NURS 6560 MIDTERM EXAM 2 LATEST VERSIONS
(VERSION A & B) 2023-2024 ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Practice questions for this set
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Slow destruction of bones/ joint followed by production of replacement
collagen which causes inflammatory changes
- older than 60
- more female after 55
- more black than white women
- men and women equal risk between 45 - 55
- abnormal height or weight (obesity)
- repetitive movement
- prior trauma (sprains/ dislocations)
- diabetic neuropathy
- genetic
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, 1 Lee's revised cardiac risk index Osteoarthritis: what, incidence
Rheumatoid arthritis: Findings and
3 4 Components of informed consent
diagnostics
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Terms in this set (196)
Class 1: benefits outweigh risk, should be done
Class 2a: reasonable to perform
Surgery risk classes
Class 2b: should be considered
Class 3: rarely appropriate
ECG before surgery only if coronary disease, except
General rules for surgery: when low risk surgery
testing Stress test not indicated before surgery
Do not do prophylactic coronary revascularization
- Diabetic agents: Use insulin therapy to maintain
glycemic goals(iii) Discontinue biguanides, alpha
glucosidase inhibitors, thiazolidinediones, sulfonylureas,
and GLP-1 agonists
- Do not start aspirin before surgery
Meds before surgery
- Stop Warfarin 5 days before surgery. May be bridged
with Lovenox.
- Do not stop statin before surgery
- Do not start beta-blocker on day of surgery, but may
continue
, - Unstable cardiac condition (recent MI, active angina,
active HF, uncontrolled HTN, severe valvular disease),
concern with CAD, CHF. arrhythmia, CVD
- patient stable or unstable?
- urgency of the procedure (oncology will be time
Assessment of surgical risk sensitive)
- risk of procedure
- nutritional status
- immune competence
- determine functional capacity (need to be more than 4
METS, more than 10 METs makes low risk)
catarcts
breast biopsy
Low risk surgeries cystoscopy, vasectomy
laporascopic procedures
Plastic surgery
Head/ neck surgery
thyroidectomy
Intraperitoneal
Prostate
Laminectomy
intermediate risk surgeries
Hip/ knee
Hysterectomy
cholecystectomy
nephrectomy
non majot intrathoracic
aortic/ cabg
transplants
High risk surgeries
spinal reconstruction
peripheral vascular surgery
, 6 points:
High risk surgery = 1
CAD = 1
CHF = 1
Cerebrovascular disease = 1
Lee's revised cardiac risk
DM 1 on insulin = 1
index
Creat greater than 2 = 1
1 = low risk
2 = moderate risk
3 = high risk
- Prophylactic antibiotics should be received within 1 h
prior to surgical incision
SCIP pre-operative
- be selected for activity against the most probable
infection measures
antimicrobial contaminants
- be discontinued within 24 h after the surgery end-time
- pre-op hair removal (clippers)
- wash hands
Postoperative infection - normothermia
reduction methods - maintain euglycemia
- urinary catheters are to be removed within the first two
postoperative days
Slow destruction of bones/ joint followed by production
of replacement collagen which causes inflammatory
changes
- older than 60
- more female after 55
Osteoarthritis: what,
- more black than white women
incidence
- men and women equal risk between 45 - 55
- abnormal height or weight (obesity)
- repetitive movement
- prior trauma (sprains/ dislocations)
- diabetic neuropathy
- genetic
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