Perioperative Notes-Exam1.docx

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Perioperative Notes-Exam 1Surgery 1. Inpatient Surgical Procedure A. Informed Consent (Read Med Surg ATIpg. 640/641) B. Nursing Care-Preoperative Teaching(Starts 1-2 days prior to ... Surgery) C. Client Education 2. Intraoperative Nursing Care: Anesthesia and Moderate Sedation A. General Anesthesia: (routes: inhalation and IV)- midazolam (Versed) 1. s: B. General Anesthesia: (Intravenous) S C. Conscious Sedation (Moderate-General) D. Risk Factors (complications): AIRWAY IS THE PRIORITY E. Nursing Actions: 1. 2. ) 3. Post-Op Nursing Care (ATI CH. 96) A. PACU Assessments and Interventions APPLY YOUR KNOWLEDGE 1. The physician asks the nurse to witness an informed consent. The nurse understands that a patient who is unable to give an informed consent for surgery is a: 3. The nurse is providing preoperative teaching to the following patients. To which patient should the nurse plan to teach coughing and deep breathing exercises? 4. A 58-year-old man with a recent diagnosis of prostate cancer is scheduled for a radical prostatectomy. Before signing the consent, the patient tells the nurse, “I am not sure if this surgery is safe.” Which response by the nurse is the most appropriate? a) . a) . 1. The nurse in an ambulatory surgery center has administered the following preoperative medications to a 42-year-old female patient scheduled for general surgery: diazepam (Valium), cefazolin (Ancef), and famotidine (Pepcid). What mode of transportation to the operating room (OR) would be the most appropriate for the nurse to arrange for this patient? a) Seated in a wheelchair accompanied by a responsible family member Rationale: The patient has received a sedative (diazepam) and should be transported either by stretcher (with side rails raised) or wheelchair and accompanied by either OR staff, OR transport personnel, or the nurse. Rationale: The correct way to get out of bed postoperatively is to roll onto the side, grasp the side rail to maneuver to the side, and then push up with one hand while swinging the legs over the side. 8. The perioperative nurse is reviewing the chart of a 48-year-old male patient who is being admitted into the operating room for a laminectomy. What information obtained from the chart review should be immediately discussed with the anesthesiologist? 9. [Show More]

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