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56 Cards in this Set
- Front
- Back
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pt B/P drops from 120 to 80 S > What are the nursing interventions you should preform?
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LOC, urinary out put, call Dr. FOR INTERVENTION.
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What are the anticipated complications in a the first hour following surgery?
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N/ vomiting ,
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What can a nurse do to prevent a DVT postoperative besides meds ?
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encourage Pt with early ambulation
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What is the postoperative care and appropriate assesment of a client after surgery?
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maintain all vitals, nutrition and elimination, comfort measures . from position to meds , check lab values
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What is the spiting open of layers of a surgical wound?
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Dehiscence
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What is the Extrusion of a viscera or intestine through a surgical wound?
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Eviseration.
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What are some wound complications after surgery?
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Dehiscence , evisceration, infection,
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What nursing action would a nurse do in the case of a dehiscence?
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apply pressure , with a sterile 4*4 call.have someone call Dr.
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What nursing action would a nurse do for a eviseration?
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apply wet to dry sterile dressing , call dr.
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a pt who is in the hospital following shoulder surgery with increase restlessness , and tachycaria, asymetrical chest movement, decrease breath sounds and dyspnea,is most likly showing signs of what?
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Atelectasis
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What are the signs of hypovolemic shock?
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weak pulse cool and clammy restlessness, increase in thirst and bleeding.
Decrease in urine output and blood pressure. |
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What does a respiratory rate of 8 indicate in a pt who has just been admited to the PACU?
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Respitory disstress
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How should a Nurse determine the LOC of a pt in PACU ?
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ask his name , and date , and place.
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What are three things a circulating nurse performs
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sets up sterile field in or, gathers all equipment needed, and make sure it is in working order, makes sure everyone remails in sterile field and safty for her pt through the entire surgery.
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what position should a 100lb pt be in for a vaginal hysterctomy and what areas are most likly to be injured?
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Lathotomy position.
posterior thigh?????? |
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Following a colonosopy what would you tell the pt to exspect?
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That they will have gas , and to not hold it in.
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a pt has no vital signs and has a advanced directive on file , what is the nurses actions?
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honor the advanced direstive ,
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What type of surgery makes a client more comfortable, but it is not a curative surgery?
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Palliative
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What is the term associated with same day surgery?
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outpatient or ambulatory
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What is one disadvantage of outpatient surgery?
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having someone to take care of you after you get home.
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what are some specific findings in pre-op patients assessments that may lead to post-op complications?
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use of tobacco, alcohol, drugs, medications or herbal therapy, prior surgical or anestsia problems
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what are soem pre-op assessment findings that may result in cancellation of surgery?
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adnormal EKG
adnormal K level adnormal vitals |
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What are a few lab tests that are assessed on all patients befor surgery?
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CBC, UA, blood type,cross match, PT,PTT,creatine,preg if female, CMP.
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What are the nursing conserns for a diabetic client who has been NPO since midnight the night befor?
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blood glucose , not eating and if pt takes meds it could drop.
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What pt. is at greater risk for pulmonary complications?
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COPD,CHF,smoker,or any chronic illness
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What are the risk factors for a client who is malnutritionand obesity?
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surgery increases medibolic rate and decreases K, vit,b&d,c all are needed in would healing blood clotting , also with obese more chance of dehiscence,
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What are the RN responsibility prior to surgery regardless of how minor the procedure is?
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all labs are done,consents signed,confirm procedure, have pt mark the spot, accurate documentation
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What is the purpose of NPO status prior to surgery?
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decrease the risk for asperation.
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IF the nurse finds a abnormal assessment what is the nurses responsibility?
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To report it to the sergeon
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What is a potential complication for a client with total knee replacemant?
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DVT, then PE..
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What are two assessments that need to be performed for a client who has a known history of cardiac disease prior to surgery?
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EKG and K levels. CE enzymes
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What is the purpose of a pre-op check list?
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to make sure everything is done and nothing is over looked.
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What signatures appear on an operative permit or consent?
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Pts. and a witness
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What is informed consent
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permission obtained from the patient
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What is the minimal age for signing an operative permit?
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18.
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What is the role of the RN when signing a surgical consent?
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as a witness.
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What are the two common nursing diagnosis for preoperative pts.?
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KNowledge deficit
Anxiety related to the fear of not kowing the unknown |
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What are some of the nursing considerations when planning discharge for a outpatient surgery?
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Transportation, home environment, pain control, is anyone going to be there to look after the pt.
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where does pre-op teaching begin?
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in the surgeons office for planned or elective surgery?
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what are two things a pt can leave on during surgery?
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wedding ring, religous ring braclet, ECT.
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what type of consent does a nurse need for a life threating emergency?
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Implied consent
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how does a nurse get consent from a spanish speaking client?
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translater
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If a pt scedulled for surgery at 8 tells you she took her meds this am with a little sip of water , what should the nurse do?
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notify the dr , and chart it.
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what assessment question do you ask when a client is scheduled for a colostomy?
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did they colon clense till stool was clear.
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When doing a I&D on a client with hairy arms what are your nursing considerations?
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Clip the hair , do not shave.
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when should the nurse start the perioperative teaching?
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Befor the surgery
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what are some of the teachings you need to teach for a pt haveing abdominal hernia repair and has a diadnosis of CHF?
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deep breathing, coughing and abdominal splinting , turning , early ambulation.
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What are the risk factors for deep vein thrombosis?
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PE
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when should a antibiotic be given for a surgical pt.?
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thirty min befor surgery.
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What is the difference in a Anestesiologist and a CRNA?
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The Anesthesiologist is a Dr. and a CRNA is a nurse
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Why is a OR room so cold ?
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prevention of fire , and decrease the bacteria.
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What are the potential complications of adminisrtation of IV Diprivan?
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Post operative N/V
drop in BP resperations, LOC comprimises airway crosses the placinta, CVA, death. |
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what are some advantages of regional and local anesthesia?
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gag andreflexes stay intact
decrease in physical and emotionl body function decrease to sensitivity to agent decrease intraoperative stress |
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what herbs or dietary supplements affect surgical pts.?
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St johns wort, valerian root
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What are advantages of conscious sedation?
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able to maintain airway, procedure is short , pt is able to maintain, and does not remember anything.
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What are disadvantages of conscious sedation?
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Pt remembering procedure, and pain meds not working.
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