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Nurs 232 Final Exam

Foundations of Nursing Care: Misc. Review for Final Exam

QuestionAnswer
A biopsy would be an example of which surgical purpose? Diagnostic (p. 743, box 25-1)
Describe an example of a surgical procedure performed for an "ablative" purpose. One that removes a diseased body part; e.g. cholecystectomy (p. 743, box 25-1)
Breast implants are an example of ___________ surgery. Constructive (p. 743, box 25-1) also, probably "elective" but that's debatable...especially if the client is already...nevermind.
Malnutrition can lead to all of the following EXCEPT what: a) decreased wound healing b) increased sexual appetite c) infection d) reduced energy There is no statistically significant evidence that malnutrition causes (b) increased sexual appetite...unless induced by excessive cocaine use.
Tranquilizers may interfere with surgical procedures in what way? May interact with anesthetics, causing increased respiratory depression
How might corticosteriods affect a client post-op? Could slow wound healing, promote infection.
Which types of drugs taken for mental status may interfere with anesthetic and/or analgesic medications? anticonvulsants, and antipsychotics
T/F antibiotics can increase surgical risk by potentiating anesthesia? True; potentiating (increasing) the anesthesia could be bad umkay? This is why we administer antibiotics starting one hour post-op for 24-72 hours.
Who is responsible for obtaining informed consent? The surgeon (745)
How might antidysrhythmics affect surgical risk? Reduce cardiac contractility, impair conduction
What is the overall goal in preoperative care? Client is mentally and physically ready for surgery (747)
T/F: Less time is needed for pre-op client to be NPO than once thought True: we no longer say, "ok, no more twinkles or beer starting at midnight," before one's scheduled surgery. (box 25-4; p. 748)
Why do we teach moving, and leg exercises to clients? Promotion of venous return (skill 25-1; 749) really, we want to get rid of them.
T/F clients should hold their breath for as along as comfortable when performing diagrammatic breathing. Nope. 2-3 seconds is all. (749)
Describe when, and how to do deep coughing. When: After 5 deep inhalations How: By inhaling deeply, holding a few seconds, and coughing DEEPLY; splint surgical incision with pillow if necessary
How often should deep breathing and coughing occur post-op? Every two hours, 5-ish breaths, 2-ish coughs.
What is a Bier block? An IV block involving arm, wrist, etc. where tourniquet is used proximal to injection to prevent spread of anesthetic.
What type of anesthetic might one receive for their endoscopy? Conscious sedation. Otherwise to would be a serious pain in the ass.
What is the nurses overall goal with intra-operative client? Safety, and homeostasis
What are the three primary respiratory complications post-op? Pneumonia, atelectasis, PE (759)
What are the clinical signs of pneumonia? Elevated temp, blood-tinged sputum, SOB, chest pain
What are the clinical signs of atelectasis? SOB, tachypenia, tachycardia; diaphoresis, anxiety, pleural pain, diminished to absent lung sounds, decreased SpO2 sat
What are the clinical signs of PE (pulmonary embolism)? Sudden chest pain, SOB, cyanosis, shock (tachycardia, low BP)
What are the possible postoperative issues associated with the circulatory system? Hypovolemia, hemorrhage, hypovolemic shock, thrombophlebitis, thrombus, embolus (759)
What are the S/S of hypovolemia/shock Tachycardia, low bp, low urine output; weak thready pulse, short/rapid breathing, restlessness, anxiety
What are the S/S of thrombophlebitis? thrombophlebitis is inflammation of veins usually cut to a clot; S/S are: aching/cramping, localized swelling, redness, heat, veins hard, + humans sign
What are the S/S of arterial thrombus? pain, pallor, decreased or absent pulses
What are the potential postoperative problems with respect to the urinary system? Urinary retention, UTI
What are the S/S of urinary retention? Uneven I/O, inability to void, or frequent voiding in small amounts; distended bladder, suprapubic discomfort, restlessness
What are the S/S of UTI? Burns when you piss, urgency, cloudy urine, lower abdominal pain
What are the bowel elimination-related post op complications? N/V, constipation, tympanites, postop illeus
What are the S/S of constipation? See Theodore Danger McBeavan's profile image on FB
WTF are tympanites? Armored men playing kettle drums.
Really, WTF are tympanites? gasses retained post-op w/in the intestines; S/S: abdominal dissension and discomfort (think: causes tympani, from back in 228)
What are the S/S of "post-op" illeus. Abdominal distention/pain, constipation, absence of bowel sounds
What are the post-op complications associated with skin? Wound infection, dehiscence and evisceration
What are the S/S of wound evisceration? There are organs coming out of the incision...that's all.
Is consent for vaccine legally required? No, but distribution of most current VIS (vaccine information sheet) is.
What is a VIS? A vaccination information sheet providing basic information regarding risks/benefits of specific vaccines. Can be found at CDC.org
What are some contraindications for vaccines? Previous life-threatening hypersensitivity, pregnancy, hx of guillian-barre syndrome, and whatever the VIS says.
Elizabeth presents in her doctor's office for her annual influenza vaccination. The nurse notices that Liz has a mild cough, and rhinitis. How should the nurse respond? The nurse should give her the damn shot: according to Amy, we no longer concern ourselves with cold/cough/runny nose with regards to vaccines.
Who has access to VAERS? (Vaccine Adverse Event Reporting System) Everyone, including Tupac's hologram can check out data from this recording system.
Jake arrives at his family physician's office C/O rash and soreness at the site of a recent injection of a scabies vaccine. Upon further examination the nurse finds all VS WNL, save a tympanic temperature of 99.9. How should the nurse respond to Jake? The nurse should instruct the client to "shut the f up," as these minor side effects are NOT uncommon.
Created by: scottheadrick