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5 Written questions

5 Matching questions

  1. RISK FACTORS FOR OLDER PATIENTS
  2. gastrointestinal preparation
  3. causes of hyphosphatemia
  4. hyperkalemia
  5. manifestations of hypercalcemia
  1. a risk of aspiration
    atelectasis - lung collapse
    pneumonia
    thrombus formation
    infection
    altered tissue perfusion

    DISORIENTATION OR TOXIC reactions can occur in the older adult relate to the administration of anesthetics, sedatives, or analgesics. these reactions are often present for day after administration of the medication
  2. b NPO after midnight (6 to 8 hours)
    documentation
    comfort measures to reduce patient's feelings of "dryness"
    Bowel cleanser
    rationale for use
    contraindications
    agents used
  3. c Serium potassium >5.0
  4. d malnutrition, alcohol use, renal failure, resp. alkalosis
  5. e Cardiovascular changes most serious- mild increases rate and BP, severe slows, blood clots, severe muscle weakness, pathogenic fractures

5 Multiple choice questions

  1. conscious sedation a routine type of sedation that might be used for a surgical procedure that does NOT require COMPLETE anesthesia but rather a DEPRESSED level of consciousness. a patient under conscious sedation MUST independently retain a patent airway and airway reflexes and be ab;e to respond appropriately to a physical and verbal stimuli.
  2. 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.
  3. intracranial pressure, it is usually contraindicated in cranial, spinal and cataract surgery
  4. turn, cough, and deep-breathe every 2 hours
    analgesics
    early mobility
    frequent positioning
  5. nursing unit
    immediate assessments
    vital signs
    IV
    incisions sites
    tubes
    postoperative orders
    body system assessment
    site rails up
    call light in reach
    position on side or head of the bed up 45 degrees (reduces chances of patient aspirating vomitus)
    emesis basin at bedside
    note amonunt adn appearance of emesis report any red or coffee-ground emesis immediately
    NPO until ordered and patient is fully awake
    assess for signs and symptoms of shock

5 True/False questions

  1. nursing intervention for dehiscence or eviscerationNPO after midnight (6 to 8 hours)
    documentation
    comfort measures to reduce patient's feelings of "dryness"
    Bowel cleanser
    rationale for use
    contraindications
    agents used

          

  2. Causes of hyponatremiaWater loss or sodium gains

          

  3. spinal anesthesiaserum magnesium level < 1.3

          

  4. MNEMONIC DEVICE TO ASCERTAIN SERIOUS ILLNESS OR TRAUMA IN THE PREOPERATIVE PATIENTif the patient was hospitalized before surgery and will return to the same nursing unit, prepare the bed and room for the patient's return. arrange furniture so that the gurney can easily be brought to the bedside. place the bed in the HIGH position with the bed rails down on the receiving side and up on the other side. a postoperative bedside unit should include the following:
    sphygmomanometer, stethoscope, and thermometer
    emesis basin
    clean gown
    wash cloth, towel, and facial tissues
    IV pole and pump
    suction equipment
    oxygen equipment
    extra pillows ans bed pads
    PCA pump, as needed

          

  5. comfort measures for paindecrease external stimuli
    reduce interruptions and eliminate odors

          

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