PN 2003 MIDTERM EXAM QUESTIONS AND COMPLETE
VERIFIED CORRECT ANSWERS
Perioperative and nurses role
pre-admission, health history, preparation for OR, diagnostics, pre-anaesthetic
medication prior to surgery may be ordered
nurses role: teaching!!, stress reduction, history gathering, ensure consent signed,
explain pre and post op procedures, explain OR and post op care
Preoperative
Intraoperative
Postoperative
- receive client and report condition including relevant preop stats (vitals, lab values,
allergies)
- medications given
- estimated blood loss and replacement fluids
- presence of tubes, drains, catheters, wound status, surgical complications
Components of health history
biological data, chief complaint, history of present illness, systems assessment, lifestyle,
psychological data, patterns of health
Preoperative assessment checklist
,- vital signs
- routine hygiene
- allergy/ID band checked and on
- hospital gown with no nail polish or jewellery, dentures out
- consent form signed
- charts prepared
Factors of preoperative stress
knowledge deficit causing anxiety, anger, anticipatory grieving (could be loss of limb),
What do patients do with valuables during preop
don't bring them, lock up or put away whatever is brought, could also leave items with
family member
Latex allergy risk factors
- history of anaphylactic reaction of unknown etiology during medical procedure
- multiple surgical procedures (especially from infancy)
- allergies (particularly kiwi, bananas, avocado, chestnuts, poinsettia plants)
- job with daily exposure to latex (medical, nursing, food handler, tire manufacture etc)
- asthma
Crossmatch
testing compatibility of the bloods or tissues of a donor and a recipient by mixing them
together to determine the absence of agglutination reactions
Can students act as a witness for a consent form
No, the must have a licensed buddy nurse with them to witness
,Who is required to ask the client to sign informed consent form for surgery
Is anyone else present
the surgeon
witness must be present, nurse can be it
General anaesthesia mode of delivery
inhalation or IV
Spinal anaesthesia mode of delivery
local anaesthetic inserted between L4/5, goes into spinal fluid in (subarachnoid space)
Epidural anaesthesia mode of delivery
local anesthetic injected in epidural space, around L5
Regional anaesthesia mode of delivery
nerve block to a specific area
Local anaesthesia mode of delivery
local anaesthetic to specific part of the body, injected or topical
Caudal block
local anaesthetic injected into sacral hiatus (end bit of epidural)
Surgical risks
- chronic resp or cardio disorders
- diabetes
- renal or liver disease
- malnutrition or obesity
, - certain meds or drug abuse
- nicotine or alcoholism
Common post op problems
- airway compromise
- breathing/respiratory insufficiency
- cardiac compromise
- neurological compromise
- hypothermia
- pain, nausea/vomting
- wound dehiscence and delayed healing
- side effects of analgesia
How often do you check vitals post op
immediately after, then every 15 minutes for the first hour or until stable, every 30
minutes the follow 2 hours and once a hour for the following 4 hours
check every 4 hours for 24-48 hours (check orders)
Post op nursing care
- maintain airway
- encourage deep breathing and coughing
- promote tissue perfusion
- alleviate pain/nausea
- urinary elimination, prevent constipation
- nothing by mouth until bowel sounds or according to orders
VERIFIED CORRECT ANSWERS
Perioperative and nurses role
pre-admission, health history, preparation for OR, diagnostics, pre-anaesthetic
medication prior to surgery may be ordered
nurses role: teaching!!, stress reduction, history gathering, ensure consent signed,
explain pre and post op procedures, explain OR and post op care
Preoperative
Intraoperative
Postoperative
- receive client and report condition including relevant preop stats (vitals, lab values,
allergies)
- medications given
- estimated blood loss and replacement fluids
- presence of tubes, drains, catheters, wound status, surgical complications
Components of health history
biological data, chief complaint, history of present illness, systems assessment, lifestyle,
psychological data, patterns of health
Preoperative assessment checklist
,- vital signs
- routine hygiene
- allergy/ID band checked and on
- hospital gown with no nail polish or jewellery, dentures out
- consent form signed
- charts prepared
Factors of preoperative stress
knowledge deficit causing anxiety, anger, anticipatory grieving (could be loss of limb),
What do patients do with valuables during preop
don't bring them, lock up or put away whatever is brought, could also leave items with
family member
Latex allergy risk factors
- history of anaphylactic reaction of unknown etiology during medical procedure
- multiple surgical procedures (especially from infancy)
- allergies (particularly kiwi, bananas, avocado, chestnuts, poinsettia plants)
- job with daily exposure to latex (medical, nursing, food handler, tire manufacture etc)
- asthma
Crossmatch
testing compatibility of the bloods or tissues of a donor and a recipient by mixing them
together to determine the absence of agglutination reactions
Can students act as a witness for a consent form
No, the must have a licensed buddy nurse with them to witness
,Who is required to ask the client to sign informed consent form for surgery
Is anyone else present
the surgeon
witness must be present, nurse can be it
General anaesthesia mode of delivery
inhalation or IV
Spinal anaesthesia mode of delivery
local anaesthetic inserted between L4/5, goes into spinal fluid in (subarachnoid space)
Epidural anaesthesia mode of delivery
local anesthetic injected in epidural space, around L5
Regional anaesthesia mode of delivery
nerve block to a specific area
Local anaesthesia mode of delivery
local anaesthetic to specific part of the body, injected or topical
Caudal block
local anaesthetic injected into sacral hiatus (end bit of epidural)
Surgical risks
- chronic resp or cardio disorders
- diabetes
- renal or liver disease
- malnutrition or obesity
, - certain meds or drug abuse
- nicotine or alcoholism
Common post op problems
- airway compromise
- breathing/respiratory insufficiency
- cardiac compromise
- neurological compromise
- hypothermia
- pain, nausea/vomting
- wound dehiscence and delayed healing
- side effects of analgesia
How often do you check vitals post op
immediately after, then every 15 minutes for the first hour or until stable, every 30
minutes the follow 2 hours and once a hour for the following 4 hours
check every 4 hours for 24-48 hours (check orders)
Post op nursing care
- maintain airway
- encourage deep breathing and coughing
- promote tissue perfusion
- alleviate pain/nausea
- urinary elimination, prevent constipation
- nothing by mouth until bowel sounds or according to orders
