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NT-1530 Test 1 Flashcards | StudBud
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NT-1530 Test 1
NT-1530 Test 1
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Wellness Illness Continuum and Care of the Surgical Patient
Flashcards
27 cards
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Practice quiz
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Questions
27
Answers
1
A surgeon has approved a patient with a WBC of 14,000 pre-op where should this be documented in handoff to the OR team
Situation
Assessment
Recommendation
Background
2
When promoting wellness, why is it important to consider client preferences?
To avoid discussion topics that may cause discomfort
To ensure adherence to generic health plans
To align clients' goals with the nurses expectations
To respect cultural, personal, and lifestyle choices
3
A patient has fallen and broken their leg, where would this information go in the SBAR?
Recommendation
Assessment
Situation
Background
4
Which factor contributes most to health literacy challenges?
Complex medical terminology and communication barriers
Proximity to healthcare facilities
Universal health insurance coverage
high levels of functional literacy in the population
5
Whose responsibility is it to obtain the informed consent for a surgical procedure?
The client
The anesthesiologist
The nurse
The surgeon
6
What is the primary focus during the perioperative phase
Educating the patient as soon as they come out of surgery
Decreasing infection and complications
Starting the antibiotic three hours prior to surgery
Obtaining the consent 24 hours prior to surgery
7
Which is important in preparing the client for surgery?
Do not look in their mouth when doing a head to toe
Allowing them to have breakfast prior to surgery
Do not do a head to toe prior to surgery
Encourage them to share their feelings
8
Which of the following is a benefit of using a Patient-Controlled Analgesic (PCA)?
Empowers the client to manage their own pain relief
Allows family members to control medication delivery
Ensures a consistent dose of medication every hour
Eliminates the need for oral pain medications
9
Which word is not a description of the tight stockings worn to prevent DVTs?
Sport Hose
Thromboembolic Deterrent Hose
TED Hose
Anti-Embolic Stockings
10
Which pre-op patient needs to be brought to the surgeons attention?
WBC count of 14,000
Sodium of 147
Potassium of 4
Platelet count of 125,000
11
A patient is having a major surgery, what type of sedation is expected?
General Anesthesia
Minimal Sedation
Spinal Anesthesia
Moderate Sedation
12
All of these will prevent post-op complications except?
Early ambulation
Cough and deep breathe
Waiting to ambulate post op day two
Wearing ted hose and SCD's
13
If the patient has a question about the procedure, who do they ask?
Nurse
Charge Nurse
Primary Care Physician
Surgeon
14
Which of the following is NOT a risk factor of atherosclerotic cardiovascular disease?
High blood pressure
Sex
Age
Low blood pressure
15
When a patient is receiving spinal anesthesia what complication could occur?
Fever
Headache
Hypertension
Decreased post-op pain
16
What is a critical responsibility of a nurse in transplant therapy?
Only monitoring the recipient for complications
Stressing the importance of avoiding illness due to the immunosuppressants
Handling all legal documentation for organ transplants
Performing the surgical procedure
17
Patients who drink alcohol are at greater risk of all except
Portal hypertension
High fevers
Liver disease
Bleeding
18
Which is an example of tertiary prevention?
Colonoscopy
Reading food labels
Not ever smoking
Immunizations
19
What should the nurse ask the patient prior to giving any pain medications post op?
Are you a drug addict?
I see you have been taking oral pain meds, would you like IV now?
Where is the pain located?
Can you wait until after I have lunch?
20
Taking ones blood pressure frequently would be an example of
Primary Prevention
Quaternary
Secondary Prevention
Tertiary Prevention
21
Which is NOT included in alternate pain management therapy?
Applying ice
Distraction
Oral pain medication
Music
22
Which should NOT be a part of post op education?
Cough and deep breath
Massage your calves regularly
Use incentive spirometer 10 times per hour while awake
Assess for yellow or green drainage from wound
23
What are social determinants of health?
They are unaffected by individual choices
They are conditions that affect a person's well-being
They exclusively impact financial dimensions of wellness
They ensure equal access to healthcare for all
24
Which of the following would be a primary prevention?
Mammogram
Immunizations
Reading food labels
Not drinking alcohol
25
Which patient would have the lowest priority to see post op?
A patient who has obstructive sleep apnea who just had a shoulder replaced
A client who just had a hip replacement
A client who had no medical history and had a cholecystectomy
A patient who drinks heavily who just had an esophageal stretch
26
Which strategy is important for healthcare professionals to maintain their wellness?
Practice self-care and stress resiliency techniques
Prioritized work over personal well-being
Focus solely on physical health to manage stress
Avoid seeking mental health services to reduce stigma
27
What is the nurses role in informed consent?
Explain risks and benefits
Witness and acknowledge understanding of the procedure
Obtain consent
Explain types of anesthesia