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5 Written Questions

5 Matching Questions

  1. causes of hypercalcemia
  2. COMMON FEARS ASSOCIATED WITH SURGERY
  3. the true statement regarding informed consent:
  4. B
  5. coping, ineffective,
  1. a the witness of a consent form is only verifying that this is the person who signed the consent and that it was a voluntary consent. the witness (often a nurse) is not verifying that the patient understands the procedure.
  2. b related to:
    constraints imposed by surgery
    postoperative therapies
  3. c Excessive oral intake; renal failure; malignancy; dehydration, osteoporosis
  4. d bleeding tendencies or the use of medications that deter clotting, such as ASPIRIN or products containing ASPIRIN, HEPARIN, OR WARFARIN SODIUM. HERBAL medications may also increase bleeding times or mask potential blood-related problems.
  5. e fear of LOSS of control (anesthesia)
    fear of the unknown (outcome, lack of knowledge)
    fear of anesthesia (waking up)
    fear of pain or inadequate post operative analgesia (pain control)
    fear of death (surgery, anesthesia)
    fear or separation from the usual support group
    fear of disruption of life patterns (ADLs, work, social activities, professional activities)
    fear of change in body image and mutilation
    fear of detection of cancer (produces high anxiety level)

5 Multiple Choice Questions

  1. malnutrition, alcohol use, renal failure, resp. alkalosis
  2. assess every 2 hours for distention
    report no urine output after 8 hours
    measures to promote urination:
    running water
    hands in warm water
    ambulate to bathroom
    males stand to void
    ACCURATE INTAKE AND OUTPUT
    30 ml per hour minimum
  3. the patient's Bill of Rights affirms that patients must give (permission to perform a specific test or procedure) before the beginning of any procedure. in signing the consent form, the patient must be competent and agrees to have the procedure that is state on the form.

    information must be clear
    risk explained
    consequences understood
    alternatives discussed
    ability to understand (language, disabilities)
  4. cortisone or steroid use
  5. related to:
    impending surgery
    anticipation of postoperative pain

5 True/False Questions

  1. manifestations of hypercalcemiaCardiovascular changes most serious- mild increases rate and BP, severe slows, blood clots, severe muscle weakness, pathogenic fractures

          

  2. manifestations of hyperkalemiaimpaired nerve excitement and transmission, muscle weakness, cardiac dysrhythmias, assess respiratory status first; paralytic ileus; alkalosis, tachycardia

          

  3. hypernatremiaExtracellular fluid volume excess (circulatory overload); retention of sodium and water in intravascular and interstitial spaces

          

  4. Chvostek's signtap face just below and in front of ear (over) facial nerve to trigger facial twitching on one side of face, nose and cheek

          

  5. CLASSIFICATION FOR SURGICAL PROCEDURESADMISSION STATUS
    SERIOUSNESS
    URGENCY
    PURPOSE

          

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