Class notes
acute midterm #2
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Lecture notes of 14 pages for the course NURS 3073 at UNB (notes for midterm)
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NURS 3071 Winter 2024Midterm #2
Date: Tuesday, March 12th @ 0930 (GH 115) Time: You will have all class (0930-1220) to write
Special Considerations:
• You will not be permitted to use any additional resources, except for the “Lab Reference
Ranges” document, which I will have printed and available in class for you that day. • Bring a highlighter.
Value: 25% of final grade
Number of Qs: Approximately 80 questions, 2 bonus questions. Format/Style of Qs:
• Multiple choice (majority of questions)
• Multi-select (note: scored all or nothing)
• Short answer
• NGN Style Questions:
Content:
• Enhanced hot-spot thinking/highlight
• Cloze thinking
• Extended drag & drop (word bank with multiple interrelated blank spaces)
• Matrix thinking
70-75% of the midterm will be based on NEW content since last midterm. 25-30% will be content we
covered before the first midterm. All required resources (readings, videos, lectures) and in-class activities
are testable content.
The following topics have been covered since the first midterm:
, • Care of the Surgical Client
o Preoperative phase: time between choosing to go to OR and on their way
• Consent
o Safety driven.
o Obtained by physician.
o **informed consent occurs in all situations except emergencies and no other decision
makers available
§ Understands procedure, risk, complications.
§ Cannot be under influence of medications.
§ Legal age and mentally capable – age of consent in NB:16
• Health History/pre-op checklist
o Co-morbidities, allergies, drug/alcohol use, diagnostic diseases, smoking, lifestyle
habits, sleep, bleeding disorders
o Family Hx
o Physical exam: what is their baseline?
o V/S
o Risk identification
o Best possible medication hx: betablockers, herbal supp, OTC meds
o Psychosocial and spiritual factors
• Pre-op checklist: used by surgical staff and OR.
• Risk identification
• Education
o Teaching, teach-back method.
o Ex: pain management, mobility/ambulation, deep breathing and coughing
o Intraoperative phase: during surgery
• Universal protocols & surgical asepsis
o Maintain sterility in procedure
• Hypoxia
• Hypothermia
o In cold surgical theater, metabolic rate decreases under anesthesia.
• Malignant Hyperthermia (rare, inherited) can lead to cardiac arrest
o Rapid / hyper-metabolism, fight/flight, high BP, RR, HR, decrease CO
o Medical hx is important
o 10-20mins- 24hr after given
o High temp is usually last sign
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