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NP2 UNIT 4/ SURGICAL Flashcards | StudBud
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NP2 UNIT 4/ SURGICAL
NP2 UNIT 4/ SURGICAL
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Answers
1
Urine output and minimal pain are crucial factors in consideration for discharge from same-day surgery
True
False
2
Which factor is NOT a factor in a focused pain assessment?
Psychological factors
Contributing factors
Verbal indicators
Culture
Non-verbal indicators
History of pain experience
3
Sets standards related to pain state that all patients have a right to appropriate assessment and management of pain
Board of Nursing
AMA
CIA
JCAHO
4
normal platelet level
11 mm3-12.5 mm3
150,000 mm3- 400,000 mm3
50,000 mm3-100,000 mm3
140,000 mm3-18,000 mm3
5
A consent for blood transfusion is in included in all surgical consents
False
True
6
Which lab indicates polycythemia?
Hematocrite 52%
Hemogolbin 18 g/dl
Red blood cell 5.8 million cells/mcl
White blood cell 10mm
7
A postop patient who has had brain surgery should avoid using the incentive spirometer
True
False
8
Outpatient criteria for discharge are: sufficient urine output and pain control
True
False
9
Use of a local anesthetic at the surgical site PLUS intravenous systemic analgesia.
General Anesthesia
Conscious Sedation
Regional Anesthesia
Local Anesthesia
10
delayed healing is a concern for the very young patient
True
False
11
Paralytic Ileus symptom
Abscent bowel sounds
Abdominal cramping
Constipation
fever
12
Definition of atelectasis:
Collapse of alveoli
Pneumonia
Infection in lower bases of lungs
Adventicious breath sound
13
To help prevent surgical site infections in diabetic patients, the blood glucose should be
<
_ mg/d preoperatively
200
120
140-180
140
14
Observing for breaks in sterile technique is primarily the responsibility of the:
Charge nurse
Scrub tech
Surgeon
Circulating nurse
15
Which lab value indicates the patient is at risk for bleeding
PT 10/INR 0.8-1.2
Hematocrite 20.2
PT 17/INR 3.0
Hemoglobin 9
16
Pain is considered the 5th vital sign
False
True
17
TCDB is important after brain surgery
True
False
18
Which is a priority for a 1 day post-op patient with an NG tube?
Pain assessment q 4 hours
NG output q 4 hours
Vital signs q 4 hrs
Abdominal assessment q 4 hours
19
Symptom/s of pulmonary embolism
decreased pulse
Increased WBC
chest pain
shortness of breath
20
Any member of the perioperative team can obtain the surgical consent
False
True
21
Symptom/s of dehydration (SATA)
increased skin turgor
weight loss
elevated pulse
clear urine
22
reduces patient anxiety about pain by giving the patient more control in its management.
Narcotic medication
Pain scale assessments
non-pharm pain management
PCA pump
23
Symptoms of Hemorrhage (SATA)
Large amount of bleeding
numbness of lips
Increased pulse
decreasing B/P
24
Symptoms of thrombophlebitis
Fever
Low O2 saturation
Warmth
Edema
25
National Patient Safety Goal instituted a directive that prior to presurgical medication, each patient must: SATA
Participate in marking the surgical site.
Have the surgeon explain the procedure prior to signing consent.
Be advised of the risks and benefits of surgery
Sign a consent form
26
pulmonary embolus symptom
headache
Rhonchi
polycythemia
shortness of breath chest pain
27
The purpose of an abdominal binder is:
Prevent dehiscense
Prevent evisceration
Back support
Supporting surface and internal tissues
28
Important factors for a Jackson Pratt (JP) Drain: Select all that apply
Observe for bright red drainage
Patency
empty when half full
asceptic technique
Curl, fold, and pin the tubing
Decompression
29
Match the problem/sto the sign/symptom/s: Atelectasis SATA
Decreased breath sounds
Chills
Fever
Dyspnea
30
Common postop risk factors for pulmonary embolism (PE) SATA
Orthopedic (especially hip/knee)
CLOTTING DISORDER
CANCER
Prolonged immobility
OBESITY
SMOKING