Med Surg Nursing Exam 1 NU 301 Questions
With Correct Answers
What common medications would the nurse be concerned about if seen on the
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medication list of a patient about to have a surgical procedure? What are the
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risks? - CORRECT ANSWER✔✔-Prescription Medications: risk for bleeding, over
| | | | | | | | |
sedation, or unstable blood glucose
| | | |
Antiplatelet meds (warfarin) | |
Clopidogrel (Plavix) |
Anticonvulsants, tranquilizers |
Antihypertensive meds |
Diabetic meds |
OTC (risk for bleeding)
| | |
NSAIDS (ibuprofen, motrin, advil, midol, naproxen)
| | | | |
ASSA (Ecotrin, baby aspirin, midol, excedrin)
| | | | |
Herbal Supplements (risk for bleeding)
| | | |
Ginkgo biloba, st. john's wort, vitamin E
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Describe the role anticipatory guidance has in preparing patients for the
| | | | | | | | | | |
intraoperative and postoperative experience. How can you as a nurse use
| | | | | | | | | | |
anticipatory guidance to gain patient understanding and compliance? - CORRECT
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ANSWER✔✔-the preparation of a patient for an anticipated development and/or
| | | | | | | | | |
situational crisis. |
,What is the purpose of NPO status prior to procedures utilizing sedation? Can a
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patient who is NPO still take all morning medications with small sips of water?
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What about essential medications such as beta blockers and anti-diabetic
| | | | | | | | | |
medications? - CORRECT ANSWER✔✔-Usually NPO after midnight | | | | | |
Some surgeries/procedures-clear liquids up to 2 hours before procedure
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Necessary AM meds (with small sips of water) are still given (BP, BG)
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NPO reduces risk of pulmonary aspiration (during or after surgery)
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Name the 3 components of Prehab and describe the nursing responsibility
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associated with each. - CORRECT ANSWER✔✔-1. Oral cleansing: perox-a-mint
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hydrogen peroxide solution | |
|
o 2.skin antisepsis: chlorhexidine gluconate cloths
| | | | |
|
o 3.Nasal Antisepsis: povidone iodine solution
| | | | |
How would you explain to a patient the purpose of Prehab? - CORRECT
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ANSWER✔✔-To reduce the risk of SSI and HAI in patients | | | | | | | | |
Briefly explain the key roles of the OR team members. - CORRECT ANSWER✔✔-
| | | | | | | | | | | |
Perioperative nurse/circulating Nurse | |
Pt. advocate throughout the intraoperative experience
| | | | |
Scrub nurse or surg tech
| | | |
Assists with sterile procedures
| | |
Surgeon |
Performs procedure |
, Surgeon assistant (may be a nurse)
| | | | |
Assists surgeon wherever assistance is needed
| | | | |
Anesthesia care provider (ACP) | | |
Anesthesiologist or nurse anesthetist (CRNA) | | | |
What is a surgical Time Out? What is verified during this safety procedure? (See
| | | | | | | | | | | | | |
Video) - CORRECT ANSWER✔✔-Surgical time out is when everyone in the OR
| | | | | | | | | | | |
pauses and take time to go over the five rights so to speak. The make sure they
| | | | | | | | | | | | | | | | |
have the right patient, are performing the right procedure, doing the procedure
| | | | | | | | | | | |
in the correct place, verifying if the patient has any allergies, and making sure
| | | | | | | | | | | | | |
everything needed is there. | | |
Name the priority assessments in the PACU. - CORRECT ANSWER✔✔-Airway
| | | | | | | | |
Breathing
Circulation-especially important in joint surgery | | | |
GI-nausea, vomiting, aspiration | |
GU-output after surgery | |
Neuro-LOC, alertness, compared to baseline | | | |
Surgical Site-oozing and draining
| | |
v Discuss what is unique to general anesthesia assessments vs. spinal/epidural. -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-General: complete assessment of respiratory,
| | | | | |
cardiovascular, & neuro status. | | |
Expected findings: normal respiratory, cardiovascular and neuro status.
