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NURS 321 – Med Surg Exam 1 Pt. 1 Questions and Correct Answers $8.99
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NURS 321 – Med Surg Exam 1 Pt. 1 Questions and Correct Answers
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Phases of Surgery 1) Preoperative- decision to have surgery to table transfer 2) Intraoperative - transfer to table until transfer to PACU 3) Postoperative- transfer to PACU to first clinic visit/release Preoperative Care Assessment - Obtains medical and complete health history that includes curre...

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  • September 16, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nurs 321 med surg exam 1 pt 1 questions and cor
  • phases of surgery 1 preoperative decision to ha
  • preoperative care assessment obtains medical an

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  • NSG 321
  • NSG 321

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NURS 321 – Med Surg Exam 1 Pt. 1
Questions and Correct Answers
Phases of Surgery ✅1) Preoperative- decision to have surgery to table transfer
2) Intraoperative - transfer to table until transfer to PACU
3) Postoperative- transfer to PACU to first clinic visit/release

Preoperative Care Assessment ✅- Obtains medical and complete health history that
includes current home meds
-Ensuring H&P no more than 30 days before surgery
- Previous surgery hx
- Any reactions to anesthesia
- serious/chronic illness or trauma (Allergies, Bleeding, Corticosteroids, Diabetes,
Embolism)
- Preoperative nurse obtains diagnostics and identifies any abnormal lab values
- Obtain Informed consent- patients autonomous choice to have the procedure
- Provide TEACHING: pain control, equipment, cough and deep breathing, ambulation.
MOBILITY→ most important to get patients up and moving ASAP

Medications of concern ✅- Corticosteroids→ delay healing process
- Diuretics→ risk for dehydration, fluid and electrolyte imbalance

Preoperative Medications ✅- Benzodiazepine- midazolam (Versed), lorazepam
- Analgesics- opioids
- Anticholinergic- atropine, robinal
- Antiemetics
- Other- ppi, h2 blockers

Stage 1 of Anasthesia ✅ONSET:
- Drowsy or dizzy
- Hallucinations
- Noises are exaggerated
- Patient may have ringing, roaring, or buzzing in the ears
- Still conscious

Stage 2 of Anasthesia ✅EXCITEMENT:
- Increase in autonomic activity (talking, laughing, crying)
- Irregular breathing
- Possible struggling

Stage 3 of Anasthesia ✅SURGICAL:
- When surgery is performed

, - Unconscious
- No blink or gag reflexes
- Relaxed muscles
- Pulse rate and respirations are normal
- Skin is pink/slightly plushed

Stage 4 of Anasthesia ✅MEDULLARY DEPRESSION:
- Too much anesthesia has been given
- Respirations are shallow
- Pulse is weak
- Pupils widely dilated
- Cyanosis
- Death rapidly follows

General Anesthesia ✅state of narcosis, loss of ability to maintain ventilatory function,
reflex loss

General Anesthesia: Inhaled ✅volatile liquid agents and gasses that produce
anesthesia when vapors are inhaled
- nitrous oxide and oxygen, sevoflurane, desflurane

General Anesthesia: IV ✅administration through an IV line of various anesthetic &
analgesic agents such as barbiturates benzodiazepines, nonbarbiturate hypnotics,
dissociative agents, and opioid agents
- midazolam, propofol, ketamine

Regional Anesthesia ✅anesthetic agent is injected around nerves so that the region
supplied by these
nerves is anesthetized
- Spinal
- Epidural

Local Anesthesia ✅injection of a solution containing the anesthetic agent into the
tissues at the planned incision site
- Can also be Topical Anesthesia

Moderate Sedation ✅form of anesthesia that involves the IV administration of
sedatives or analgesic medications to reduce patient anxiety/ control pain during
diagnostic or therapeutic
procedures (used for short-term surgical procedures)
- Decreases level of consciousness without interference with airway

Spinal Block ✅injection of agent into subarachnoid space

Nerve Block ✅injection of anesthetic in a specific nerve

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