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Nurs 232 Final Exam
Foundations of Nursing Care: Misc. Review for Final Exam
| Question | Answer |
|---|---|
| A biopsy would be an example of which surgical purpose? | Diagnostic (p. 743, box 25-1) |
| Describe an example of a surgical procedure performed for an "ablative" purpose. | One that removes a diseased body part; e.g. cholecystectomy (p. 743, box 25-1) |
| Breast implants are an example of ___________ surgery. | Constructive (p. 743, box 25-1) also, probably "elective" but that's debatable...especially if the client is already...nevermind. |
| Malnutrition can lead to all of the following EXCEPT what: a) decreased wound healing b) increased sexual appetite c) infection d) reduced energy | There is no statistically significant evidence that malnutrition causes (b) increased sexual appetite...unless induced by excessive cocaine use. |
| Tranquilizers may interfere with surgical procedures in what way? | May interact with anesthetics, causing increased respiratory depression |
| How might corticosteriods affect a client post-op? | Could slow wound healing, promote infection. |
| Which types of drugs taken for mental status may interfere with anesthetic and/or analgesic medications? | anticonvulsants, and antipsychotics |
| T/F antibiotics can increase surgical risk by potentiating anesthesia? | True; potentiating (increasing) the anesthesia could be bad umkay? This is why we administer antibiotics starting one hour post-op for 24-72 hours. |
| Who is responsible for obtaining informed consent? | The surgeon (745) |
| How might antidysrhythmics affect surgical risk? | Reduce cardiac contractility, impair conduction |
| What is the overall goal in preoperative care? | Client is mentally and physically ready for surgery (747) |
| T/F: Less time is needed for pre-op client to be NPO than once thought | True: we no longer say, "ok, no more twinkles or beer starting at midnight," before one's scheduled surgery. (box 25-4; p. 748) |
| Why do we teach moving, and leg exercises to clients? | Promotion of venous return (skill 25-1; 749) really, we want to get rid of them. |
| T/F clients should hold their breath for as along as comfortable when performing diagrammatic breathing. | Nope. 2-3 seconds is all. (749) |
| Describe when, and how to do deep coughing. | When: After 5 deep inhalations How: By inhaling deeply, holding a few seconds, and coughing DEEPLY; splint surgical incision with pillow if necessary |
| How often should deep breathing and coughing occur post-op? | Every two hours, 5-ish breaths, 2-ish coughs. |
| What is a Bier block? | An IV block involving arm, wrist, etc. where tourniquet is used proximal to injection to prevent spread of anesthetic. |
| What type of anesthetic might one receive for their endoscopy? | Conscious sedation. Otherwise to would be a serious pain in the ass. |
| What is the nurses overall goal with intra-operative client? | Safety, and homeostasis |
| What are the three primary respiratory complications post-op? | Pneumonia, atelectasis, PE (759) |
| What are the clinical signs of pneumonia? | Elevated temp, blood-tinged sputum, SOB, chest pain |
| What are the clinical signs of atelectasis? | SOB, tachypenia, tachycardia; diaphoresis, anxiety, pleural pain, diminished to absent lung sounds, decreased SpO2 sat |
| What are the clinical signs of PE (pulmonary embolism)? | Sudden chest pain, SOB, cyanosis, shock (tachycardia, low BP) |
| What are the possible postoperative issues associated with the circulatory system? | Hypovolemia, hemorrhage, hypovolemic shock, thrombophlebitis, thrombus, embolus (759) |
| What are the S/S of hypovolemia/shock | Tachycardia, low bp, low urine output; weak thready pulse, short/rapid breathing, restlessness, anxiety |
| What are the S/S of thrombophlebitis? | thrombophlebitis is inflammation of veins usually cut to a clot; S/S are: aching/cramping, localized swelling, redness, heat, veins hard, + humans sign |
| What are the S/S of arterial thrombus? | pain, pallor, decreased or absent pulses |
| What are the potential postoperative problems with respect to the urinary system? | Urinary retention, UTI |
| What are the S/S of urinary retention? | Uneven I/O, inability to void, or frequent voiding in small amounts; distended bladder, suprapubic discomfort, restlessness |
| What are the S/S of UTI? | Burns when you piss, urgency, cloudy urine, lower abdominal pain |
| What are the bowel elimination-related post op complications? | N/V, constipation, tympanites, postop illeus |
| What are the S/S of constipation? | See Theodore Danger McBeavan's profile image on FB |
| WTF are tympanites? | Armored men playing kettle drums. |
| Really, WTF are tympanites? | gasses retained post-op w/in the intestines; S/S: abdominal dissension and discomfort (think: causes tympani, from back in 228) |
| What are the S/S of "post-op" illeus. | Abdominal distention/pain, constipation, absence of bowel sounds |
| What are the post-op complications associated with skin? | Wound infection, dehiscence and evisceration |
| What are the S/S of wound evisceration? | There are organs coming out of the incision...that's all. |
| Is consent for vaccine legally required? | No, but distribution of most current VIS (vaccine information sheet) is. |
| What is a VIS? | A vaccination information sheet providing basic information regarding risks/benefits of specific vaccines. Can be found at CDC.org |
| What are some contraindications for vaccines? | Previous life-threatening hypersensitivity, pregnancy, hx of guillian-barre syndrome, and whatever the VIS says. |
| Elizabeth presents in her doctor's office for her annual influenza vaccination. The nurse notices that Liz has a mild cough, and rhinitis. How should the nurse respond? | The nurse should give her the damn shot: according to Amy, we no longer concern ourselves with cold/cough/runny nose with regards to vaccines. |
| Who has access to VAERS? (Vaccine Adverse Event Reporting System) | Everyone, including Tupac's hologram can check out data from this recording system. |
| Jake arrives at his family physician's office C/O rash and soreness at the site of a recent injection of a scabies vaccine. Upon further examination the nurse finds all VS WNL, save a tympanic temperature of 99.9. How should the nurse respond to Jake? | The nurse should instruct the client to "shut the f up," as these minor side effects are NOT uncommon. |
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scottheadrick
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