Podcast
Questions and Answers
In the perioperative setting, what is the MOST important role of the registered nurse in relation to the multidisciplinary team?
In the perioperative setting, what is the MOST important role of the registered nurse in relation to the multidisciplinary team?
- Enforcing strict adherence to surgical protocols, resolving conflicts and directing team activities.
- Delegating tasks to all members of the paramedical team to ensure efficiency.
- Serving as the primary point of contact and coordinator for patient care, integrating the contributions of all team members. (correct)
- Focusing primarily on medication administration while relying on other team members for patient assessment and communication.
Which of the following BEST describes the sequence of physiological events leading to the conscious perception of pain following tissue injury?
Which of the following BEST describes the sequence of physiological events leading to the conscious perception of pain following tissue injury?
- Tissue injury, transmission, transduction, perception, pain modulation.
- Tissue injury, perception, transmission, transduction, pain modulation.
- Tissue injury, transduction, transmission, perception, pain modulation. (correct)
- Tissue injury, pain modulation, transduction, transmission, perception.
Which National Safety and Quality Health Service Standard is MOST directly related to ensuring comprehensive and coordinated care during the perioperative period?
Which National Safety and Quality Health Service Standard is MOST directly related to ensuring comprehensive and coordinated care during the perioperative period?
- Comprehensive Care. (correct)
- Medication Safety.
- Recognising and Responding to Acute Deterioration.
- Communicating for Safety.
A patient in the recovery room exhibits increasing restlessness, a falling SpO2, and rising heart rate. What is the MOST appropriate initial nursing intervention?
A patient in the recovery room exhibits increasing restlessness, a falling SpO2, and rising heart rate. What is the MOST appropriate initial nursing intervention?
A patient who has undergone major bowel surgery has a serum sodium level of 128 mEq/L. Which type of intravenous fluid would MOST cautiously address this imbalance?
A patient who has undergone major bowel surgery has a serum sodium level of 128 mEq/L. Which type of intravenous fluid would MOST cautiously address this imbalance?
What mechanism primarily drives fluid movement between the interstitial and intracellular fluid compartments?
What mechanism primarily drives fluid movement between the interstitial and intracellular fluid compartments?
During the perioperative period, which clinical manifestation would indicate a fluid volume deficit?
During the perioperative period, which clinical manifestation would indicate a fluid volume deficit?
Which factor is MOST significant in the pathogenesis of breast cancer?
Which factor is MOST significant in the pathogenesis of breast cancer?
A patient is scheduled for a sentinel lymph node biopsy. What is the PRIMARY purpose of this procedure in the management of breast cancer?
A patient is scheduled for a sentinel lymph node biopsy. What is the PRIMARY purpose of this procedure in the management of breast cancer?
What is the underlying pathophysiology of lymphedema following breast cancer treatment?
What is the underlying pathophysiology of lymphedema following breast cancer treatment?
What is the MAIN importance of critically appraising evidence before implementing changes in nursing practice?
What is the MAIN importance of critically appraising evidence before implementing changes in nursing practice?
In quantitative research, what is the PRIMARY rationale for conducting sampling?
In quantitative research, what is the PRIMARY rationale for conducting sampling?
Which of the following BEST describes the concept of pharmacokinetics?
Which of the following BEST describes the concept of pharmacokinetics?
A drug that binds to a receptor and prevents the action of an endogenous substance is known as what?
A drug that binds to a receptor and prevents the action of an endogenous substance is known as what?
When administering medications to treat infections, what is the MOST important nursing consideration related to antimicrobial resistance?
When administering medications to treat infections, what is the MOST important nursing consideration related to antimicrobial resistance?
Following a mastectomy, a patient reports persistent swelling in their affected arm. What is the MOST likely underlying cause of this chronic condition?
Following a mastectomy, a patient reports persistent swelling in their affected arm. What is the MOST likely underlying cause of this chronic condition?
You notice a postoperative patient's wound has separated, with underlying tissues exposed. Which intervention is the MOST appropriate initial nursing action?
You notice a postoperative patient's wound has separated, with underlying tissues exposed. Which intervention is the MOST appropriate initial nursing action?
