Exam (elaborations)
PN 2003 MIDTERM EXAM
- Course
- Institution
PN 2003 MIDTERM EXAM ...
[Show more]
Content preview
PN 2003 MIDTERM EXAM 2024- 2025 Perioperative and nurses role - ANSWER pre-admission, health history, preparation for OR, diagnostics, pre-anesthetic medication before surgery ma y be ordered nurses role: teaching!!, stress reduction, history gathering, ensuring consent is signed, explaining pre and post-op procedures, explaining OR and po st-op care Preoperative - ANSWER Intraoperative - ANSWER Postoperative - ANSWER - receive client and report condition including relevan t preop stats (vitals, lab values, allergies) - medications given - estimated blood loss and replacement fluids - presence of tubes, drains, catheters, wound status, surgical complicatio ns Components of health history - ANSWER biological data, chief compl aint, history of present illness, systems assessment, lifestyle, psychological data, patterns of health Preoperative assessment checklist - ANSWER - vital signs - routine hygiene - allergy/ID band checked and on - hospital gown with no nail polish or jewelry, dentures out - consent form signed - charts prepared Factors of preoperative stress - ANSWER knowledge deficit causing anxiety, anger, anticipatory grieving (could be loss of limb), What do patients do with valuables during preop - ANSWER don't bring them, lock up or put away whatever is brought, could also leave items with family me mber Latex allergy risk factors - ANSWER - history of anaphylactic reaction of unknown etiology during medical procedure - multiple surgical procedures (especially from infancy) - allergies (particularly kiwi, bananas, avocado, chestnuts, poinsettia plants) - job with daily exposure to latex (medical, nursing, food handler, tire manufac ture etc) - asthma Crossmatch - ANSWER testing compatibility of the blood or tissues of a donor and a recipient by mixing them to determine the absence of agglutination reactions Can students act as a witnesses for a consent form - ANSWER No, the must ha ve a licensed buddy nurse with them to witness Who is required to ask the client to sign an informed consent form for surgery? Is anyone else present - ANSWER the surgeon the witness must be present, nurse can be it General anesthesia mode of delivery - ANSWER inhalation or IV Spinal anesthesia mode of delivery - ANSWER local anesthetic inserted betwee n L4/5, goes into the spinal fluid in (subarachnoid space) Epidural anesthesia mode of delivery - ANSWER local anesthetic injected in epidural space, around L5 Regional anesthesia mode of delivery - ANSWER nerve block to a specific area Local anesthesia mode of delivery - ANSWER local anaesthetic to a specific part of the body, injected or topical Caudal block - ANSWER local anesthetic injected into sacral hiatus (end bit of epidural) Surgical risks - ANSWE R - chronic resp or cardio disorders - diabetes - renal or liver disease - malnutrition or obesity - certain meds or drug abuse - nicotine or alcoholism Common post-op problems - ANSWER - airway compromise - breathing/respiratory insufficiency - cardiac compromise - neurological compromise - hypothermia - pain, nausea/vomiting - wound dehiscence and delayed healing - side effects of analgesia How often do you check vitals post op - ANSWER immediately after, then ev ery 15 minutes for the first hour or until stable, every 30 minutes the following 2 hours, and once an hour for the following 4 hours check every 4 hours for 24-48 hours (check orders) Post-op nursing care - ANSWER - maintain airway - encourage deep breathing and coughing - promote tissue perfusionThe benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Mirror. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now