Nurs1117 Unit 4 Promoting Healthy Physiologic
Responses QUESTIONS AND CORRECT
VERIFIED ANSWERS (DETAILED ANSWERS)
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Phases of Surgery - ✔✔ANSWER✔✔->>>>>>>>Preoperative
Intraoperative
Postoperative
Preoperative Nursing Process - ✔✔ANSWER✔✔->>>>>>>>Previous
surgery
Nutrition
Use of ETOH, illicit drugs, or nicotine
ADL's
Occupation
Coping Patterns
Support System
Assessment- Health History - ✔✔ANSWER✔✔->>>>>>>>Cardiovascular,
Respiratory, Renal/Liver, Endocrine Diseases
Hemophilia - ✔✔ANSWER✔✔->>>>>>>>condition where blood doesn't
clot normally
Respiratory diesases - ✔✔ANSWER✔✔->>>>>>>>pneumonia, COPD,
increase risk of respiratory depression from anesthesia and post-op
complications (atelectasis, pneumonia, acid-base alterations)
atelectasis - ✔✔ANSWER✔✔->>>>>>>>complete or partial collapse of a
lung; the step right before you get pneumonia
,Renal and liver diseases - ✔✔ANSWER✔✔->>>>>>>>affects fluid and
electrolyte balances, alters metabolism and excretion of medications,
impairs wound healing
Endocrine diseases - ✔✔ANSWER✔✔->>>>>>>>DM increase risk for
hypoglycemia or acidosis and slows wound healing
DM - ✔✔ANSWER✔✔->>>>>>>>#1 endocrine disease for delayed wound
healing
Medications- Health history - ✔✔ANSWER✔✔->>>>>>>>Anticoagulants
Diuretics
Tranquilizers
Corticosteriods
Anitbiotics
Anticoagulants - ✔✔ANSWER✔✔->>>>>>>>Medication that may increase
hemorrhaging
Aspirin - ✔✔ANSWER✔✔->>>>>>>>#1 anticoagulant patients are on.
Mild; makes platelets slippery. Bruise easily. Affects are 7-10 days.
Diuretics - ✔✔ANSWER✔✔->>>>>>>>Medication that may lead to
electrolyte imbalance
Tranquilizers - ✔✔ANSWER✔✔->>>>>>>>Medication that increase
hypotensive effects of anesthesia
Corticosteriods - ✔✔ANSWER✔✔->>>>>>>>Medication that can cause
cardiovascular collapse with abrupt withdrawal.
Antibiotics - ✔✔ANSWER✔✔->>>>>>>>Medication that may have drug
interactions with the muscle relaxants used during anesthesia
life of platelets - ✔✔ANSWER✔✔->>>>>>>>7-10 days
,Informed Consent - ✔✔ANSWER✔✔->>>>>>>>Nurses responsibility to
make sure it gets done, but not to actually do it
Inclusions of informed consent - ✔✔ANSWER✔✔->>>>>>>>describe
procedure
underlying disease process
name & qualifications of person performing procedure
explaining risks
explain patients right to refuse and consent can be withdrawn at anytime
explanation of expected outcome, recovery, & home going plan
Informed consent - ✔✔ANSWER✔✔->>>>>>>>Patients voluntary
agreement to undergo a procedure or treatment
Should be completed before procedure/treatment
Collected by person performing procedure
Legal document
When is informed consent not legal? - ✔✔ANSWER✔✔->>>>>>>>If
patient is confused, unconscious, sedated, mentally incompetent, or a
minor and family member, POA, or guardian can sign in this instance
Interventions during pre-op phase - ✔✔ANSWER✔✔->>>>>>>>hygiene,
skin prep
determine that skin is intact
pre-op shower
possible removal of hair
True - ✔✔ANSWER✔✔->>>>>>>>True or false? Surgeries have been
cancelled due to rashes or skin breakdown the day of surgery
False - ✔✔ANSWER✔✔->>>>>>>>True or false? Hair is automatically
removed from patient prior to surgery?
Psychologically
Therapeutic communication
, Avoiding false reassurance - ✔✔ANSWER✔✔->>>>>>>>Preparing the
patient for surgery
Psychological preparation - ✔✔ANSWER✔✔->>>>>>>>relieve anxiety and
fear
Therapeutic communication - ✔✔ANSWER✔✔->>>>>>>>Establish and
maintain a therapeutic relationship
Allow patient to verbalize fears and concerns
Use active listening skills, answer questions, validate messages, use touch
appropriately
False reassurance - ✔✔ANSWER✔✔->>>>>>>>"You're going to be fine"
What is EBP? - ✔✔ANSWER✔✔->>>>>>>>evidence-based practice
Pain management teaching - ✔✔ANSWER✔✔->>>>>>>>The pain
reported by the patient is the determining factor of pain control
Pain assessment every 2 hours post-op
Older patients at greater risk for over/under treatment of pain
Little addiction concern with post-op pain meds
Understanding timing of pain meds for best effect
Splinting the incision
Examples of timing pain meds - ✔✔ANSWER✔✔->>>>>>>>q4h
q6h
prn
How do you splint an incision? - ✔✔ANSWER✔✔->>>>>>>>coughing with
pillow covering incision
Older adults have greater concern - ✔✔ANSWER✔✔->>>>>>>>addiction
of pain meds
Pre-op interventions - ✔✔ANSWER✔✔->>>>>>>>Teach about physical
activities- how much they cant walk, what they can do, etc.
Deep breathing exercises
Coughing
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