A patient's blood pressure drops suddenly during surgery. What compensatory mechanism is the body MOST likely to activate initially?
A patient's blood pressure drops suddenly during surgery. What compensatory mechanism is the body MOST likely to activate initially?
Which statement BEST describes the primary role of the scrub nurse during a surgical procedure?
Which statement BEST describes the primary role of the scrub nurse during a surgical procedure?
Following a total hip arthroplasty, a patient reports severe pain that is unrelieved by opioid analgesics. What is the MOST appropriate next step?
Following a total hip arthroplasty, a patient reports severe pain that is unrelieved by opioid analgesics. What is the MOST appropriate next step?
A patient develops acute shortness of breath and crackles in the lungs shortly after a large volume crystalloid infusion. What is the MOST likely cause of these findings?
A patient develops acute shortness of breath and crackles in the lungs shortly after a large volume crystalloid infusion. What is the MOST likely cause of these findings?
A research study aims to determine the effect of a new pain management protocol on patient satisfaction scores. What research approach is MOST appropriate?
A research study aims to determine the effect of a new pain management protocol on patient satisfaction scores. What research approach is MOST appropriate?
Which of the following BEST illustrates the application of evidence-based practice (EBP) in nursing?
Which of the following BEST illustrates the application of evidence-based practice (EBP) in nursing?
A study's inclusion criteria specify that participants must be over 65 years of age with a diagnosis of type 2 diabetes. What is the PRIMARY purpose of these criteria?
A study's inclusion criteria specify that participants must be over 65 years of age with a diagnosis of type 2 diabetes. What is the PRIMARY purpose of these criteria?
A patient receiving an immunosuppressant medication develops a fever, cough, and shortness of breath. Which opportunistic infection is MOST likely?
A patient receiving an immunosuppressant medication develops a fever, cough, and shortness of breath. Which opportunistic infection is MOST likely?
A patient asks why they are receiving an antibiotic prior to surgery. Which response BEST explains the rationale for prophylactic antibiotic administration?
A patient asks why they are receiving an antibiotic prior to surgery. Which response BEST explains the rationale for prophylactic antibiotic administration?
A patient is prescribed an opioid analgesic for chronic pain. What is the MOST important nursing consideration regarding potential adverse effects?
A patient is prescribed an opioid analgesic for chronic pain. What is the MOST important nursing consideration regarding potential adverse effects?
What is the PRIMARY mechanism of action by which nonsteroidal anti-inflammatory drugs (NSAIDs) relieve pain and inflammation?
What is the PRIMARY mechanism of action by which nonsteroidal anti-inflammatory drugs (NSAIDs) relieve pain and inflammation?
During a preoperative assessment, a patient reports taking St. John's Wort. What is the MOST important consideration for the nurse related to this herbal supplement?
During a preoperative assessment, a patient reports taking St. John's Wort. What is the MOST important consideration for the nurse related to this herbal supplement?
A patient receiving chemotherapy develops neutropenia. What is the MOST critical nursing intervention to prevent infection?
A patient receiving chemotherapy develops neutropenia. What is the MOST critical nursing intervention to prevent infection?
During the perioperative period, what is the MOST appropriate nursing intervention to prevent medication errors?
During the perioperative period, what is the MOST appropriate nursing intervention to prevent medication errors?
How would the healthcare clinician use evidence-based practice (EBP) to address a high incidence of surgical site infections (SSIs)?
How would the healthcare clinician use evidence-based practice (EBP) to address a high incidence of surgical site infections (SSIs)?
After induction of anesthesia, a patient's blood pressure suddenly drops. What is the MOST appropriate FIRST nursing action?
After induction of anesthesia, a patient's blood pressure suddenly drops. What is the MOST appropriate FIRST nursing action?
A patient receiving opioid analgesics postoperatively exhibits signs of respiratory depression. Which medication would the nurse MOST likely administer?
A patient receiving opioid analgesics postoperatively exhibits signs of respiratory depression. Which medication would the nurse MOST likely administer?
A researcher aims to investigate the lived experiences of patients undergoing chemotherapy. Which research approach is MOST suitable?
A researcher aims to investigate the lived experiences of patients undergoing chemotherapy. Which research approach is MOST suitable?
