D446 ADULT HEALTH 2 QUESTIONS WITH CORRECT ANSWERS 2025

D446ADULTHEALTH 2 QUESTIONSWITH m m m m m




CORRECT ANSWERS 2025 m m m




PREOPERATIVE NURSING m




*OVERALL GOAL m




*HERBS & ALLERGIES m m




*REQUIREMENTS BEFORE SURGERY - CORRECT ANSWER -OVERALL GOALS: m m m m m m m




-establish a baseline m m




-provide teaching about the procedure and anesthesia
m m m m m m




-assess the readiness and understanding of the pt
m m m m m m m




-
review all of diagnostic procedures like labs, XR to check status of pt before surgery (ABGs, BG,
m m m m m m m m m m m m m m m m




BUN, creatinine, CXR, ECG, lfts, PTT, INR, Urinalysis)
m m m m m m m m




*-make sure the pt understands and that the consent sign is signed and WITNESSED (you)
m m m m m m m m m m m m m m




HERBS AND ALLERGIES: m m




- X ginseng or astralgus (increases BP )
m m m m m m




- X St Johns Wort (prolongs anesthesic effects)
m m m m m m




-X garlic, Vitamin E, Ginko, fish oils (increase bleeding)
m m m m m m m m




-X Kava, valerian, (excessive sedation)
m m m m




-X multivitamins (nausea, bc on an empty stomach)
m m m m m m m




-Latex allegies m




-LATEX-
FRUIT syndrome: B.A.C. K bananas, avocado, kiwi, and chest nut has the same type of protein t
m m m m m m m m m m m m m m m m




hat latex ppl are allergic to
m m m m m m




REQUIREMENTS PREOP: m

,-INFORMED CONSENT: active, shared decision- m m m m




making process between HCP and the pt and the pt has to willingly sign. There must be adequ ate
m m m m m m m m m m m m m m m m m m




disclosure of the diagnosis, nature and purpose of the proposed treatment, probability of s
m m m m m m m m m m m m m m




uccessful outcome, availability, benefits , and risk of alternatic
m m m m m m m m m




-Nutrition: consider docs orders of NPO or no food or drinks 24-3 hrs before surgery
m m m m m m m m m m m m m m




-
Elimination: make sure they pee before surgery. if having abd surgery make sure they get presc
m m m m m m m m m m m m m m m




ribed orders of an enema, laxative the day or night before surgery. clear any urinary collection
m m m m m m m m m m m m m m m m




bags and document output in chart.
m m m m m m




-
Surgical Site: clean as prescribed with antibacterial soap or mild antiseptic the night before sur
m m m m m m m m m m m m m m




gery
m




-BREATHING EXERCISE: incentive spirometry, cough, deep breathing, splinting, sitting upright
m m m m m m m m m




-pt teaching: post-op expected pain, tubes, ivs, drips, early ambulation to prevent DVTs
m m m m m m m m m m m m




PREOP NURSING - CORRECT ANSWER -SUBSTANCES THAT AFFECT CLIENT IN SURGERY
m m m m m m m m m m




-Antibiotics: potentiate the action of anesthetic agents
m m m m m m




-Anticholinergics: can increase confusion, tachycardia, intestinal hypomobility and hypotonicity
m m m m m m m m




-Insulin: need may be increased r/t stress under surgery
m m m m m m m m




INTRAOPERATIVE NURSING m




*OVERALL GOAL m




*NURSE PRIORITY - CORRECT ANSWER -*Overall goal
m m m m m m




-maintain sterility (maintain sterile field)
m m m m




-
TIME OUTS: mandatory pause before the first cuts to make sure right patient, right side, right
m m m m m m m m m m m m m m m




procedure, allergies, equipment
m m m




-Documentation

, -
Pt safety: Padding pressure points (elbows,hips, heels), making sure airway isnt obstructed, co
m m m m m m m m m m m m




mplete access of surgical site, no nerve compression
m m m m m m m m




-correct positioning can prevent numbness, nerve weakness, and possible permanent paralysis
m m m m m m m m m m




POSTOP CARE m




*NURSE PRIORITY, GOALS - CORRECT ANSWER --
m m m m m m




postop care we want to prevent complications to promote healing of the surgical incision
m m m m m m m m m m m m m




-RESPIRATORY: assess breath sounds for: stridor, wheezing, larygospasm, bronchospasm,
m m m m m m m m




*crackles/rhonchi may indicate atelectsais, pneumonia, or pulm edema m m m m m m m




-prolonged mechanical ventilation may affect postop lung function
m m m m m m m




-monitor for bleeding (pulse rate and rhythm)-
m m m m m m




bounding pulse can mean HTN, fluid overlead, or client anxiety
m m m m m m m m m




-
Sequential compression devices to promote venous return, strengthen muscle tone, prevent p
m m m m m m m m m m m




ooling in the extremities
m m m m




-leg exercises
m




-encourage ambulation but check for OT Hypotension before they get out of bed*
m m m m m m m m m m m m




-Low Fowlers position to increase size of thorax for lung expansion (not supine)
m m m m m m m m m m m m




-if pt cant get out of bed, turn them every 2 hrs
m m m m m m m m m m m




NEURO: reattempt to fully awake pt, reorient pt, prevent body heat loss
m m m m m m m m m m m




-monitor s/s of hypothermia r/t anesthesia
m m m m m




RENAL: assess for bladder distention, if pt doesnt have a catheter pt should void between 6- 8
m m m m m m m m m m m m m m m m




hrs Postop depending on the anesthesia given ensure at least 200 ml
m m m m m m m m m m m m