MEDSURG FINAL EXAM BLUEPRINT ALL DETAILS FOR THE WHOLE COURSE

MEDSURG FINAL EXAM BLUEPRINT NURSING CONCEPTS  When prioritizing for a pt, you want to make sure you always deal w/ the ABC first  If a pt is in pain, they you should deal w/ the pain first  Always assess a pts situation first whenever they complain PRE-OP CARE Obtaining Informed Consent  The surgeon is responsible for obtaining the consent for surgery  Minors (18y/o) may need parent approval  Older pts may need a legal guardian to sign the consent form  Nx may witness the pts signing of the consent form, but the nurse must be sure that the prt has understood the surgeon’s explanation of the surgery  The nurse needs to document the witnessing of the signing of the consent form after the pt acknowledges understanding the procedure Nutrition  Review the HCP prescriptions regarding the NPO status before surgery  Withhold solid foods and liquids to avoid aspiration, usually for 6-8 hrs before general anesthesia and for approx. 3 hours before surgery w/ local anesthesia  Insert an IV line and admin IV fluids if prescribed; IV catheter size should be large enough to admin blood products if they are required  Admin parental nutrition (PN); usually PN is prescribed for pts who are malnourished, have protein or metabolic deficiencies from underlying disease, or cannot ingest food