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NUR 1600 ( LATEST 2024 / 2025 ) EXAM 1 | WITH 100% VERIFIED ANSWERS
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NUR 1600 ( LATEST 2024 / 2025 ) EXAM 1 | WITH 100% VERIFIED ANSWERS
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NUR 1600 Exam 11. The period of time surrounding a surgical procedure?
Perioperative
2. Name three things that perioperative includes?
1. Peroperative
2. Intraoperative
3. Postoperative
3. The term used for before surgery?
What is the nurses responsibility for this term?
Peroperative Educator, advocate and health promotion.
4. What is the term used during surgery?
What is the nurses responsibility for this term
Intraoperative Safety and advocacy.
5. What is the term used after surgery?
What is the nurses responsibility for this term?
Postoperative
On going evaluation and stabilization of clients, prevention of post-op complications.
6. What are these things
,1. Diagnostic
exploratory laparotomy.
2. Curative
fibroid tumors-hysterectomy.
3. Restorative
hip replacement.
4. Palliative surgery makes the client more comfortable. Does not cure, ex. suprapubic catheter.
5. Cosmetic surgery reconstructs the skin and underlying structures, ex. scar revision.
Purpose of surgery
7. When would you collect these things
-Hx and data collection.
-Age.
-Drugs and substance use (look for withdrawls)
-Medical hx, including cardiac and pulmonary hx (specifically comorbities ex. DM and CAD).
-Previous surgeries and anasthesia.
-Blood donations (this will tell you if they may have a disease like HIV)
-Discharge planning.
Collaborative management assessment
8. What are these things?
,-Age.
-Medications.
-Lifestyle.
-Chronic illness-inc. risk
-Prior surgical experiences-ex. anesthesia rx.
-Type of surgical procedure-ex. exploratory laparotomy inc. risk for paralytic ileus.
Risk factors based on assessment
9. What are these things
-Baseline vital signs.
-Focus on problem areas identified by the clients hx on all body systems affected by the surgical
procedures.
-Report any abnormal assessment findings to the surgeon.
Physical Assess- ment/Clinical Manifestations
10. What is the common NRS Dx for pt's who are preoperative?
Lack of knowl- edge secondary to lack of surgical experience.
11. Who is responsible for obtaining a signed consent before sedation is given and surgery is
performed?
The surgeon
12. What is the nurses role when a consent is being signed?
Clarify facts and witness client signature.
, 13. The nurse is responsible for making sure pt is NPO b/f surgery, what happens if pt eats?
Surgery get CX and by eating increases the risk for pt to have aspiration.
14. How many hours does a pt have to be NPO b/f surgery?
Usually after midnight for 6-8 hours.
15. Can pt still take his meds even if he is NPO b/f his surgery?
Consult the physician and anesthesia for instructions, especially for meds for DM, CAD,
glaucoma, anticonvulsants, antihypertensives, anticoagulants, antidepressants, or corticosteroids.
16. Why are bowel or intestinal preperation performed b/f surgery?
to prevent injury to the colon and to reduce the number of intestinal bacteria. An enema or
laxative may be ordered by the physician.
17. Do we shave the patient b/f surgery?
It is viewed as controversial.
18. Name things that you would teach the pt for postoperative.
-Breathing ex- cerises, incentive spirometry, coughing and splinting, leg procedures and
exercises, antiembolism stockings, and elastic wraps, early ambulation, and rang of motion
exercises.
19. Name 5 things the nurse would do for anxiety prevention b/f surgery?
1. Preoperative teaching.
2. Encouraging communication.
3. Promoting rest.
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