Exam (elaborations)
Nsg 123 Exam One Blueprint Detailed Questions And Expert Answers
- Course
- NURSING 123
- Institution
- University Of Michigan
Nsg 123 Exam One Blueprint Detailed Questions And Expert Answers
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Nsg 123 Exam One Blueprint Detailed QuestionsAnd Expert Answers
Pre-Operative Phase - ANS The preoperative phase begins when the decision to
proceed with surgical intervention is made and ends with the transfer of the
patient onto the operating room (OR) bed.
Intra-operative Phase: - ANS The intraoperative phase begins when the patient is
transferred onto the OR bed and ends with admission to the PACU. Intraoperative
nursing responsibilities involve acting as scrub nurse, circulating nurse, or
registered nurse first assistant
Post-operative Phase: - ANS The postoperative phase begins with the admission of
the patient to the PACU and ends with a follow-up evaluation in the clinical setting
or home.
Patients who need special consideration during surgery - ANS 1. Older adults
2. Obese patients
3. Patients with disabilities
4. Patients undergoing
5. Emergency surgery
6. Patients undergoing Ambulatory surgery
,Surgeon Role in Consent - ANS The surgeon must also inform the patient of the
benefits, alternatives, possible risks, complications, disfigurement, disability, and
removal of body parts as well as what to expect in the early and late postoperative
periods.
Nurse Role in Consent - ANS Nurse witnesses consent being signed.
The nurse clarifies the information provided, and if the patient requests additional
information, the nurse notifies the physician. The nurse ascertains that the
consent form has been signed before administering psychoactive premedication
What happens to a consent form once it is signed? - ANS The signed consent form
is placed in a prominent place on the patient's medical record and accompanies
the patient to the OR.
Incompetent Patient - ANS Legal definition: individual who is not autonomous and
cannot give or withhold consent (e.g., individuals who are cognitively impaired,
mentally ill, or neurologically incapacitated).
Ethical Considerations with Consent - ANS non-English speaking patients, cognitive
impairment, emergency surgery, language barriers etc.
Reasons surgery may be delayed or postponed - ANS 1. Poor nutrition or hydration
status
2. Respiratory Infection (elective surgery)
3. Infection
, 4. Anesthetic Allergies
5. Drugs & Alcohol
6. Uncontrolled hypertension
7. Medications such as diuretics, steroids, insulins, opioids, anticoagulants
Perioperative Patient Teachings - ANS Discontinue smoking 30 days prior
Stop any OTC herbal medications 2 weeks prior
Stop aspirin or anticoagulant 7-10 days prior
Nothing by mouth
What is done in the OR to maintain asepsis? - ANS All surgical supplies are
sterilized
All personal wash and scrub hands and arms with antiseptic soap
Only those who have taken proper sanitary precautions can touch sterilized
objects
Surgical team members wear long-sleeved, sterile gowns and gloves. Head and
hair are covered with a cap, and a mask
Unrestricted Zone - ANS street clothes are allowed
Semi-Restricted Zone - ANS where attire consists of scrub clothes and caps
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