D446 ADULT HEALTH 2 QUESTIONS WITH CORRECT ANSWERS 2025

D446 ADULT HEALTH 2 QUESTIONS WITH
CORRECT ANSWERS 2025
PREOPERATIVEGNURSING



*OVERALLGGOAL

*HERBSG&GALLERGIES

*REQUIREMENTSGBEFOREGSURGERYG-GCORRECTGANSWERG-OVERALLGGOALS:

-establishGaGbaselineG

-provideGteachingGaboutGtheGprocedureGandGanesthesia

-assessGtheGreadinessGandGunderstandingGofGtheGpt

-
reviewGallGofGdiagnosticGproceduresGlikeGlabs,GXRGtoGcheckGstatusGofGptGbeforeGsurgeryG(ABGs,GBG,
GBUN,Gcreatinine,GCXR,GECG,Glfts,GPTT,GINR,GUrinalysis)



*-makeGsureGtheGptGunderstandsGandGthatGtheGconsentGsignGisGsignedGandGWITNESSEDG(you)



HERBSGANDGALLERGIES:

-GXGginsengGorGastralgusG(increasesGBPG)

-GXGStGJohnsGWortG(prolongsGanesthesicGeffects)

-XGgarlic,GVitaminGE,GGinko,GfishGoilsG(increaseGbleeding)

-XGKava,Gvalerian,G(excessiveGsedation)

-XGmultivitaminsG(nausea,GbcGonGanGemptyGstomach)

-LatexGallegies

-LATEX-
FRUITGsyndrome:GB.A.C.GKGbananas,Gavocado,Gkiwi,GandGchestGnutGhasGtheGsameGtypeGofGproteinGt
hatGlatexGpplGareGallergicGto



REQUIREMENTSGPREOP:

,-INFORMEDGCONSENT:Gactive,GsharedGdecision-
makingGprocessGbetweenGHCPGandGtheGptGandGtheGptGhasGtoGwillinglyGsign.GThereGmustGbeGadequ
ateGdisclosureGofGtheGdiagnosis,GnatureGandGpurposeGofGtheGproposedGtreatment,GprobabilityGofGs
uccessfulGoutcome,Gavailability,GbenefitsG,GandGriskGofGalternatic

-Nutrition:GconsiderGdocsGordersGofGNPOGorGnoGfoodGorGdrinksG24-3GhrsGbeforeGsurgery

-
Elimination:GmakeGsureGtheyGpeeGbeforeGsurgery.GifGhavingGabdGsurgeryGmakeGsureGtheyGgetGpresc
ribedGordersGofGanGenema,GlaxativeGtheGdayGorGnightGbeforeGsurgery.GclearGanyGurinaryGcollectionG
bagsGandGdocumentGoutputGinGchart.

-
SurgicalGSite:GcleanGasGprescribedGwithGantibacterialGsoapGorGmildGantisepticGtheGnightGbeforeGsur
gery

-BREATHINGGEXERCISE:GincentiveGspirometry,Gcough,GdeepGbreathing,Gsplinting,GsittingGupright

-ptGteaching:Gpost-opGexpectedGpain,Gtubes,Givs,Gdrips,GearlyGambulationGtoGpreventGDVTs



PREOPGNURSINGG-GCORRECTGANSWERG-SUBSTANCESGTHATGAFFECTGCLIENTGINGSURGERY

-Antibiotics:GpotentiateGtheGactionGofGanestheticGagents

-Anticholinergics:GcanGincreaseGconfusion,Gtachycardia,GintestinalGhypomobilityGandGhypotonicity

-Insulin:GneedGmayGbeGincreasedGr/tGstressGunderGsurgery



INTRAOPERATIVEGNURSING

*OVERALLGGOAL

*NURSEGPRIORITYG-GCORRECTGANSWERG-*OverallGgoal

-maintainGsterilityG(maintainGsterileGfield)

-
TIMEGOUTS:GmandatoryGpauseGbeforeGtheGfirstGcutsGtoGmakeGsureGrightGpatient,GrightGside,GrightG
procedure,Gallergies,Gequipment

-Documentation

, -
PtGsafety:GPaddingGpressureGpointsG(elbows,hips,Gheels),GmakingGsureGairwayGisntGobstructed,Gco
mpleteGaccessGofGsurgicalGsite,GnoGnerveGcompression

-correctGpositioningGcanGpreventGnumbness,GnerveGweakness,GandGpossibleGpermanentGparalysis



POSTOPGCARE

*NURSEGPRIORITY,GGOALSG-GCORRECTGANSWERG--
postopGcareGweGwantGtoGpreventGcomplicationsGtoGpromoteGhealingGofGtheGsurgicalGincision

-RESPIRATORY:GassessGbreathGsoundsGfor:Gstridor,Gwheezing,Glarygospasm,Gbronchospasm,

*crackles/rhonchiGmayGindicateGatelectsais,Gpneumonia,GorGpulmGedema

-prolongedGmechanicalGventilationGmayGaffectGpostopGlungGfunction

-monitorGforGbleedingG(pulseGrateGandGrhythm)-
boundingGpulseGcanGmeanGHTN,GfluidGoverlead,GorGclientGanxiety

-
SequentialGcompressionGdevicesGtoGpromoteGvenousGreturn,GstrengthenGmuscleGtone,GpreventGp
oolingGinGtheGextremities

-legGexercises

-encourageGambulationGbutGcheckGforGOTGHypotensionGbeforeGtheyGgetGoutGofGbed*

-LowGFowlersGpositionGtoGincreaseGsizeGofGthoraxGforGlungGexpansionG(notGsupine)

-ifGptGcantGgetGoutGofGbed,GturnGthemGeveryG2Ghrs



NEURO:GreattemptGtoGfullyGawakeGpt,GreorientGpt,GpreventGbodyGheatGloss

-monitorGs/sGofGhypothermiaGr/tGanesthesia



RENAL:GassessGforGbladderGdistention,GifGptGdoesntGhaveGaGcatheterGptGshouldGvoidGbetweenG6-
8GhrsGPostopGdependingGonGtheGanesthesiaGgivenGensureGatGleastG200Gml