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5 Written questions

5 Matching questions

  1. dehiscence
  2. Role of the SCRUB nurse
  3. nursing diagnosis (nursing process)
  4. COMMON FEARS ASSOCIATED WITH SURGERY
  5. hypocalcemia
  1. a serum level calcium <9.0
  2. b establish direction for care that is provided during one or all surgical phases. preventive care is essential for effective management of the surgical patient.
  3. c 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)
  4. d -performs surgical hand scrub
    -dons sterile gown and gloves aseptically
    -arranges sterile supplies and instruments with CIRCULATING nurse
    -gowns and gloves surgeons as they enter operating room
    -assists with surgical draping of patient
    -maintains neat and orderly sterile field
    -corrects breaks in aseptic technique
    -observes progress of surgical procedure
    -hands surgeon instruments, sponges, ans necessary supplies during procedure
    -identifies and handles surgical specimens correctly
    -maintains count of sponges, needles, and instruments so none will be misplaced or lost in wound
  5. e separation 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 Multiple choice questions

  1. include patient and family
    1 to 2 days before surgery
    clarify preoperative and postoperative events
    surgical procedure
    informed consent
    skin preparation
    gastrointestinal cleanser
    time of surgery
    area to be transferred, if applicable
    frequent vital signs
    turning, coughing, and deep-breathing exercises
    pain medication PRN
  2. assess neurologic functions, muscle strength, and response
    monitor drains, tubes, and color and amount of output.
    check for pressure, type, and color and condition of dressings
    evaluate pain response; may need to give analgesic and monitor patient response
    observe for allergic reactions
    assess urinary output if Foley catherer is in place
  3. hypoventilation can result from
    drugs (anesthetics, narcotics, tranquilizers, sedatives)
    incisional pain
    obesity
    chronic lung disease (COPD)
    pressure on the diaphragm
    atelectasis
    pneumonia
  4. having an interpreter (often a hired one) is important, depending of the sensitivity of the subject under discussion, because of modesty, a female family member is expected to be at the bedside to provide care and comfort. men are the decision makers and support the family; therefore speaking with the male head of the family may be necessary.
  5. cortisone or steroid use

5 True/False questions

  1. fluid volume, risk for deficient,decrease external stimuli
    reduce interruptions and eliminate odors

          

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

          

  3. respiratory preparationcharacterized by excessive retention of CO2 due to hypovention, increased carbonic acid causes H+ to increase, PH decreases

          

  4. causes of hypernatremiaWater loss or sodium gains

          

  5. breathing pattern, ineffective,related to: incisional pain
    analgesia effects on ventilation