Exam One Flashcards
Which type of anesthesia allows the client to remain fully awake and alert?
Spinal
Which type of anesthesia results in a complete loss of sensation and loss of consciousness?
General
Which type of anesthesia uses sedative medications and results in a decreased level of consciousness?
MAC
Which type of anesthesia causes a loss of sensation without a loss of consciousness?
Local
Which type of anesthesia requires advanced airway management (i.e., mechanical ventilation)?
General
Which type of anesthesia uses sedative, anxiolytic, and/or analgesics but allows the client to remain responsive and breathe without assistance?
Moderate (conscious) sedation
What equipment should be available for a procedure with moderate (conscious) sedation?
Cardiac monitor
IV and IV fluids
Oxygen
Resuscitation equipment
Vaccinations
Primary
Colonoscopy
Secondary
BG screening
Secondary
Wearing a helmet when riding a bike
Primary
Smoking cessation
Primary
Chemo for cancer
Tertiary
Wearing sunscreen
Primary
Screening tool for depressive symptoms
Secondary
Brain injury rehab after stroke
Tertiary
Insulin for person with diabetes
Tertiary
Regular exercise
Primary
Breast self-exam
Secondary
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?
Alert the surgery center of latex allergy
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?
“Tell me what you would like done if it is determined that you need a blood transfusion.”
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
Continue to check VS q 15 min
A postoperative patient has not voided for 7 hours after return to the postsurgical unit. Which is the best initial action by the nurse?
Obtain bladder scan
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?
Have pt use the incentive spirometer
How far in advance should patients be encouraged to stop smoking preoperatively?
6 weeks
Compared to the younger adult, emotional reactions to surgery are more intense in older adults.
True
Which medication is given preoperativey to prevent nausea and vomiting?
Ondansetron (zofran)
an antiemetic
Which diagnostic test(s) are used to assess renal function preoperatively?
BUN and Serum creatinine
What is the main purpose of the preoperative assessment?
To ID conditions/factors that may compromise the surgical outcome
What question(s) would be appropriate when assessing a patient for a possible latex allergy?
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?
When is the best time for a patient sign the consent form for a surgical procedure?
After the surgeon explains the procedure
Which herb or supplement can increase the risk of bleeding in a surgical patient?
Garlic, ginger, ginkgo, ginseng, and vit E
Why does the nurse place a patient on bed rest after administering a benzodiazepine medication preoperatively?
To protect pt from injury
“Weight is not a concern for me.”
Precontemplation
“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.”
Preparation
“Yes, my weight is a concern for me, but I’m not able to begin losing weight right now.”
Contemplation
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?”
Preparation
Nurse: “I’m hearing that you are thinking about making a change but you are not ready right now.”
Contemplation
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?”
Preparation
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?”
Contemplation
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.”
Preparation
Nurse: “You are an adult and you will be to the one to decide if and when you are ready to lose weight.”
Precontemplation or Contemplation
Nurse: “Using this pamphlet, what is one benefit of losing weight? What is one drawback of losing weight?”
Contemplation
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?”
Preparation
Nurse: “I realize this may be difficult for you. Thank you for talking with me about this.”
Potentially Precontemplation, Contemplation, or Preparation
Nurse: “Has your weight ever caused a problem? Can you imagine how your weight might cause problems in the future?”
Precontemplation
