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NSG 123 Exam One Blueprint Questions With Complete Solutions
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NSG 123 Exam One Blueprint Questions With Complete Solutions
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NSG 123 Exam One Blueprint QuestionsWith Complete Solutions
Pre-Operative Phase Answers 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: Answers 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: Answers 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 Answers 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 Answers 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 Answers 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? Answers 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 Answers 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 Answers non-English speaking patients, cognitive impairment, emergency surgery, language barriers etc.
Reasons surgery may be delayed or postponed Answers 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 Answers 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? Answers 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 Answers street clothes are allowed
Semi-Restricted Zone Answers where attire consists of scrub clothes and caps
Restricted Zone Answers where scrub clothes, shoe covers, caps, and masks are worn. The surgeons and other surgical team members wear additional sterile clothing and protective devices during surgery.
Circulating Nurse Role Answers : the circulating nurse manages the OR and protects the patient's safety and health by monitoring the activities of the surgical team, checking the OR conditions, and continually assessing the patient for signs of
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