NUR 340 test 1 pre op
The pre-op nurse is preparing a 78 year old patient for a scheduled right knee
replacement. Which of the following should be addressed at this time related to the
quality indicators?
A. Start an IV to infuse the ordered cefazolin 1g IVPB
B. Give the patient a warm blanket for temp. of 97.2° (36.2° C)
C. Let the patient take their home dose of metoprolol
D. Complete the ordered prep using a razor to shave the right leg - answerB. Give the
patient a warm blanket for temp. of 97.2° (36.2° C)
What is SCIP - answerSurgical Care Improvement Project
-Evidence based used to prevent surgical complications (cut risk in half)
Why assess preop? - answer-Need a baseline, identify complications
-Renal, hepatic, cardiac, respiratory, allergies
What key assessments need to be completed pre-op? - answer-Allergies (reaction),
drug and alcohol use, mental state, vitals (baseline), nutritional status, med
reconciliation, mobility, smoking (blood clots, pneumonia, oxygen in blood), oral health
how can latex allergy manifest? - answerrash, asthma, or anaphylactic shock
Questions to ask Female with heavy menstrual periods - answerwhen was last period,
pregnancy test
Things to do someone for someone with HTN preop - answer-meds (what & when they
took it last), BP, EKG
Diabetes preop assessment - answer-blood sugar, meds (what and when took it last),
how long they've been PO, HG A1C
renal failures assessment preop - answer-Creatine, BUN, do they still urinate & how
much, if they go to dialysis, electrolytes (K+), edema
Elderly assessment preop - answer-balance, mobility, mental status, hepatic & renal
fxn, comorbidities (how long have they had them), temperature (usually colder)
Hepatic labs - answerliver enzymes AST, ALT
renal labs - answerBUN, creatinine, creatinine clearance (best indicator)
-What can NOT be delegated? - answerEAT!
The pre-op nurse is preparing a 78 year old patient for a scheduled right knee
replacement. Which of the following should be addressed at this time related to the
quality indicators?
A. Start an IV to infuse the ordered cefazolin 1g IVPB
B. Give the patient a warm blanket for temp. of 97.2° (36.2° C)
C. Let the patient take their home dose of metoprolol
D. Complete the ordered prep using a razor to shave the right leg - answerB. Give the
patient a warm blanket for temp. of 97.2° (36.2° C)
What is SCIP - answerSurgical Care Improvement Project
-Evidence based used to prevent surgical complications (cut risk in half)
Why assess preop? - answer-Need a baseline, identify complications
-Renal, hepatic, cardiac, respiratory, allergies
What key assessments need to be completed pre-op? - answer-Allergies (reaction),
drug and alcohol use, mental state, vitals (baseline), nutritional status, med
reconciliation, mobility, smoking (blood clots, pneumonia, oxygen in blood), oral health
how can latex allergy manifest? - answerrash, asthma, or anaphylactic shock
Questions to ask Female with heavy menstrual periods - answerwhen was last period,
pregnancy test
Things to do someone for someone with HTN preop - answer-meds (what & when they
took it last), BP, EKG
Diabetes preop assessment - answer-blood sugar, meds (what and when took it last),
how long they've been PO, HG A1C
renal failures assessment preop - answer-Creatine, BUN, do they still urinate & how
much, if they go to dialysis, electrolytes (K+), edema
Elderly assessment preop - answer-balance, mobility, mental status, hepatic & renal
fxn, comorbidities (how long have they had them), temperature (usually colder)
Hepatic labs - answerliver enzymes AST, ALT
renal labs - answerBUN, creatinine, creatinine clearance (best indicator)
-What can NOT be delegated? - answerEAT!
