Exam (elaborations)
NSG123 EXAM REVIEW ANSWERS
- Institution
- Herzing University
Exam 1 review answers, goes through the first 4 modules of med/surg 1
[Show more]
Seller
Follow
Content preview
Medical/Surgical 1 (NSG123) Exam 1Study online at https://quizlet.com/_fltu6j
Ï ialysis
D
ÏCommunity Health
ÏHospice
ÏOncology
Types of nursing one can practice ÏCare Management/Nurse Navigator
ÏNICU
ÏPediatrics
ÏGeriatrics
ÏLeadership/Charge Nurse
Begins when the decision to proceed with surgical intervention is
Pre-operative made and ends
with the transfer of the patient onto the operating room (OR) bed
Begins when the patient is transferred onto the OR bed and ends
with admission
Intra-operative to the PACU. Intraoperative nursing responsibilities involve acting
as scrub nurse,
circulating nurse, or registered nurse first assistant
Begins with the admission of the patient to the PACU and ends
Post-Operative with a follow-up
evaluation in the clinical setting or home.
Perioperative nursing care ADPIE what type of assessment would be necessary
-Gerontology
Special considerations for surgical patients -Bariatric
-Disabilities
More time during recovery, explanation, hearing, understanding of
Gerontology patients special surgical considerations
instructions
Bariatric patients and surgical special considerations Breathing, infection, circulation, wound care
Assistive devices, mental or physical disabilities, physiological
Patients with disabilities special surgical care
issues.
Medications, vitals, pain management, knowing special consid-
Before, during, after reducing complications for surgical patients erations, medical history, understanding expectations of proce-
dure.m
The nurse may ask the patient to sign the consent form and
witness the signature;
however, it is the surgeon's responsibility to provide a clear and
Knowledge about surgical consents
simple
explanation of what the surgery will entail prior to the patient giving
consent
What diagnostic procedure are not appropriate for diagnosing
Diagnostics that are for chronic illness.
pneumonia
An individual who is not autonomous and cannot give or withhold
consent (e.g.,
Incompetent Patient individuals who are cognitively impaired, mentally ill, or neurolog-
ically
incapacitated
Ï oluntary Consent - freely given no coercion (legally able)
V
Ethical considerations ÏIncompetent Patient - Individual who is not autonomous
ÏInformed Subject - understands procedure
acutely intoxicated (drugs or alcohol)
Ïrespiratory infection
Reasons surgery may be delayed/postponed
Ïuncontrolled hypertension
Ïpresence of infection that would cause more harm
Ï edications stop or start
M
Perioperative teaching ÏAny special directions to prepare for surgery
ÏNP
, Medical/Surgical 1 (NSG123) Exam 1
Study online at https://quizlet.com/_fltu6j
Promote optimal lung expansion and resulting blood oxygenation
after anesthesia.
ÏSplint the incision to minimize pressure and control pain
ÏDevice that provides measurement and feedback related to
breathing
effectiveness.
Deep Breathing, Coughing, and Incentive Spirometry
ÏGood in promoting coughing is to mobilize secretions so that they
can be
removed
Ï*****If the patient does not cough effectively, atelectasis (collapse
of the alveoli),
pneumonia, or other lung complications may occur.
IV considerations for home health nurse home health safe access of IV site
Improve circulation, prevent venous stasis, and promote optimal
respiratory
Mobility and Active Body Movement
function.
ÏExercise of the extremities includes extension and flexion
A pain assessment should include differentiation between acute
and chronic pain
ÏA pain intensity scale should be introduced and explained to the
patient to
promote more effective postoperative pain management
Pain Management Patient education
ÏAnticipated methods of administration of analgesic agents for
inpatients include
patient-controlled analgesia (PCA), epidural catheter bolus or in-
fusion, or patient-
controlled epidural analgesia (PCEA)
Enemas are not commonly prescribed preoperatively unless the
patient is
undergoing abdominal or pelvic surgery.
Preparing the Bowel
ÏA cleansing enema or laxative may be prescribed the evening
before surgery and
may be repeated the morning of surgery.
The purpose of withholding food and fluid before surgery is to
Managing Nutrition and Fluids Patient education
prevent aspiration
The goal of preoperative skin preparation is to decrease bacteria
without injuring
the skin.
ÏHair is not removed preoperatively unless the hair at or around the
Preparing the Skin Patient education incision site is
likely to interfere with the operation or healing. If hair must be
removed, electric
clippers are used for safe hair removal before transferring the
patient to the OR
Ambulatory surgery includes outpatient, same-day, or short-stay
surgery not
Ambulatory surgical center vs inpatient hospital surgical unit requiring admission for an overnight hospital stay but may entail
observation in a
hospital setting for 23 hours or less.
Education should go beyond descriptions of the procedure and
should include
explanations of the sensations the patient will experience.
ÏTelling the patient that preoperative medication will cause relax-
pre-operative patient procedure or medication education ation before the
operation is not as effective as also noting that the medication will
act quickly and
may result in lightheadedness, dizziness, and drowsiness.
ÏKnowing what to expect will help the patient anticipate these
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller kansley719. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
52928 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now