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Exam (elaborations)

NUR 102 PN EXAM 3 Questions & 100% Correct Answers

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  • NUR 102
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  • NUR 102

Explain the role of the LPN/LVN in obtaining informed patient consent. :~~ -It may be your role to obtain and witness the patient's or authorized person's signature on the consent form. -As the patient's advocate, ensure that the person signing the consent form understands its meaning. - Ens...

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  • September 8, 2024
  • 41
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 102
  • NUR 102
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1 | P a g e | © copyright | 2024/2025 | Grade A+ |




NUR 102 PN EXAM 3 Questions & 100%
Correct Answers-
Explain the role of the LPN/LVN in obtaining informed patient consent.

:~~ -It may be your role to obtain and witness the patient's or authorized person's

signature on the consent form.




-As the patient's advocate, ensure that the person signing the consent form

understands its meaning.




- Ensure that the patient has no further questions to be directed to the surgeon

and that the consent is being signed voluntarily.




Perioperative Period

:~~ -Preoperative: begins with decision to have surgery, lasts until patient is

transferred to operating room or procedural bed




-Intraoperative: begins when the patient is transferred to the OR bed until transfer

to the postanesthetic care unit (PACU) or the recovery room.




-Postoperative: lasts from admission to the PACU or other recovery area to

complete recovery from surgery and last follow-up health care provider visit



Master01 | September, 2024 | Latest Update

, 2 | P a g e | © copyright | 2024/2025 | Grade A+ |


Classification of Surgical Procedures

:~~ Urgency Level

-Emergency: Immediate surgery needed to save life or limb without delay. Ex.

Ruptured aortic aneurysm or appendix, traumatic limb amputation, loss of

extremity pulse from emboli

-Urgent: Surgery needed within 24-30 hours. Ex. Fracture repair, infected

gallbladder

- Elective: Planned/scheduled, with no time requirements.

Ex. Joint replacement, hernia repair, skin lesion removal

-Optional: Surgery requested by patient; Cosmetic surgery




Purposes of Surgery

-Aesthetic: Requested by patient for improvement; breast augmentation

- Diagnostic: To obtain tissue samples, make an incision, or use a scope to make a

diagnosis; Biopsy

- Exploratory: Confirmation or measurement of extent of condition; Exploratory

laparotomy

-Preventive: Removal of tissue before it causes a problem; Mole or polyp removal

to prevent cancer

- Curative: Removal of diseased or abnormal tissue;

Inflamed appendix, tumor, benign cyst, hernia




Master01 | September, 2024 | Latest Update

, 3 | P a g e | © copyright | 2024/2025 | Grade A+ |


-Reconstructive: Correction of defects of body parts; Scar repair, total knee

replacement, face lift, mammoplasty

-Palliative: Alleviation of symptoms when disease cannot be cured; Debulking to

relieve pain or pressure, colostomy, insertion of gastrostomy tube, rhizotomy.




Types of Anesthesia

:~~




preop consent


:~~ Patient Gives Legal Permission for Surgery

- Informed consent is surgeons Responsibility

- No Analgesia/Sedation before signing

- Voluntary

- Can withdraw at any time

- Valid for 30 days




What factors influence surgical outcomes and reduce risk ?

:~~ -Age

-Chronic Disease

-Emotional Responses

-Nutrition



Master01 | September, 2024 | Latest Update

, 4 | P a g e | © copyright | 2024/2025 | Grade A+ |


ERAS-

-Smoking/Alcohol and/or Drug Abuse




malignant hperthermia

:~~ Rare Hereditary Muscle Disease




-Triggered by General Anesthesia Agents/ Succinylcholine

-Potentially fatal

- Surgery is STOPPED; Anesthesia DISCONTINUED

- 100% O2 Given

- Cooled with ice, ICE IV Solut.

- Dantrolene Sodium/IV Muscle Relaxer Given




The nurse is caring for a patient who is about to undergo an elective surgery. The

nurse notes that the patient has not signed the consent. The patient tells the

nurse,

"The doctor didn't explain the risks of the surgery to me." Which action should the

nurse take?




1. Read the consent to the patient, ask if there are any questions, then obtain the

signature.



Master01 | September, 2024 | Latest Update

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