Exam (elaborations)
FPCC Exam 3
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Name: Score:371 Multiple choice questions
Definition 1 of 371
external losses are actual losses of objects that are important to the person bc of their cost or
sentimental value
internal loss is another term for perceived or psychological loss
What options does a patient have for securing valuables?
Acute vs. chronic pain
external vs internal loss
Butterfly needle disadvantages
,Definition 2 of 371
1. manage anxiety
2. promote circulation- promote venous return
-elevate patients legs above level of the heart
-avoid sitting with legs crossed
-encourage & support ambulation
-provide ROM exercises
-apply compression devices
-quit using tobacco bc smoking restricts blood flow
-take good care of feet & prevent injury to feet.
-regular exercise improves circulation & oxygen delivery
3. prevent clot formation
-turn pts frequently
-promote adequate hydration
-promote smoking cessation
Cardiac interventions
How the body reacts to pain
Other cutaneous stimulation
Olfactory deficits
Definition 3 of 371
obesity increases the risk of developing atherosclerosis & HTN. excess fat stores in & around the
heart itself reduce its effectiveness as a pump. the workload of the heart is increased by the need
to perfuse the excess body tissues
palliative care
Nutrition & cardiac health
Diaphragmatic breathing
Obesity & cardiac health
,Term 4 of 371
Physical vs psychological loss
done to confirm or rule out a diagnosis
physical loss includes injuries, removal of an organ, & loss of function
psychological losses challenge our belief system. they are commonly seen in areas of
sexuality, control, fairness, meaning, & trust.
major- associated with a high degree risk
minor- often performed on an outpatient basis, involves little risk, & usually has few
complications
movement of a thrombus or foreign body from its original location.
interventions:
-monitor for signs
-prevent thrombophlebitis
-do not massage calves
Definition 5 of 371
1. use a preop checklist
2. verify the patients identity before the patient leaves the preop area
3. mark the surgical site before surgery using a permanent marker
4. take a time out with all team members before starting the procedure
4 measures to prevent wrong patient, wrong site, wrong surgery
Immediate postop phase: postanesthesia phase
The surgical consent form includes:
Alternatives used to maintain a restraint-free environment (8)
, Definition 6 of 371
select the smallest diameter and the shortest length catheter that will accommodate the
prescribed therapy.
nurses commonly use a 20-22 gauge catheter for adult peripheral infusions.
a 20 gauge will accommodate adult blood transfusions
you will need the larger 16-18 gauge for rapid infusions, thick fluids, or surgical/trauma patients.
the smaller 24 gauge is used in geriatric & neonates
Postop complications: thrombophlebitis
IV complications & interventions: phlebitis
Physical prep for surgery: urinary elimination
How does a nurse choose the size of the IV catheter?
Definition 7 of 371
decreased blood volume; may be due to blood loss during or after surgery, dehydration, or
excess loss through vomiting, diarrhea, or drains
CM: hypotension, tachycardia, decreased urine output, fatigue, thirst, dehydration
interventions:
-monitor vital signs & I&O
-insert urinary catheter if appropriate
-monitor skin color, temp, and moistness; central & peripheral cyanosis
-identify possible causes of changes in vital signs
-administer IV therapy as prescribed
-promote oral intake when tolerated
-prepare to administer blood or blood related products as prescribed
Postop complications: hypovolemia
Patient controlled analgesia (PCA)
Postop complications: thrombophlebitis
IV complications & interventions: phlebitis
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