Download NRSG 327 Week 1 Perioperative Care: Test Questions with Accurate Answers and more Exams Nursing in PDF only on Docsity!
NRSG 327 WEEK 1 PERIOPERATIVE CARE: TEST QUESTIONS
WITH ACCURATE ANSWERS
What 4 factors increase risk of post-of delirium? -- Answer ✔✔ dementia anesthesia pain medication older age *_____age >____are at higher risk of post-op delirium -- Answer ✔✔ increased 65 What are 3 phrases of surgical procedure? -- Answer ✔✔ preoperative intraoperative postoperative What is something to be aware of for preoperative care? -- Answer ✔✔ identify risk factors to prevent complications What is something to be aware of for intraoperative care? -- Answer ✔✔ continue to prevent complications GCS <___ is imminent as person will not protect airway -- Answer ✔✔ 8 Anyone with open fracture should be taken to ____ within ____ hours -- Answer ✔✔ operating, 6 Emergency vs elective surgery -- Answer ✔✔ emergency-unexpected elective-planned
Repairing a burn scar or changing breast shape is an example of what kind of surgery? -- Answer ✔✔ cosmetic improvement What is the purpose of exploration surgery? -- Answer ✔✔ determine the nature or extent of a disease Removal of a premalignant or partial colectomy in a patient with familial adenomatous polyposis to prevent cancer is an example of what kind of surgery? -- Answer ✔✔ preventative What is the purpose of palliation surgery? -- Answer ✔✔ alleviation of symptoms without cure ex. remove a nerve root to remove pain, colostomy to bypass inoperable bowel obstruction What is the purpose of cure/repair surgery? -- Answer ✔✔ elimination or repair of a pathological condition Removal of a ruptured appendix or benign ovarian cyst) or repair of anatomy (e.g., fracture repair) is what kind of surgery? -- Answer ✔✔ cure/repair What is the purpose of diagnosis surgery? -- Answer ✔✔ determination of the presence or extent of pathological abnormality (e.g., lymph node biopsy or bronchoscopy). Who can give consent if patient cannot? -- Answer ✔✔ first relative next of kin common law partners Who is responsible for obtaining consent? -- Answer ✔✔ surgeon
Regardless of whether the client has signed the consent form, the nurse must do what 4 things -- Answer ✔✔ confirm patient identity and verify consent check if patient has enough info and understanding advocate for them to get more info document conversation with patient and surgeon and complete consent form What 5 things must person be to be a temporary substitute decision maker? -- Answer ✔✔ be at least 19 years of age has been in contact with the adult during previous 12 months has no dispute with person capable of giving, refusing, or revoking consent be willing to comply with the duties in section 19 What are 3 post-operation complications everyone is at risk of? -- Answer ✔✔ deep vein thrombosis post-operation infection post-operation pneumonia What order is temporary substitute decision maker people? Top 4 -- Answer ✔✔ adult spouse adult child adult parent adult sibling adult grandparent adult grandchild anyone related by birth or adoption close friend of adult person immediately related to adult by marriage
What are 2 reasons post-operation pneumonia is common and what to encourage to prevent it? -- Answer ✔✔ not moving due to immobility and pain inhaled anesthetic can increase risk because it makes mucous more thick encourage deep breathing and coughing T/F Staying in hospital is better for recovery and post-operation -- Answer ✔✔ F, staying at home is generally better What tests may be ordered for a knee replacement surgery? -- Answer ✔✔ chest x-ray ECG CBC (anemia, infection) renal function What is normothermia and what population is it common? -- Answer ✔✔ decreased ability to mount a fever response older adults (>65) What are 7 special considerations for older adults? -- Answer ✔✔ increased site infection normothermia confusion/falls skin breakdown VTE increased risk for pneumonia preexisting conditions Several days before surgery: Observe and listen to determine amount of ____ for each session Anxiety and fear can hinder _____
#Sponges in = #sponges ___ -- Answer ✔✔ out What to be aware of for anaphylaxis during surgery and? -- Answer ✔✔ signs of anaphylaxis signs may be masked by anaesthesia For blood loss, ____ and ____intervention are essential -- Answer ✔✔ vigilance rapid 2 risks of intubation -- Answer ✔✔ damage to vocal cords increased risk for pneumonia 1 risk of major blood loss -- Answer ✔✔ fluid/electrolyte Who may be at a higher risk of perioperative hypothermia and what can be done? -- Answer ✔✔ older adults warming devices with careful monitoring 5 S/S of anaphylaxis ____HR ___tension ____spasm ____ edema ____edema -- Answer ✔✔ increase hyp broncho pulmonary angio What is anaphylaxis? -- Answer ✔✔ Severe allergic reaction CAN CAUSE LIFE-THREATENING PULMONARY AND CIRCULATORY
What is a common concern in the perioperative setting and why? -- Answer ✔✔ latex allergy in many gloves catheters, and other devices What are 4 S/S of malignant hyperthermia? -- Answer ✔✔ hyperthermia skeletal muscle rigidity increased HR increased RR What is treatment for malignant hyperthermia? -- Answer ✔✔ DANTROLENE (slows metabolism, reduces muscle contraction) What type of disease is malignant hyperthermia and what 5 things can trigger it? -- Answer ✔✔ rare metabolic disease use of inhalation agents general anesthesia trauma heat stress What is malignant hyperthermia? -- Answer ✔✔ severe reaction to certain drugs used for anaesthetic T/F Rise in body temperature is an early sign of malignant hyperthermia -- Answer ✔✔ F, NOT an early sign
