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12 Cards in this Set
- Front
- Back
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Why is witnessing the client's signature on the consent form one of the primary responsibilities of the nurse
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Since the informed consent form discloses risks associated with the intended procedure, the nurse must witness that the correct person is signing the form and is alert and aware of what is being signed
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What does the informed consent form include
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need for the procedure in relation to the diagnosis
description & purpose of the proposed procedure possible benefits and potential risks likelihood of a successful outcome alternative treatments or procedures available anticipated risks should the procedure not be performed physician's advice as to what is needed right to refuse tx or withdraw consent |
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Why does a preoperative blood pressure measurement need to be done
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Forms a baseline for post-operative care in case of post-operative blood loss or hemorrhaging.
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When does discharge teaching start
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When the client is admitted
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Non-steroidal anti-inflammatory drugs are given postoperative. Why?
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They reduce inflammation caused from surgery
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What type of diet does a client follow after general surgery
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High in protein, moderate in calories because protein helps healing
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In the immediate postoperative period for knee surgery assessment distal to the site includes ....
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Neurovascular because blood clots may form or some other complication form surgery
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What happens to medications that are prescribed for the pre-operative period after surgery happens
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They are re-ordered because the needs may have changed as a result of the surgery.
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Why does a client with diabetes mellitus who is NPO prior to surgery fail to manifest signs of hypoglycemia under anesthesia
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Because anesthetic agents cause paralysis and block sympathetic nervous system control. This blocks signs and symptoms of hypoglycemia and could prevent recognition of the condition
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Why should acute pain management medications be scheduled rather than PRN in the immediate postoperative period
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To help control pain levels and help promote rapid recovery.
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Why do lengthy operative procedures put an older client at risk for pressure sores and joint pain from operative positioning
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OR tables are metal with no cushioning and the OR environment is cooler. Skin of the elderly is much less elastic and more fragile allowing skin tears to appear especially on bony prominences. The cooler environment can cause decreased skin circulation
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Hypothermia in the perioperative period requires interventions to prevent and relieve. What & why
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Hypothermia can result from the OR environment and prolonged exposure during this time. Also anesthia blocks sympathetic nervous system stimulation preventing the client from shivering to help increase body temperature.
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