A patient with a history of chronic pain is scheduled for surgery. What is the MOST appropriate approach to pain management?
A patient with a history of chronic pain is scheduled for surgery. What is the MOST appropriate approach to pain management?
What is the PRIMARY reason for monitoring a patient's serum electrolyte levels (e.g., sodium, potassium) during and after major surgery?
What is the PRIMARY reason for monitoring a patient's serum electrolyte levels (e.g., sodium, potassium) during and after major surgery?
A patient who underwent a mastectomy reports numbness and tingling in the surgical area. What is the MOST likely cause of this sensation?
A patient who underwent a mastectomy reports numbness and tingling in the surgical area. What is the MOST likely cause of this sensation?
Which action exemplifies the registered nurse's role in coordinating care within the perioperative multidisciplinary team?
Which action exemplifies the registered nurse's role in coordinating care within the perioperative multidisciplinary team?
What is the PRIMARY purpose of critically appraising a research article before applying its findings to clinical practice?
What is the PRIMARY purpose of critically appraising a research article before applying its findings to clinical practice?
In quantitative research, what differentiates a simple random sample from a stratified random sample?
In quantitative research, what differentiates a simple random sample from a stratified random sample?
What is the PRIMARY difference between a drug agonist and a drug antagonist?
What is the PRIMARY difference between a drug agonist and a drug antagonist?
A patient is prescribed an antibiotic, and the nurse provides education on antimicrobial resistance. What statement indicates the patient UNDERSTANDS the teaching?
A patient is prescribed an antibiotic, and the nurse provides education on antimicrobial resistance. What statement indicates the patient UNDERSTANDS the teaching?
A postoperative patient has a nasogastric (NG) tube set to low intermittent suction. Which clinical finding indicates the patient is developing a fluid volume deficit?
A postoperative patient has a nasogastric (NG) tube set to low intermittent suction. Which clinical finding indicates the patient is developing a fluid volume deficit?
What is the PRIMARY reason for administering prophylactic heparin or enoxaparin to a patient following major surgery?
What is the PRIMARY reason for administering prophylactic heparin or enoxaparin to a patient following major surgery?
Flashcards
Perioperative Registered Nurse Role
Perioperative Registered Nurse Role
The registered nurse is responsible for patient care during each of the three phases of surgery: Preoperative, Intraoperative, and Postoperative.
Perioperative Team
Perioperative Team
Involves physicians, surgeons, anesthesiologists, surgical technicians, and other healthcare professionals to help provide optimal patient care.
Pathophysiology of Pain
Pathophysiology of Pain
Tissue injury leads to the release of chemical mediators, activating pain receptors and sending signals to the brain, resulting in the conscious perception of pain.
Multidisciplinary Pain Treatment
Multidisciplinary Pain Treatment
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Safety Standards
Safety Standards
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Care of Deteriorating Patient
Care of Deteriorating Patient
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Nursing Interventions for Deterioration
Nursing Interventions for Deterioration
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Tonicity of Fluids
Tonicity of Fluids
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Fluid Replacement Therapy
Fluid Replacement Therapy
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Body Fluid Shifts
Body Fluid Shifts
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Fluid Shift Mechanisms
Fluid Shift Mechanisms
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Fluid Compartments
Fluid Compartments
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Effects of Fluid Alterations
Effects of Fluid Alterations
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Fluid Deficit Manifestations
Fluid Deficit Manifestations
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Evidence-Based Practice (EBP)
Evidence-Based Practice (EBP)
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Critically Appraising Evidence
Critically Appraising Evidence
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Primary Sources
Primary Sources
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Secondary Sources
Secondary Sources
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Scholarly Literature
Scholarly Literature
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Quantitative Research
Quantitative Research
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Qualitative Research
Qualitative Research
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Sampling in Quantitative Research
Sampling in Quantitative Research
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Selection Criteria
Selection Criteria
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Data Collection Methods
Data Collection Methods
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Pharmacokinetics
Pharmacokinetics
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Pharmacodynamics
Pharmacodynamics
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Agonist
Agonist
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Antagonist
Antagonist
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Therapeutic Effect
Therapeutic Effect
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Adverse Effects
Adverse Effects
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Breast Cancer Risk Factors
Breast Cancer Risk Factors
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Clinical Manifestations
Clinical Manifestations
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Breast Cancer Pathophysiology
Breast Cancer Pathophysiology
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Diagnosing Breast Cancer
Diagnosing Breast Cancer
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Surgical Breast Cancer Treatments
Surgical Breast Cancer Treatments
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Pharmacological Breast Cancer Treatments
Pharmacological Breast Cancer Treatments
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Lymphedema Pathophysiology
Lymphedema Pathophysiology
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Value of Research in Nursing
Value of Research in Nursing
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Components of EBP
Components of EBP
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Clinician's Role in EBP
Clinician's Role in EBP
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EBP and Professional Standards
EBP and Professional Standards
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Refining a Research Idea
Refining a Research Idea
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Conducting a Literature Search
Conducting a Literature Search
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Types of Quantitative Sampling
Types of Quantitative Sampling
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Sampling Selection Criteria
Sampling Selection Criteria
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Study Notes
- Perioperative registered nurses play a crucial role in patient care during the preoperative, intraoperative, and postoperative phases.
