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NURS 2701 WEEK 7; PRE- OP, POS OP EXAM QUESTIONS AND VERIFIED ANSWERS
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NURS 2701 WEEK 7; PRE- OP, POS OP EXAM QUESTIONS AND VERIFIED ANSWERS...
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NURS 2701 WEEK 7; PRE- OP, POSOP EXAM QUESTIONS AND
VERIFIED ANSWERS
who gives consent during an emergency? - ANSWER the doctor
what is an elective surgery? - ANSWER - planned
- best way
a pt comes in for ambulatory surgery. what does this mean? how long does this
take and how long will they be in the hospital for? - ANSWER - they are
admitted on the same day
- the procedure is less than 2h
- usually less than 3-4h in PACU or only half of the time of the surgery
what medications are stopped before surgery? when should the pt stop? -
ANSWER - anticoagulant
- herbal remedies
- 2 weeks prior
when is the pt usually NPO before surgery? - ANSWER - no food after
midnight but water until 4 hours prior
you are about to assist the pt to the OR but they are feeling severely anxious and
are asking you lots of big questions. What do you do? - ANSWER - call OR
inform them pt isn't well-informed
- the surgeon is supposed to be the one giving them the teaching prior to surgery
what are some important pre-op labs? - ANSWER CBC, electrolytes, urea,
creatinine, glucose (esp. if they're diabetic), chest x-ray, ECG (if over 50) and
cross match for blood
, when is discharge planning usually discussed with the pt? - ANSWER before
surgery usually during pre op assessments
how can the nurse alleviate the pt's anxiety pre op? - ANSWER - explain
sequence of anticipated events
- give pt time to express concern
- minimize stimuli in OR
a pt is expressing to you how scared they are of dying on the table. what do you
do? - ANSWER - inform surgeon immediately
(dont @ me on this leslie said this)
- this may prompt postponement
the pt is expressing lots of anxiety about waking up during surgery. what do you
do? - ANSWER - say the meds that will be given to her will make her not
remember anything during surgery
- if fear is too extreme day of, inform anesthesiologist for appropriate pre op
meds like anti anxiety
why is the pt's obstetric history important to know during pre op assessment? -
ANSWER - anaesthetic agents cannot be given to pregnant women
why should the nurse know if the pt takes any recreational drugs? - ANSWER
- it can affect the type and dosage (might be higher) of anaesthesia
- encouraged to be stopped 6 weeks prior
why should alcohol be stopped 24h prior? - ANSWER can cause dysrhythmias
what can predispose a pt to delirium? - ANSWER - major surgeries for older
pt
- dehydration, malnutrition, immobility, urinary cath, meds
a pt presents with sinusitis a day before their surgery. how does this affect the
pt's scheduled surgery? - ANSWER presence of any recent or chronic upper
airway infections can lead to postponement or cancellation
if a pt has COPD, what complication are they of higher risk of getting when in
surgery? - ANSWER bronchospasm
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