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PN 2003 MIDTERM EXAM QUESTIONS AND COMPLETE VERIFIED CORRECT ANSWERS

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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 ...

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  • September 14, 2024
  • 31
  • 2024/2025
  • Exam (elaborations)
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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

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