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NSG 501 EXAM 3 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
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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...

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  • 20 november 2024
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Voorbeeld van de inhoud

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/scrub/first assist, maintain sterile field and surgical asepsis, document

tools and things used, monitor patient during surgery

postoperative nursing care

assess for ABC, pain, nutrition, bowel function, urinary function, prepare patient for

home or post-op care setting

classification of surgry

- seriousness (major v. minor)

- urgency ( elective, urgent, emergency)

- purpose - diagnostic, ablative, palliative, procurement for transplant, constructive,

reconstructive , restorative, cosmetic)

major surgery

greater risk to well being (heart/colon restriction)

minor surgery

,Procedure without significant risk; often done with local anesthesia (cataract/wisdom

teeth)

elective surgery

A surgical procedure that may be scheduled in advance, is not an emergency, and is

discretionary on the part of the physician and patient (bunion)

urgent surgery

24-48 hours, such as debridement of wound of fracture

emergency surgery

must be done immediately to preserve life, a body part, or function (ruptured appendix,

internal hemorrhage)

procurement for transplant

Refers to the removal of organs for transplantation into another person

constructive surgery

to restore function in congenital abnormalities. e.g., Cleft palate repair.

reconstructive surgery

restore appearance or function due to trauma or illness

congenital abnormalities

birth defects

cosmetic surgery

surgical procedures used for cosmetic purposes only ex: eye lift, face lift, forehead lifts,

liposuction, collagen injections

restorative surgery

improves patient's functional ability (knee replacement)

,interview assessment for surgery

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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