WKU Med Surg 1 Exam 1 WITH VERIFIED ANSWERS

WKU Med Surg 1 Exam 1 WITH VERIFIED|\ |\ |\ |\ |\ |\ |\ |\




ANSWERS

The operative experience is broken up into these three phases: -
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CORRECT ANSWERS ✔✔(1) Preoperative, (2) Intraoperative, (3)
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Postoperative


The preoperative phase commences when: - CORRECT ANSWERS
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✔✔the decision for surgery is made and ends when the patient is
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transferred to the surgical suite.
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-The preoperative nurse takes on roles of educator, advocator,
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and admittance nurse.
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Components of the preoperative checklist: - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\


✔✔Includes but not limited too: |\ |\ |\ |\




-a full medical history
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-assessment of the patient's health status |\ |\ |\ |\ |\




-paperwork necessary for intraoperative and postoperative care
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-completion of preoperative orders (antibiotics, ted hose, ect.)
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-patient education regarding the entire surgical process
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-patient and witness sign the informed consent
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-the initial "time-out" phase where the patient verifies
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information

,Informed Consent - CORRECT ANSWERS ✔✔is when a patient
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autonomously and cognitively grants permission to a provider to |\ |\ |\ |\ |\ |\ |\ |\ |\


perform a surgical procedure after considering all alternatives,
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benefits, and risks. |\ |\ |\




-This is the role of the provider BUT the nurse is to ensure the
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patient has all the information needed to make an informed
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decision.


Components of an informed consent: - CORRECT ANSWERS ✔✔-a |\ |\ |\ |\ |\ |\ |\ |\ |\


consent for the procedure itself (should include: 1. name, type
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and reason for surgery, 2. name of the surgeon to perform, 3.
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reason that intervention will benefit the patient, 4. all alternative
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options to surgery, 5. potential outcomes if surgery is not
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performed)
-consent for anesthesia (this is the role of the anesthesiologist or
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the nurse anesthetist to explain the type of anesthesia, risks, and
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meds used. The nurse's role is to ensure the patient understands
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the information.)
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-consent to administer blood products (must be witnessed by two
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people. In emergency situations, a verbal consent is acceptable
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until after surgery for paperwork. If no one is able to consent,
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two physicians must sign off on the need for it.
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A formal process of identification performed by the patient and
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the health-care team to identify the correct patient, correct
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procedure, and correct surgical site. - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\


✔✔Time-out, "Pause for Cause" |\ |\ |\




When and how many times does the time-out (Pause for Cause)
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occur? - CORRECT ANSWERS ✔✔Starts when the patient enters
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, the facility and receives a wristband with his/her information.
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After reviewing the wristband, the patient confirms all the
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information is correct and name the procedure and site. This is
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then performed again by the circulating nurse upon transfer to
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the surgical suite and once more immediately preceding incision
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by the entire team. The surgeon will then mark the surgical site
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with a permanent marker.
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Acceptable patient identifiers: - CORRECT ANSWERS ✔✔patient
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name, date of birth, social security number, photo printed on
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band, address, telephone number
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Complete preoperative patient assessment includes: - CORRECT
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ANSWERS ✔✔Patient history, advance directives, physical
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assessment, systems assessment. |\ |\




Patient history includes: - CORRECT ANSWERS ✔✔medical,
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surgical and anesthesia history, age, allergies, medications, last
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oral intake, alcohol/smoking and drug use.
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-all psychological questions (abuse at home), gynecological and
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mental illness questions must be asked with no other family or
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support person present. |\ |\




Physical assessment includes: - CORRECT ANSWERS ✔✔-height
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and weight: to assess the amount of medication needed and for
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larger patients to accommodate larger stretch, ect.
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-vital signs: bp, respirations, pulse, temp, o2, and pain using an
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age/mental appropriate scale. |\ |\




-system assessments: cardiovascular, respiratory, neurological,
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liver/renal, integumentary, gastrointestinal, genitourinary.
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