Adult Health Exam 2 Chapter 14 Study Guide Exam And All Actual Answers.
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Course
Focus on Adult Health
Institution
Focus On Adult Health
Establish a baseline - Answer What should one do during pre-op so that they know if any changes are present?
1. Assessing the patient
2. Easing the patient's anxiety
3. Educating the patient on what to expect
4. Preparing the patient for surgery - Answer What are four areas of focus wit...
Adult Health Exam 2 Chapter 14 Study
Guide Exam And All Actual Answers.
Establish a baseline - Answer What should one do during pre-op so that they know if any changes are
present?
1. Assessing the patient
2. Easing the patient's anxiety
3. Educating the patient on what to expect
4. Preparing the patient for surgery - Answer What are four areas of focus within pre-op nursing?
1. Cardiac so assess peripheral vascular system
2. Respiratory
3. Vital signs
4. Age
5. Use of tobacco, alcohol, marajuana/illicit substances
6. Current drugs
7. Herbal therapies, folk therapies, or acupuncture
8. Medical history
9. Prior surgical procedures and how these were tolerated
10. Prior experience with anesthesia, pain control, and management of nausea and vomitting
11. Autologous or directed blood donations
12. Allergies incluing latex
13. General health
14. Family history
15. Type of surgery planned
16. Knowledge about and understanding of events during the preoperative period
, 17. Adequacy of patient's support system - Answer What are critical assessments that the RN will need
to make before the patient goes to surgery?
-Educate the patient on what to expect post-op and how to care for themselves - Answer What are the
patients biggest fears and what can the nurse do to help?
When the patient is first scheduled for surgery (this is when education starts) and ends at the time of
transfer to the surgical unit - Answer When does the preoperative begin and end?
-Educator
-Advocate
-Promoter of health and safety - Answer What does the nurse function as during the postoperative
period?
DECREASED
-Cardiac output, peripheral circulation (Vessels over time harden)
-Vital capacity, blood oxygenation (exchange of O2 and CO2)
-Blood flow to kidneys (test creatinine), glomerular filtration rate (GFR)
INCREASED
-Blood pressure
-Risk for skin damage, infection
-Sensory deficits (neuropathy, contractures (hard to perform ROM), shortening of muscles)
-Deformities related to osteoporosis/arthritis
CHART 14-1 - Answer What are the surgical risk factors associated with aging/older adults?
Anesthesia builds up due to decreased kidney function - Answer Why are older adults at risk for toxicity
during/after surgical procedures?
-Chronic illnesses (Diabetes, COPD)
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