- Registered nurses are vital members of the perioperative paramedical team.
- Tissue injury triggers a pathophysiological process, leading to the conscious perception of pain.
- Multidisciplinary teams use pharmacological and non-pharmacological treatments and interventions to manage acute and chronic pain.
- National Safety and Quality Health Service Standards are essential during the perioperative period.
- Registered nurses are responsible for caring for deteriorating perioperative patients.
- Nursing interventions are required when a patient deteriorates in the recovery room or in the postoperative surgical ward.
- Tonicity of fluids is important in correcting body fluid imbalances.
- Different types of fluid replacement therapy exist.
- Fluids shift around the body.
- Different mechanisms influence how fluids shift around the body.
- There are different types of fluid compartments in the body.
- Fluid alterations can have significant effects on the body.
- Clinical manifestations of fluid balance deficit can occur in the perioperative period.
Breast Cancer
- Risk factors exist for the development of breast cancer.
- Clinical manifestations of breast cancer can vary.
- Pathogenesis and pathophysiology are important aspects of breast cancer.
- Procedures are used to diagnose breast cancer.
- Surgical procedures are used in the management of breast cancer.
- Pharmacological agents are available to treat breast cancer.
- Pathogenesis and pathophysiology of lymphedema are important to understand.
Evidence-Based Practice
- Research and evidence-based practice has value in nursing and midwifery.
- Evidence-based practice involves using the best available evidence to inform clinical decision-making.
- Evidence-based practice has key components that need to be identified.
- Healthcare clinicians have a role to play in evidence-based practice.
- Evidence-based practice aligns with professional standards.
- Identifying and refining a research idea, question, or clinical problem is important.
- Performing a literature search based on topics or specific information is important.
- Primary and secondary sources should be differentiated.
- Scholarly and non-scholarly literature should be contrasted.
- It is important to determine the level of evidence of sources, before implementing changes.
- Critical appraisal of evidence is vital.
- Theoretical and philosophical positions underpin different research approaches.
- Relationships between paradigms, methodologies, methods, and frameworks exist.
- Qualitative and quantitative research approaches and designs have different features.
- Sampling is conducted in quantitative research.
- There are main types of quantitative sampling.
- Selection criteria are used in quantitative sampling.
- There are different data collection methods in quantitative research.
Pharmacology
- Understanding drugs and drug preparations, properties of an ideal drug, pharmacokinetics, pharmacodynamics, variability of drug actions, reactions across a lifespan, and individual differences between drugs is important.
- Nursing responsibilities are important to understand.
- Understanding drugs interacting with receptors, the difference between agonists and antagonists, therapeutic effects, common adverse effects and drug interactions, and the psycho-socio-cultural aspect of pharmacotherapeutics is important.
- Nursing considerations need to be understood.
- Understanding medications used to treat infections and those that suppress the immune system is important.
- Understanding the mechanism of action of medications used to treat infections and suppress the immune system is important.
- Understanding the pharmacokinetics and drug particulars of medications used to treat infections and suppress the immune system is important.
- Nursing considerations need to be understood.
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