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Quiz am Care of the Surgical Patient, erstellt von asissons am 12/04/2015.

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Care of the Surgical Patient

Frage 1 von 53

1

The goals of perioperative nursing are

Wähle eine oder mehr der folgenden:

  • assist the patient and family through the surgery

  • promote positive patient outcomes

  • assist the patient to achieve his/her optimal level of function after the surgery

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Frage 2 von 53

1

what are the three phases of surgery?

Wähle eine oder mehr der folgenden:

  • preoperative care

  • intraoperative care

  • postoperative care (next week)

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Frage 3 von 53

1

Role of the nurse in Pre-op admission clinic (PAC)

Wähle eine oder mehr der folgenden:

  • patient interview

  • nursing assessment

  • preoperative teaching

  • day of surgery prep

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Frage 4 von 53

1

In the patient interview what information should you obtain?

Wähle eine oder mehr der folgenden:

  • determine pt expectations about surgery and anesthesia

  • provide and clarify information about the surgical experience

  • assess patient's emotional state and readiness for surgery

  • determine if pt has enough information to make an informed decision

  • may being some post op teaching

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Frage 5 von 53

1

Informed consent involves

Wähle eine oder mehr der folgenden:

  • 1. adequate disclosure of diagnosis

  • understanding and comprehension of the information being provided

  • must be given voluntarily

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Frage 6 von 53

1

Assess for ABCDE

Wähle eine oder mehr der folgenden:

  • Airway

  • breathing

  • Circulation

  • Diability

  • Exposure

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Frage 7 von 53

1

What kind of allergies are you looking for?

Wähle eine oder mehr der folgenden:

  • Medication

  • foods

  • Chemicals

  • Tape

  • Pollen

  • perfumes

  • latex

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Frage 8 von 53

1

For a pt about to undergo surgery ask about subjective health history

Wähle eine oder mehr der folgenden:

  • have you had surgeries in the past? which ones? did you have any complications?

  • Have you or any family members experienced any problems with anaesthesia

  • Do you have any past hospitalizations?

  • any chronic health conditions

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Frage 9 von 53

1

Health history assessment

Wähle eine oder mehr der folgenden:

  • weight and height

  • limitations in neck mobility

  • history of drug or opiate abuse

  • hx of ETOH use

  • HX of smoking

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Frage 10 von 53

1

Conduct lab and diagnostic tests

Wähle eine oder mehr der folgenden:

  • CBC

  • electrolyte panel

  • LFT

  • Renal Panel

  • Coagulation studies

  • Type and cross match

  • 12 lead ECG

  • Blood Glucose levels

  • CXR

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Frage 11 von 53

1

What types of preoperative information is there?

Wähle eine oder mehr der folgenden:

  • Sensory - sights, smells sounds

  • Procedural - what to wear, what to eat, physical prep

  • Process - flow of surgery, family needs

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Frage 12 von 53

1

An adult learner

Wähle eine oder mehr der folgenden:

  • likes to have choices

  • has a variety of learning styles and preferences

  • needs to have abilities and achievements recognized

  • does best in an environment where they feel safe, accepted and respected

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Frage 13 von 53

1

What are the steps involved in client education

Wähle eine oder mehr der folgenden:

  • assessment of the need to learn

  • assessment of readiness

  • setting of objectives

  • teaching - learning

  • evaluation and re-teaching if necessary

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Frage 14 von 53

1

Check all that are involved in a surgical team

Wähle eine oder mehr der folgenden:

  • 2 RNs

  • practical nurse

  • Surgeon and assistant

  • RN first assistant

  • Anaesthetist

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Frage 15 von 53

1

What does SBAR-R stand for

Wähle eine oder mehr der folgenden:

  • S: Situation

  • B: background

  • A: Assessment

  • R: Recommendation

  • Repeat - repeat back so it is said properly

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Frage 16 von 53

1

During the preoperative interview, a patient scheduled for an elective hysterectomy to treat benign tumours of the uterus tells the nurse that she does not know whether she can go through with the surgery because she knows she will die in surgery, as her mother did. What is the most appropriate response?

Wähle eine der folgenden:

  • “Tell me more about what happened to your mother.”

  • “Think positively! Positive thoughts have been shown to influence a positive surgical outcome.

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Frage 17 von 53

1

Why is it especially important for the nurse to determine the patient’s current use of medications during the preoperative assessment?

Wähle eine der folgenden:

  • These medications may alter the patient’s perceptions about surgery.

  • Other medications may cause interactions with anaesthetics, altering the potency and effect of the drugs.

