State Exam Nursing New Zealand WITH 100% CORRECT
ANSWERS
Terms in this set (484)
What does Ambulatory mean? Day surgery (max stay 23 hours)
What does inpatient surgical care mean? Admitted to hospital (min 24 hours)
Elective
Surgery classifications? Diagnostic
Acute
Return to normal physical function
List 3 patient orientated goals post
Remain free from post op complications
surgery?
Achieve emotional and physical comfort
Obtain history
Physical assessment
What is included in a pre-op assessment?
Determine patient understanding
(5)
Identify emotional state and coping skills
Check consent, pre anaesthetic form complete, other pre anaesthetic orders
What does atelectasis mean? Collapse or closure of lung resulting in reduced or absent gas exchange
Fluid balance input and output
Pain management
List 5 ways to safely care for post op
Assessing wound
patients?
Vital signs every five minutes
Checking IV site
What is meningitis? A serious disease in which there is inflammation of the meninges
Intense headache
Fever
Signs and symptoms of meningitis?
Light sensitivity
Muscular rigidity
Bacterial: Streptococcus pneumoniae
Main cause of meningitis?
Viral: Enterovirus
Headache
Nausea
Signs of raised intercranial pressure? (4)
Increased bp
Confusion
1/7
, To protect the health and safety of members of the public by ensuring RNs are
What is the purpose of the nursing council?
registered, fit to practise, and competent.
Ear pain
Signs of otitis? (Ear infection/inflammation) Fever
Difficulty hearing
What would you do if prescribed Do not give until a signature or verbal consent has been given with a witness
medication was not signed by the doctor?
Dilated pupils
Agitation
Signs of a patient on methamphetamine?
Increased bp
(5)
Loss of appetite
Paranoia
Place a pillow between legs when lying on side
Avoid bending past 90 degrees
List 5 pieces of advice to give a patient
Avoid crossing legs
following a total hip replacement?
Sit on chairs higher than knee height
Take short frequent walks
Tongue
Laryngospasm
What is airway obstruction caused by?
Retained secretions
Insufficient anaesthetic reversal
Correct positioning
o2 therapy
Suctioning
Treatment for airway obstruction?
Close monitoring
Viral signs
Anti emetics
Insidious onset
Manifestations of atelectasis? Early s&s: cough, sputum, low grade fever
Later s&s: respiratory distress, dyspnoea, tachycardia, pleural pain, cyanosis, anxiety
Occurs from a deep vein thrombosis, clot forms, travels to lungs or brain, life
What is a pulmonary embolism?
threatening
Chest X-ray
Ecg
Diagnosis of a pulmonary embolism? Abg
Ultra sound
Pulmonary angiography
Pre op weight loss
Compression stockings
How to prevent a pulmonary embolism? Early animation
Hydration
Meds
What causes a deep vein thrombosis? Occurs in leg veins due to inactivity, body positioning, and pressure
Elderly
Poor nutrition
Surgery over three hours
Risk factors for DVTs?
Limited mobility
Long haul flights
Diabetes
2/7
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