| | | | | | |
With Correct Answers
What common medications would the nurse be concerned about if seen on the
| | | | | | | | | | | | |
medication list of a patient about to have a surgical procedure? What are the
| | | | | | | | | | | | | |
risks? - CORRECT ANSWER✔✔-Prescription Medications: risk for bleeding, over
| | | | | | | | |
sedation, or unstable blood glucose
| | | |
Antiplatelet meds (warfarin) | |
Clopidogrel (Plavix) |
Anticonvulsants, tranquilizers |
Antihypertensive meds |
Diabetic meds |
OTC (risk for bleeding)
| | |
NSAIDS (ibuprofen, motrin, advil, midol, naproxen)
| | | | |
ASSA (Ecotrin, baby aspirin, midol, excedrin)
| | | | |
Herbal Supplements (risk for bleeding)
| | | |
Ginkgo biloba, st. john's wort, vitamin E
| | | | | |
Describe the role anticipatory guidance has in preparing patients for the
| | | | | | | | | | |
intraoperative and postoperative experience. How can you as a nurse use
| | | | | | | | | | |
anticipatory guidance to gain patient understanding and compliance? - CORRECT
| | | | | | | | | |
ANSWER✔✔-the preparation of a patient for an anticipated development and/or
| | | | | | | | | |
situational crisis. |
,What is the purpose of NPO status prior to procedures utilizing sedation? Can a
| | | | | | | | | | | | | |
patient who is NPO still take all morning medications with small sips of water?
| | | | | | | | | | | | | |
What about essential medications such as beta blockers and anti-diabetic
| | | | | | | | | |
medications? - CORRECT ANSWER✔✔-Usually NPO after midnight | | | | | |
Some surgeries/procedures-clear liquids up to 2 hours before procedure
| | | | | | | |
Necessary AM meds (with small sips of water) are still given (BP, BG)
| | | | | | | | | | | |
NPO reduces risk of pulmonary aspiration (during or after surgery)
| | | | | | | | |
Name the 3 components of Prehab and describe the nursing responsibility
| | | | | | | | | | |
associated with each. - CORRECT ANSWER✔✔-1. Oral cleansing: perox-a-mint
| | | | | | | | |
hydrogen peroxide solution | |
|
o 2.skin antisepsis: chlorhexidine gluconate cloths
| | | | |
|
o 3.Nasal Antisepsis: povidone iodine solution
| | | | |
How would you explain to a patient the purpose of Prehab? - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-To reduce the risk of SSI and HAI in patients | | | | | | | | |
Briefly explain the key roles of the OR team members. - CORRECT ANSWER✔✔-
| | | | | | | | | | | |
Perioperative nurse/circulating Nurse | |
Pt. advocate throughout the intraoperative experience
| | | | |
Scrub nurse or surg tech
| | | |
Assists with sterile procedures
| | |
Surgeon |
Performs procedure |
, Surgeon assistant (may be a nurse)
| | | | |
Assists surgeon wherever assistance is needed
| | | | |
Anesthesia care provider (ACP) | | |
Anesthesiologist or nurse anesthetist (CRNA) | | | |
What is a surgical Time Out? What is verified during this safety procedure? (See
| | | | | | | | | | | | | |
Video) - CORRECT ANSWER✔✔-Surgical time out is when everyone in the OR
| | | | | | | | | | | |
pauses and take time to go over the five rights so to speak. The make sure they
| | | | | | | | | | | | | | | | |
have the right patient, are performing the right procedure, doing the procedure
| | | | | | | | | | | |
in the correct place, verifying if the patient has any allergies, and making sure
| | | | | | | | | | | | | |
everything needed is there. | | |
Name the priority assessments in the PACU. - CORRECT ANSWER✔✔-Airway
| | | | | | | | |
Breathing
Circulation-especially important in joint surgery | | | |
GI-nausea, vomiting, aspiration | |
GU-output after surgery | |
Neuro-LOC, alertness, compared to baseline | | | |
Surgical Site-oozing and draining
| | |
v Discuss what is unique to general anesthesia assessments vs. spinal/epidural. -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-General: complete assessment of respiratory,
| | | | | |
cardiovascular, & neuro status. | | |
Expected findings: normal respiratory, cardiovascular and neuro status.
| | | | | | |
