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NUR 425 EXAM 1 Multiple Choice Questions And 100% Verified Solutions.
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Pre operative stage - Answer -Pre op education -Informed consent signed -NPO-bowel prep How long should the patient be NPO before surgery? - Answer 6-8 hours but can depend What medications should the pt. stop before surgery? - Answer Blood thinners (anticoagulants) Antihypertensi...

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Document information

  • October 2, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • pre operative stage

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  • NUR 425
  • NUR 425

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NUR 425 EXAM 1 Multiple Choice
Questions And 100% Verified Solutions.
Pre operative stage - Answer -Pre op education

-Informed consent signed

-NPO-bowel prep



How long should the patient be NPO before surgery? - Answer 6-8 hours but can depend



What medications should the pt. stop before surgery? - Answer Blood thinners (anticoagulants)

Antihypertensives

Antiarrhythmics

Herbal or OTC can increase bleeding risks



Before surgery what are some things the preop nurse should do to alleviate a patients anxiety? - Answer
Provide education and therapeutic communication



What items on a patient should be removed before surgery? - Answer Jewelry (Burn risk)

Prosthetics



Intraoperative stage - Answer Don appropriate PPE

Conduct surgical pause (correct pt, procedure, surgeon, position, equipment, and imaging).



5 stages of General Anesthesia - Answer Induction

Intubation-Have suction available

Maintenance

Emergence

Recovery

, Malignant Hyerthermia - Answer rare, life threatening musculoskeletal syndrome that presents as a
hypermetabolic reaction

treatment presents at induction or delayed into PACU.

-stop all trigger agents

-Dantrolene: direct acting muscle relaxant

-Remove blankets

-Cool the patient (cold saline, ice bags around the body)



Role of the intra operative nurse - Answer Safety of the patient (MH, fire, SSI and retained surgical
items).

Skin integrity

Patient repositioning



Postoperative Stage - Answer Priority assessment (airway/respiratory status)



What is the Aldrete Score? - Answer * Determines patients readiness for discharge from PACU *



-Looks at Activity, Breathing, Circulation, Consciousness, SpO2

-Perfect score = 10 Home at a 9.



Abnormal post-op findings - Answer Decreased bowel sounds

Low BP

Tachycardia

Decreaed RR

Change in LOC

N/V

Slight increase in temp.



What are signs of hypoxia? - Answer RAT (Restlessness, Anxiety, Tachycardia/Tachypnea)

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