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Frage 18 von 53

1

The nurse visits the patient to have him sign the operative permit as directed in the physician’s preoperative orders. The patient tells the nurse that the physician has not really told him what is involved in the surgical procedure. What should the nurse do?

Wähle eine der folgenden:

  • Explain what the planned surgical procedure entails before having the patient sign the consent form.

  • Delay the patient’s signature on the consent form, and notify the physician that the informed-consent process is not complete.

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Frage 19 von 53

1

What does appropriate preoperative teaching for a patient scheduled for abdominal surgery include?

Wähle eine der folgenden:

  • How to breathe deeply and cough

  • How to care for the wound

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Frage 20 von 53

1

An 82-year-old man is admitted to the hospital the evening before a prostatectomy for cancer of the prostate. He is alert and oriented but has difficulty seeing and hearing. His wife is at his bedside and answers most questions directed to the patient. What should the nurse do to accomplish preoperative teaching with the patient?

Wähle eine der folgenden:

  • Provide additional time for the patient to understand preoperative instructions and carry out procedures

  • Ask the patient’s wife to wait in the hall in order to focus on preoperative teaching with the patient himself

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Frage 21 von 53

1

What are the physical environment and traffic control measures of the OR primarily designed to do?

Wähle eine der folgenden:

  • Protect the patient’s privacy.

  • Prevent transmission of infection

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Frage 22 von 53

1

Which one of the following intraoperative patient positions would the nurse anticipate for the patient who is being prepared for abdominal surgery?

Wähle eine der folgenden:

  • Prone

  • Supine

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Frage 23 von 53

1

The nurse notes that a preoperative patient is drowsy, but oriented, in the receiving area. In addition to checking her hospital number and identification band, what should the nurse check?

Wähle eine der folgenden:

  • Ask the patient to state her name, her doctor’s name, and the operative procedure planned.

  • Ask the surgeon to identify the patient and the planned surgical procedure.

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Frage 24 von 53

1

The nurse from the general surgical unit brings the patient’s hearing aid to the surgical suite because the patient left the unit without it and it is needed to communicate with the patient. At the surgical suite, what areas can the general surgical unit nurse enter?

Wähle eine der folgenden:

  • Clean core

  • Scrub sink areas

  • Information or nursing station

  • Corridors of the ORs

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Frage 25 von 53

1

Which assessment finding would the nurse expect to observe in a patient with malignant hyperthermia

Wähle eine der folgenden:

  • Decreased heart rate

  • Low, irregular respirations

  • Decreased temperature

  • Ventricular dysrhythmias

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Frage 26 von 53

1

What is one of the most important goals of the registered nurse first assistant?

Wähle eine der folgenden:

  • Safety of the patient

  • Documentation of the intraoperative care

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Frage 27 von 53

1

You are the clinic nurse doing a preoperative assessment on a patient who will be undergoing outpatient cataract surgery with lens implantation in 1 week. While taking the patient's medical history, you note that this patient had a kidney transplant 8 years ago. The patient is taking immunosuppressive drugs. What is this patient at increased risk for when having surgery?

Wähle eine der folgenden:

  • infection

  • death

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Frage 28 von 53

1

An elderly client is preparing to undergo surgery. The nurse participates in preoperative care knowing that which of the following is the underlying principle that guides preoperative assessment, surgical care, and postoperative care for older adults?

Wähle eine der folgenden:

  • Older adults have less physiologic reserve (or ability to regain physical equilibrium) than younger clients.

  • older adults are more malnourished

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Frage 29 von 53

1

How should a nurse teach a patient to perform deep breathing and coughing to use postoperatively?

Wähle eine der folgenden:

  • The patient should take a deep breath in through the mouth and exhale all the air out through the mouth, take a short breath, and cough from deep in the lungs.

  • The patient should do box breathing

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Frage 30 von 53

1

Which of the following clinical manifestations is often the earliest sign of malignant hyperthermia?

Wähle eine der folgenden:

  • Tachycardia

  • bradycardia

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Frage 31 von 53

1

A client who had abdominal surgery 4 days ago reports that "something gave way" when he sneezed. The nurse observes a wound evisceration. Which nursing action is the first priority?

Wähle eine der folgenden:

  • Applying a sterile, moist dressing

  • suturing the wound

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Frage 32 von 53

1

A postanesthesia care unit (PACU) nurse is caring for a patient with the following assessment data: pale, cool, moist skin; thready pulse of 122; blood pressure 78/60; urine output of 25 mL/h; temperature 99.2°F. What interventions by the nurse are appropriate? Select all that apply.

Wähle eine oder mehr der folgenden:

  • Maintain a patent airway.
    • Frequently monitor neurological status.

    .

  • • Apply oxygen per orders

  • • Administer blood products per orders.

