NUR 113 Midterm Exam 2 Questions
Answered Correctly.
What medication prevents DVT? - Answer
Normal electrolyte levels? - Answer Sodium (Na+) 135-145
Potassium (K+) 3.5-5.0
Calcium (Ca+) 8.5-10.5
Phosphorous 3.0-4.5
Magnesium (Mg) 1.3-2.1
Chloride (Cl-) 95-105
Who is apart of the peri operative team? - Answer Pre-operative nurse
Circulating nurse- manage everything in the OR setting
Post-operative nurse-Manages everything in OR; doesn't scrub in
Anesthesia personnel-manages airway
Radiology personnel- Does diagnostic test
Referral for specialty advance provider- this person would call a specialist if needed (for example
cardiologist)
Respiratory therapist
Social worker-comes into play before and after surgery
Surgeon
Surgical technician/first assistant
Interpreter
Wound care and ostomy nurse
Additional disciplines
Who maintains safety regulations/recommendations? - Answer AORN: Association of perioperative
registered nurses
,ASPAN: American society of PeriAnesthesia nurses
WHO: World health organization
TJC: The joint commission
What is the main concern for the patient? - Answer Safety
What should you never use as patient identifier? - Answer Room number
What are the three big things to prevent infection? - Answer Cardiac arrest prevention
Surgical site related infection
DVT
What are surgical risk factors? - Answer Age
Nutrition
Fluid and electrolyte
Infection
OTC
What are the normal lab ranges? - Answer PT: 11-12.5 sec
aPTT: 30-40 sec
INR: 2-3 on warfarin
Hgb: 12-18 g/dl
HCT: 37%-52%
RBC: 4-6 million
WBC: 5,000-10,000
Platelets: 150,000-400,000
Iron: 60-80 mcg/dl
Normal electrolyte levels - Answer Sodium (Na+) 135-145
,Potassium (K+) 3.5-5.0
Calcium (Ca+) 9.0-10.5
Magnesium (Mg) 1.3-2.1
Glucose 70-100
Albumin Levels 3.5-5.0
Reasons for surgery and descriptions of each? - Answer -Diagnostic{ biopsy, exploratory
laparotomy}Doing the surgery to find out what is wrong with the pt
-Curative{excision of tumor} Curing the disease
-Repair {multiple wound repair}
-Rehabilitative {joint replacement} Joint or hip replacement
-Palliative {debulking of tumor} relieves pain for things that might not have a cure
-Transplant
-Reconstructive or Cosmetic {facelift, rhinoplasty}
What are the different urgency's for surgery? - Answer Emergent-has to happen now without delay
Urgent-within 24 to 30 hours
Required-plan within few weeks or months
Elective-failure to have surgery not catastrophic
Optional- patient's personal preference
Types of surgeries? - Answer -Open: Open incision is made
-Laparoscopic: robotic would fall under this
Surgical settings? - Answer -Inpatient
-Outpatient or Ambulatory
Suffix for cut? - Answer -ectomy
, Suffix for suturing? - Answer -orrhaphy
Suffix for viewing whats in the patient? - Answer -oscopy
Suffix for surgical opening outside the pt body? - Answer -ostomy
Suffix for making a cut or an incision? - Answer -otomy
Suffix for repairing? - Answer -plasty
What is done during the preoperative phase? - Answer Preoperative clearance is given
Informed consent is obtained
Preoperative teaching is done
Preop check list is done
Preadmission testing (PAT) - Answer pt will come in a head of time to get lab testing donw
What is the role of the preop nurse? - Answer Baseline assessment & history collection
Pre-surgery prep
Lab draws
Medication administration
Patient education
Informed consent
Reduce anxiety and fear
Maintain patient safety
Maintain nutrition and fluids
Promote optimal respiratory and cardiovascular status
Support hepatic and renal function
Promote mobility and active body movement
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