Med-Surg 2 Exam 1

Informed consent includes how many components?

Which patient should the pre-operative nurse see first?

How long is the postictal phase?

Which patient presentation is indicative of a clinical diagnosis of multiple sclerosis?

How is a psychogenic nonepileptic attack different from a normal seizure?

Airway patency, respiratory rate & rhythm, need for O2, LOC & vital signs are priority assessments for post-op phase __

You can use warm irrigation and warm blankets during a surgical procedure to decrease the risk of hypothermia.

Phase 3 occurs only when patients require extended observation before discharge.

Consent for procedure, anesthesia & blood products along with the surgeons name, benefits/risks & surgical alternatives.

Easily arousable, stable BP & body temp, adequate airway maintenance, ventilation, nausea and pain control

If phenytoin is administered too quickly, which complication could potentially result?

The phase 2 post op nurse provides a lower level of care and focuses on what?

What is the priority assessment for a patient placed in the jackknife position (on top an A-frame table) for surgery?

A patient scheduled for abdominal surgery states he is concerned about post-op pain. Which action by the nurse is best?

Asking the patient if they have dental implants is part of the pre-op patient assessment.

The nurse should monitor the respiratory status of a patient in Trendelenburg's position due to a greater risk of what?

Which assessment finding would the nurse most likely observe in a patient during the preictal phase of a seizure?

What should always be checked multiple times and is "cause for a pause" before a surgery is to proceed?

This genetic disorder triggered by anesthesia causes tachycardia followed by severe muscle rigidity, and brown urine.

What patient teaching is necessary for someone prescribed phenytoin (Dilantin) for seizures?

Which action should the nurse take first when they notice that the post-op patient's dressing has a bright-red area?

A social security number is an acceptable patient identifier.

When blood is evident through a surgical dressing on the leg, what is the primary nursing intervention?

The surgeon obtains informed consent while the pre-op nurse is a witness to the informed consent.

Which patient is a priority based on extent of preoperative care needed?

Which first-line medications are used in the immediate treatment of seizures and status epilepticus?

A patient with this has an increased risk of DVT's and post-op pain following an operation.

In which state of a seizure is a patient most likely to have compromised airway and decreased level of consciousness?

Patients who can not physically sign but can make their own care decisions may sign their consent forms with an X

Skin color, urine output, nausea and vomiting, and malignant hyperthermia are priority assessments during phase 1.

How many phases of postoperative care are there?

What should the be the first things said to phase one patient who regained consciousness and comprehension?

During a pre-op assessment, which key objective data would the nurse collect regarding the cardiovascular system?

A patients medical record number and account number are acceptable patient identifiers.

This is a complicating factor for anesthesia.

A patient placed in the lateral position for surgery should have a pad under the lower axilla to decrease risk of what?

Clear liquids without pulp (grape juice, apple juice, etc.) can be given up to __ hours before surgery.

A PACU nurse should expect a phase 1 patient to have unstable BP and unstable surgical sites.

The nurse documents that a patient had an atonic seizure. Which situation did the nurse observe?

Solid foods may be given up to __ hours before surgery.

What should the PACU nurse see in the report from the general anesthesia care team?

It is the role of the preoperative nurse to obtain consent for the procedure.

This is necessary for discharge from a phase 2 post-op unit.

Which statement by the new nurse indicates teaching was effective regarding pre-op knee surgery patient preparation?

Nurses see the patient in the most pain first so their preop paperwork can be done so they can be medicated quickly.

What are the four priorities for the preoperative checklist?

Preoperative patient education, and advocation is whose responsibility?

Which post-op complication should the nurse anticipate in a patient with a history of chronic smoking?

Which medication would cause hypotension pre and post procedure?

When does phase 1 of the postoperative care begin?