepare for transfer.

Question 33

What must a patient show prior to discharge from PACU.

Answer 33

urine output >30mL per hour

Question 34

Care of a postop pt

Answer 34

Low hematocrit, hemodynamically stable, nutrition, assessments, pain management, self care, discharge planning.

Question 35

The 5 W's of post op compications

Answer 35

WInd, Water, Wound, Walking, Wonder-drugs

Question 36

pneumonia, atelectasis during the first 24-48 hours

Answer 36

wind

Question 37

UTI after day 3 postop

Answer 37

water

Question 38

wound infection after day 5

Answer 38

wound

Question 39

Reducing DVT and PE post op

Answer 39

walking

Question 40

Anesthesia (post op comp name)

Answer 40

wonder drugs

Question 41

RAT and BED

Answer 41

Early and late signs of hypoxia RAT (restless, anxiety, tach) BED (bradycardic, extreme restlessness, dyspnea)

Question 42

Surgeon changes the first

Answer 42

dressing

Question 43

Nurses should assess dressing for?

Answer 43

bleeding