Exam 1: NUR170/ NUR 170 (Latest 2023/ 2024 Update) Concepts of Medical-Surgical Nursing Exam Review |Complete Guide with Questions and Verified Answers| 100% Correct - Galen

Exam 1: NUR170/ NUR 170 ( Latest 2023/ 2024 Update) Concepts of Medical -Surgical Nursing Exam Review |Complete Guide with Questions and Verified Answers| 100% Correct - Galen Q: What to do prior before surgery Answer: stop taking all meds except beta blockers and hypertensions Q: consent Answer: No preop meds make sure pt fully understands pt has glasses and hearing aids if pt does not understand surgery CALL SURGEON is pt is blind, cant read, deaf, or needs a translator requires 2 RN witness 2 RN witness verbal consent can sign with a X if needed Q: Pre-op teaching Answer: What to expect after surgery discharge instructions any fluid restrictions preop care: bath shaving what meds do they need to stop taking what to do after surgery pain control Q: what a pt should do after surgery Answer: AMBULATE incentive spirometer TCDB learn about dressing change Q: Malignant hyperthermia Answer: A hereditary condition of uncontrolled heat production that occurs when susceptible people receive certain anesthetic drugs. Q: Malignant hyperthermia s/s Answer: tachycardia dysrhythmias hypotension tachypnea cyanosis o2 dropping Q: treatment for Malignant hyperthermia Answer: dantrolene sodium Q: return demonstration Answer: demonstration after the patient has first observed the teacher and then practiced the skill in mock or real situations Q: Physical exam Pre op Answer: cardiac:EKG Resp Kidneys neuro:LOC Q: labs before pre op Answer: CBC, WBC, H&H, Platelets, PT/PTT/INR, BUN, Creat, K, NA Q: preop checklist Answer: Antibiotic, give within 1 hr before surge, Beta blockers -take meds Benzo (PAM): Diazepam and lorazepam :loopy Make sure pt voids before transfer PT IS FALL RISK Q: Intra -op Answer: during surgery Right patient and procedure Allergies are check double check labs I&Os:fluid intake monitored by anesthesiologist count:sponges and needles repositioning thermoregulation: head and feet covered Q: Pacu Answer: B/P asses from baseline 10 points up or down call DR -pulse increased -temp decreased -resp increase or decrease CHECK O2 AND LOC Q: Pain PACU assessment Answer: making sure there is balance with pain Q: post op assessment Answer: Vitals respiratory status Cardiovascular status Level of conciousness response to touch wound status fluid status tubes comfort position and safety