NSG 501 EXAM 3 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
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Course
NSG 501
Institution
NSG 501
NSG 501 EXAM 3 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
preoperative nursing care
before surgery (assessment, give meds, informed consent, psychological support, education patient and family of limitations/needs postoperatively)
intraoperative nursing care
during, circulating/scru...
medical hx, surgical hx, medication hx, allergies, smoking habits, alcohol and controlled
substance abuse, family support, occupation, feelings of surgery and coping resources,
spiritual and cultural factors, body image, patient and family expectations, knowledge
and expectations of procedure
physical assessment for surgery
general survey, head and neck, integumentary, thorax and lungs, heart and vascular,
abdomen, neurological status
nursing diagnosis for surgery
anxiety, difficulty coping, risk for aspiration, acute pain, lack of knowledge (specify),
impaired mobility, risk for infection, risk for impaired skin integrity
common goals/outcomes of surgery nursing diagnosis
review and modify plan during intraoperative and postoperative periods; emergent pts
may need reprioritizations due to changes in status, preoperative instruction gives the
patient time to make necessary preparations for before and after surgery
informed consent
- giving potential patient enough information about to enable them to choose whether
they wish to participate
- documentation on consent prior to sx, report any concerns about patients
understanding of sx to surgeon and anesthesia before procedure; patients have right to
refuse even after they have signed consent; provider must go over information, but
nurse can witness signature but cannot be the one to be primary source of education
implementation of nursing process in surgery
, - preoperative teaching
- post-op exercises
- minimize risk of wound infection
- fluid and electrolyte balance (fasting before sx, parenteral nutrition, IV fluid
replacement)
- preventing bowel incontinence and contamination
nursing process on day of surgery
- documentation and hand-off
- vitals, hygiene
- hair and removal of cosmetics prep
- removal of prostheses
- preparing bowel and bladder
- prevention of DVT (anti embolism devices)
- safeguarding valuables
- administering pre op medication
nursing process: surgery evaluation
- patient expectations met/unmet in regards to surgical preparation
- need for for further discussion with doctor
- lack of knowledge/anxiety
transport in surgery
notification of all involved, transport with teams, verify patient identity, notify family,
prepare patient's room for return
preanesthesia care unit (PCU)
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