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Adults > Exam One > Flashcards

Exam One Flashcards

1
Q

Which type of anesthesia allows the client to remain fully awake and alert?

A

Spinal

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2
Q

Which type of anesthesia results in a complete loss of sensation and loss of consciousness?

A

General

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3
Q

Which type of anesthesia uses sedative medications and results in a decreased level of consciousness?

A

MAC

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4
Q

Which type of anesthesia causes a loss of sensation without a loss of consciousness?

A

Local

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5
Q

Which type of anesthesia requires advanced airway management (i.e., mechanical ventilation)?

A

General

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6
Q

Which type of anesthesia uses sedative, anxiolytic, and/or analgesics but allows the client to remain responsive and breathe without assistance?

A

Moderate (conscious) sedation

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7
Q

What equipment should be available for a procedure with moderate (conscious) sedation?

A

Cardiac monitor
IV and IV fluids
Oxygen
Resuscitation equipment

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8
Q

Vaccinations

A

Primary

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9
Q

Colonoscopy

A

Secondary

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10
Q

BG screening

A

Secondary

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11
Q

Wearing a helmet when riding a bike

A

Primary

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12
Q

Smoking cessation

A

Primary

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13
Q

Chemo for cancer

A

Tertiary

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14
Q

Wearing sunscreen

A

Primary

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15
Q

Screening tool for depressive symptoms

A

Secondary

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16
Q

Brain injury rehab after stroke

A

Tertiary

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17
Q

Insulin for person with diabetes

A

Tertiary

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18
Q

Regular exercise

A

Primary

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19
Q

Breast self-exam

A

Secondary

20
Q

A patient who is scheduled for surgery in a week tells the nurse doing the preoperative assessment about an allergy to bananas, kiwifruit, and latex products. Which action is most important for the nurse to take?

A

Alert the surgery center of latex allergy

21
Q

When the perioperative nurse is transporting a patient to the operating room for surgery, the patient states, “I am a Jehovah Witness and am worried about needing a blood transfusion during surgery.” What would be the best response by the nurse to this patient’s statement?

A

“Tell me what you would like done if it is determined that you need a blood transfusion.”

22
Q

A 42-year-old patient is recovering from anesthesia in the PACU. On admission to the PACU, the blood pressure (BP) is 124/70. Thirty minutes later, the blood pressure is 112/60, pulse is 72, and skin is warm and dry. The most appropriate action by the nurse at this time is to

A

Continue to check VS q 15 min

23
Q

A postoperative patient has not voided for 7 hours after return to the postsurgical unit. Which is the best initial action by the nurse?

A

Obtain bladder scan

24
Q

When caring for a patient during the second postoperative day after abdominal surgery, the nurse obtains an oral temperature of 100.8° F. Which action should the nurse take first?

A

Have pt use the incentive spirometer

25
Q

How far in advance should patients be encouraged to stop smoking preoperatively?

A

6 weeks

26
Q

Compared to the younger adult, emotional reactions to surgery are more intense in older adults.

A

True

27
Q

Which medication is given preoperativey to prevent nausea and vomiting?

A

Ondansetron (zofran)

an antiemetic

28
Q

Which diagnostic test(s) are used to assess renal function preoperatively?

A

BUN and Serum creatinine

29
Q

What is the main purpose of the preoperative assessment?

A

To ID conditions/factors that may compromise the surgical outcome

30
Q

What question(s) would be appropriate when assessing a patient for a possible latex allergy?

A

Are you allergic to rubber or latex?
Are you allergic to eggs, avocados, or bananas?
Do you have a hx of hay fever or asthma?

31
Q

When is the best time for a patient sign the consent form for a surgical procedure?

A

After the surgeon explains the procedure

32
Q

Which herb or supplement can increase the risk of bleeding in a surgical patient?

A

Garlic, ginger, ginkgo, ginseng, and vit E

33
Q

Why does the nurse place a patient on bed rest after administering a benzodiazepine medication preoperatively?

A

To protect pt from injury

34
Q

“Weight is not a concern for me.”

A

Precontemplation

35
Q

“My weight is a concern for me. I realize that the benefits of attempting weight loss outweigh the drawbacks. I’m planning to begin a weight loss program in a few weeks.”

A

Preparation

36
Q

“Yes, my weight is a concern for me, but I’m not able to begin losing weight right now.”

A

Contemplation

37
Q

Nurse: “Do you have family or friends who can support you as you make this change? How do you think they could support you? Is there something else you think I could do to help?”

A

Preparation

38
Q

Nurse: “I’m hearing that you are thinking about making a change but you are not ready right now.”

A

Contemplation

39
Q

Nurse: “Looking at your food diary, I think the biggest benefit would come from switching from whole milk dairy products to low-fat dairy products. What do you think?”

A

Preparation

40
Q

Nurse: “These questions are important to beginning a successful weight loss program. Would you be willing to read the remainder of this pamphlet and talk about it later on?”

A

Contemplation

41
Q

Nurse: “It’s great that you feel good about your weight loss decision. You are doing something important to decrease your risk of many chronic illnesses.”

A

Preparation

42
Q

Nurse: “You are an adult and you will be to the one to decide if and when you are ready to lose weight.”

A

Precontemplation or Contemplation

43
Q

Nurse: “Using this pamphlet, what is one benefit of losing weight? What is one drawback of losing weight?”

A

Contemplation

44
Q

Nurse: “Have you attempted weight loss before? What went well? What kinds of problems can you anticipate in making those changes now? How do you think you can deal with them?”

A

Preparation

45
Q

Nurse: “I realize this may be difficult for you. Thank you for talking with me about this.”

A

Potentially Precontemplation, Contemplation, or Preparation

46
Q

Nurse: “Has your weight ever caused a problem? Can you imagine how your weight might cause problems in the future?”

A

Precontemplation

Adults (3 decks)

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