Nurs1117 Promoting Healthy Physiologic Responses Exam Questions and Answers Module 4 Already Passed
Phases of Surgery - Answers Preoperative
Intraoperative
Postoperative
Preoperative Nursing Process - Answers Previous surgery
Nutrition
Use of ETOH, illicit drugs, or nicotine
ADL's
Occupati...
Hemophilia - Answers condition where blood doesn't clot normally
Respiratory diesases - Answers pneumonia, COPD, increase risk of respiratory depression from
anesthesia and post-op complications (atelectasis, pneumonia, acid-base alterations)
atelectasis - Answers complete or partial collapse of a lung; the step right before you get pneumonia
Renal and liver diseases - Answers affects fluid and electrolyte balances, alters metabolism and excretion
of medications, impairs wound healing
Endocrine diseases - Answers DM increase risk for hypoglycemia or acidosis and slows wound healing
DM - Answers #1 endocrine disease for delayed wound healing
Medications- Health history - Answers Anticoagulants
Diuretics
Tranquilizers
Corticosteriods
Anitbiotics
,Anticoagulants - Answers Medication that may increase hemorrhaging
Aspirin - Answers #1 anticoagulant patients are on. Mild; makes platelets slippery. Bruise easily. Affects
are 7-10 days.
Diuretics - Answers Medication that may lead to electrolyte imbalance
Tranquilizers - Answers Medication that increase hypotensive effects of anesthesia
Corticosteriods - Answers Medication that can cause cardiovascular collapse with abrupt withdrawal.
Antibiotics - Answers Medication that may have drug interactions with the muscle relaxants used during
anesthesia
life of platelets - Answers 7-10 days
Informed Consent - Answers Nurses responsibility to make sure it gets done, but not to actually do it
Inclusions of informed consent - Answers describe procedure
underlying disease process
name & qualifications of person performing procedure
explaining risks
explain patients right to refuse and consent can be withdrawn at anytime
explanation of expected outcome, recovery, & home going plan
Informed consent - Answers Patients voluntary agreement to undergo a procedure or treatment
Should be completed before procedure/treatment
Collected by person performing procedure
Legal document
When is informed consent not legal? - Answers If patient is confused, unconscious, sedated, mentally
incompetent, or a minor and family member, POA, or guardian can sign in this instance
Interventions during pre-op phase - Answers hygiene, skin prep
determine that skin is intact
pre-op shower
possible removal of hair
, True - Answers True or false? Surgeries have been cancelled due to rashes or skin breakdown the day of
surgery
False - Answers True or false? Hair is automatically removed from patient prior to surgery?
Psychologically
Therapeutic communication
Avoiding false reassurance - Answers Preparing the patient for surgery
Psychological preparation - Answers relieve anxiety and fear
Therapeutic communication - Answers Establish and maintain a therapeutic relationship
Allow patient to verbalize fears and concerns
Use active listening skills, answer questions, validate messages, use touch appropriately
False reassurance - Answers "You're going to be fine"
What is EBP? - Answers evidence-based practice
Pain management teaching - Answers The pain reported by the patient is the determining factor of pain
control
Pain assessment every 2 hours post-op
Older patients at greater risk for over/under treatment of pain
Little addiction concern with post-op pain meds
Understanding timing of pain meds for best effect
Splinting the incision
Examples of timing pain meds - Answers q4h
q6h
prn
How do you splint an incision? - Answers coughing with pillow covering incision
Older adults have greater concern - Answers addiction of pain meds
Pre-op interventions - Answers Teach about physical activities- how much they cant walk, what they can
do, etc.
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