  • apply warm blankets

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Frage 33 von 53

1

Which of the following terms refers to a protrusion of abdominal organs through the surgical incision?

Wähle eine oder mehr der folgenden:

  • Eviseration

  • desiccation

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Frage 34 von 53

1

Nursing assessment findings reveal a temperature of 96.2°F, pulse oximetry 90%, shivering, and client complains of chilling. The findings are indicative of which nursing diagnosis?

Wähle eine oder mehr der folgenden:

  • Ineffective thermoregulation

  • ineffective airway clearance

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Frage 35 von 53

1

The nurse is caring for a client during the immediate postoperative period and is assessing for signs of shock. What signs and symptoms indicate that the client may be in shock?

Wähle eine oder mehr der folgenden:

  • weak and rapid pulse

  • bounding and rapid pulse

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Frage 36 von 53

1

The client asks the nurse about ways to control pain other than taking pain medication. Which strategy should the nurse include when responding to the client? Select all that apply

Wähle eine oder mehr der folgenden:

  • Listening to music

  • Watching television

  • • Changing position

  • yelling

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Frage 37 von 53

1

The primary objective in the immediate postoperative period is

Wähle eine der folgenden:

  • maintaining pulmonary ventilation.

  • preventing infection

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Frage 38 von 53

1

In the transfer of accountability what is transferred?

Wähle eine oder mehr der folgenden:

  • rights

  • duties

  • obligations

  • charting

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Frage 39 von 53

1

What is included in the post operative report/handover?

Wähle eine oder mehr der folgenden:

  • general patient information

  • patient history

  • intraoperative management

  • post anasesthesia care plan

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Frage 40 von 53

1

Post operative orders (select all that apply)

Wähle eine oder mehr der folgenden:

  • iv fluids

  • resumption of diet and fluids

  • positioning

  • special wound care instructions

  • oxygen therapy

  • medications

  • emergency contact

  • number of nurse in PACU

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Frage 41 von 53

1

what is part of your initial assessment of a post surgical patient?

Wähle eine oder mehr der folgenden:

  • ABCs

  • LOC

  • V/S

  • O2 therapy

  • Intake/output

  • IV lines/fluid

  • drains and tubes

  • Surgical site

  • pain

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Frage 42 von 53

1

When assessing neurological systems what should you look for?

Wähle eine oder mehr der folgenden:

  • LOC

  • orientation

  • ability to follow commands

  • shine a pen light in their eye

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Frage 43 von 53

1

what percent of patients have emergence delirium?

Wähle eine der folgenden:

  • 10%

  • 5%

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Frage 44 von 53

1

a neurological scale used to give reliable and objective way of recording the conscious state of a patient is a

Wähle eine der folgenden:

  • glasgow coma scale

  • orientation scale

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Frage 45 von 53

1

to prevent pulmonary complications what should you do?

Wähle eine oder mehr der folgenden:

  • keep head of bed at 25-45 degrees at all times

  • T and P q 2hs

  • leg exercises

  • teach splinting when coughing

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Frage 46 von 53

1

list potential cardiovascular complications after surgery

Wähle eine oder mehr der folgenden:

  • hemorrhage

  • hypovolemia

  • hypotension

  • syncope/arrhythmias

  • deep vein thrombosis

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Frage 47 von 53

1

what are some interventions to prevent cardiac complications?

Wähle eine oder mehr der folgenden:

  • IV management

  • early ambulation

  • t and p while in bed

  • leg exercises

  • anticoagulants

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Frage 48 von 53

1

what are some GI function risks for post surgery

Wähle eine oder mehr der folgenden:

  • Nausea and vomitting

  • abdominal distention

  • paralytic ileus

  • constipation

  • acites

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Frage 49 von 53

1

Potential dysfunction in GU function

Wähle eine oder mehr der folgenden:

  • Oliguria <30 ml/hr

  • anuria (no urine)

  • Urinary retention

  • UTI

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Frage 50 von 53

1

when is the original dressing removed?

Wähle eine der folgenden:

  • by the surgeon

  • by the nurse

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Frage 51 von 53

1

when is a surgical dressing changed?

Wähle eine der folgenden:

  • after 24 hours

  • after 48 hours

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Frage 52 von 53

1

What are some of the benefits of discharge planning?

Wähle eine oder mehr der folgenden:

  • patient satisfaction

  • improved self care

  • decreased LOS

  • Decrease readmission rates

  • decreased cost

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Frage 53 von 53

1

if a drug is equianlgesic it means

Wähle eine der folgenden:

  • dose of one drug is equivalent in pain relieving effects compared with another drug

  • that the drugs work the same

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