NRSG 327 Final = Perioperative Care &
Complications UPDATED FOR 2026/2027 ACTUAL
EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!
Students also studied
Terms in this set (39)
Surgical consent The surgeon is responsible for obtaining this. If pt. does not
understand the procedure, or has further questions for the
surgeon, refer the matter back to surgeon.
Informed consent Grounded in autonomy
Disclosure Patient has received all information
Capacity Patient's ability to understand
Voluntariness No coercion or manipulation
Expressed consent A type of consent in which a patient gives verbal or nonverbal
authorization for provision of care or transport.
Implied consent Type of consent in which a patient who is unable to give
consent is given treatment under the legal assumption that
he or she would want treatment.
Representation Agreement Act - Legal contract that is designed to allow adults to arrange
in advance who may make decisions about their
healthcare if they become no longer capable of making
decisions independently
- Duties of a client's representative: act honestly, take
into account wishes and instructions of the client, act
within authority granted, keep proper records of
properties and liabilities
, Power of Attorney A document that appoints another person to deal with your
business and property and to make financial and legal
decisions for you
Advanced directive A written instruction that gives or refuses consent to
healthcare in the event the adult later becomes incapable of
giving the instruction at the time the healthcare is required
Substitute decision maker qualifications - Be at least 19
- Have been in contact with adult during preceding 12 months
- Have no dispute with adult
- Be capable of giving, refusing or revoking consent
- Be willing to comply with duties in section 19
Malignant hyperthermia A hereditary condition of uncontrolled heat production that
occurs when susceptible people receive certain anesthetic
drugs.
- Usually occurs with succinylcholine, especially in
conjunction with inhalation agents. Usually occurs
under general anesthesia bu may also occur in
recovery
- Other triggers: trauma, heat, stress
- Can result in cardiac arrest and death
Malignant hyperthermia S/S - Hyperthermia
- Rigidity of skeletal muscles
- Increased HR and RR
- Hypercarbia
- Ventricular dysrhythmias
Malignant hyperthermia treatment Dantrolene
SNS compensatory mechanism i.Stimulated by chemo/baroreceptors
ii.Epinephrine and norepinephrine act on alpha and beta
receptors
iii. A receptors: vascular smooth muscle = increased
afterload and BP
iv. B1 receptors: heart (SA + AV nodes) increase HR and
force of contraction (contractility) = increased HR
v.B2 receptors: lungs bronchodilation and peripheral
vasodilation
RAAS compensatory mechanism i. Failing heart = decreased blood flow to kidneys
ii.SNS innervation of the kidneys
iii. Kidneys release renin
iv. ACE converts angiotensin I to angiotensin II
v.Stimulates pituitary to release ADH (vasopressin) causing
vasoconstriction
vi.Increased afterload and BP
Complications UPDATED FOR 2026/2027 ACTUAL
EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!
Students also studied
Terms in this set (39)
Surgical consent The surgeon is responsible for obtaining this. If pt. does not
understand the procedure, or has further questions for the
surgeon, refer the matter back to surgeon.
Informed consent Grounded in autonomy
Disclosure Patient has received all information
Capacity Patient's ability to understand
Voluntariness No coercion or manipulation
Expressed consent A type of consent in which a patient gives verbal or nonverbal
authorization for provision of care or transport.
Implied consent Type of consent in which a patient who is unable to give
consent is given treatment under the legal assumption that
he or she would want treatment.
Representation Agreement Act - Legal contract that is designed to allow adults to arrange
in advance who may make decisions about their
healthcare if they become no longer capable of making
decisions independently
- Duties of a client's representative: act honestly, take
into account wishes and instructions of the client, act
within authority granted, keep proper records of
properties and liabilities
, Power of Attorney A document that appoints another person to deal with your
business and property and to make financial and legal
decisions for you
Advanced directive A written instruction that gives or refuses consent to
healthcare in the event the adult later becomes incapable of
giving the instruction at the time the healthcare is required
Substitute decision maker qualifications - Be at least 19
- Have been in contact with adult during preceding 12 months
- Have no dispute with adult
- Be capable of giving, refusing or revoking consent
- Be willing to comply with duties in section 19
Malignant hyperthermia A hereditary condition of uncontrolled heat production that
occurs when susceptible people receive certain anesthetic
drugs.
- Usually occurs with succinylcholine, especially in
conjunction with inhalation agents. Usually occurs
under general anesthesia bu may also occur in
recovery
- Other triggers: trauma, heat, stress
- Can result in cardiac arrest and death
Malignant hyperthermia S/S - Hyperthermia
- Rigidity of skeletal muscles
- Increased HR and RR
- Hypercarbia
- Ventricular dysrhythmias
Malignant hyperthermia treatment Dantrolene
SNS compensatory mechanism i.Stimulated by chemo/baroreceptors
ii.Epinephrine and norepinephrine act on alpha and beta
receptors
iii. A receptors: vascular smooth muscle = increased
afterload and BP
iv. B1 receptors: heart (SA + AV nodes) increase HR and
force of contraction (contractility) = increased HR
v.B2 receptors: lungs bronchodilation and peripheral
vasodilation
RAAS compensatory mechanism i. Failing heart = decreased blood flow to kidneys
ii.SNS innervation of the kidneys
iii. Kidneys release renin
iv. ACE converts angiotensin I to angiotensin II
v.Stimulates pituitary to release ADH (vasopressin) causing
vasoconstriction
vi.Increased afterload and BP
