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5 Written Questions

5 Matching Questions

  1. venous stasis
  2. respiratory preparation
  3. assessment of pain subjective
  4. transport to the operating room
  5. role of circulating nurse
  1. a prepares equipment and supplies, arranges supplies-sterile and non-sterile, sends for patient, visits with patient preop: verifies operative permit, identifies patient and answers questions; performs patient assessment; checks medical record; assists in transfer of patient; positions patient on operating table, counts sponges, needles, and instruments before surgery; assists srub nurse in arranging tables for sterile field; maintains continuous astute observations during surgery to anticipate needs of patient, scrub nurse, surgeon and anesthesiologist; provides supplies to scrub nurse as needed; observes sterile field closely; cares for surgical specimens; documents operative recor and nurse' notes; counts sponges, needles and instruments when closure of wound begins; transfers patient to the stretcher for transport to recovery area; accompanies patient to the recovery roo and provides a report
  2. b compare patients ID bracelet to the medical record, assist patient to stretcher, direct family to appropriate waiting area
  3. c incentive spirometry, prevent or treat atelectasis, improve lung expansion, improve oxygenation,
  4. d normal flow of blood through the vessels is slowed, assessment: palpate pedal pulses and note skin color and temp; assess for edema, aching, cramping in the calf, Homans' sign
  5. e the patient's description of discomfort (scale 1-10)

5 Multiple Choice Questions

  1. preop preparations, IV, preop medications, skin prep (hair removal)
  2. young and older patients metabolic needs such as temperature changes, cardiovascular shifts, respiratory needs, and renal function, may not respond to physiological changes quickly
  3. normal bladder habits, instruct patient about postop palpation of bladder, urinary catheter may be inserted
  4. results in immobile, quiet patient who does not recall the surgical procedure, analgesia, amnesia, muscle relaxation and unconsciousness occur, inhalation, oral, rectal, or parenteral routes
  5. abnormal condition char by the collapse of lung tissue or pneumonia may be developing. Sudden chest pain combines with dyspnea, tachycardia, cyanosis, diaphoresis, and hypotension are signs of pulmonary embolism

5 True/False Questions

  1. later postop phase incisionvital signs, IV, incisional sites, tubes, postop orders, body system assessment, side rails up, call light in reach, position on side or HOB up 45 degrees, emesis basin at bedside; note amount and appearance of emesis; npo until ordered and patient is fully awake; assess for signs and symptoms of shock

          

  2. informed consentcompetent, mentally able to understand, should not be under the influence of pain medications; agrees to procedure, information clear, risks explained, benefits identified, consequences understood, alternatives discussed, ability to understand

          

  3. assessment of pain objectivethe patient's description of discomfort (scale 1-10)

          

  4. nursing diagnosisairway clearance, ineffective; body temp, risk for imbalanced; breathing pattern, ineffective; communication, impaired verbal; coping, ineffective; fluid volume, risk for deficient; grieving, anticipatory; infection, risk for; mobility, impaired physical; oral mucous membrane, impaired; self-care deficit; skin integrity, risk for impaired

          

  5. nutritional factorsprotection against infection before, during or after surgery by the use of sterile technique

          

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