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5 Written questions

5 Matching questions

  1. oral mucous membrane, impaired,
  2. preparing for the postoperative patient
  3. hypermagnesemia
  4. later postoperative phase
  5. the true statement regarding informed consent:
  1. a related to:
    irritation of NG or endotracheal tube
    NPO status
  2. b if 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
  3. c 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.
  4. d nursing unit
    immediate assessments
    vital signs
    incisions sites
    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. e serum magnesium > 2.1

5 Multiple choice questions

  1. 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)
  2. serum level calcium <9.0
  3. induction the stage of general anesthesia that includes the administration of anesthetic agents and endotracheal intubation.
  4. analgesics
    offer every 3 to 4 hours
    acute pain- first 24 to 48 hours
    methods of medication administration
  5. Cardiovascular changes most severe problem; packed T waves, prolonged PR intervals

5 True/False questions

  1. Major anionsHCO-3. CL-,


  2. causes of hypokalemiamedical and surgical treatments; absorption from GI tract slows, calcium is lost; parathyroid gland function is decreased; alcoholism


  3. transport to the operating roomcompare patient's ID bracelet to the medical record
    assist patient to stretcher
    direct family to appropriate waiting area. if family members plan to leave during the procedure, ensure there is a way to contact them and give them phone numbers of the nurse's station and patient's room.


  4. dehiscenceseparation of a surgical wound
    3 days to 2 weeks postoperatively
    sutures pull loose
    wound separation after 2 weeks is usually associated with metabolic factors such as cahexia (ill health, malnutrition, and wasting as a result of chronic disease)


  5. fear,nontraditional analgesia
    -imagery -happy place
    -biofeeback - teach of happy thoughts to your patient and their effects
    -relaxation- (soft music, medication, deep breathing, ventilation of feelings)