Medsurg SAS 1 46 - Tehee PDF

lOMoARcPSD|28660966 Medsurg SAS 1 46 - tehee bs nursing (Southwestern University PHINMA) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or university Downloaded by Maxene Ferrer Reyes ([email protected]) ...

lOMoARcPSD|28660966 Medsurg SAS 1 46 - tehee bs nursing (Southwestern University PHINMA) Scan to open on Studocu Studocu is not sponsored or endorsed by any college or university Downloaded by Maxene Ferrer Reyes ([email protected])  lOMoARcPSD|28660966 MEDSURG- 1 SAS #1 4. On the morning of Mrs. Sy’s planned cholecystectomy, she awakens with a pain in her right scapular area and thinks she slept in 1. As a nurse, what is the importance of a poor position. While doing the pre-op check list thorough preoperative assessment? you note that on her routine CB report her WBC is 15,000. Your responsibility at this point is: a. To identify and correct problems before surgery and establish a baseline for a. To notify the surgeon at once; this is an postoperative comparison elevated WBC indicating an inflammatory reaction b. To save time doing an assessment after the patient returns from surgery b. To record this finding in a prominent place on the pre-op checklist and in your pre-op notes c. To provide the doctor with information that may have been missed during the preadmission c. To call the laboratory for a STAT repeat WBC assessment d. None. This is not an unusual finding d. To ensure that postoperative complications 5. Mrs. Sy is scheduled for surgery 2 days later don’t occur and is to be given atropine 0.3 mg IM and 2. Before administering preoperative Demerol 50 mg IM one hour preoperatively. medication to a client, nurse Jonalyn should Which nursing actions follow the giving of the plan to: pre-op medication? a. Verify the consent a. Have her void soon after receiving the medication b. Check the vital signs b. Allow her family to be with her before the c. Have the client void medication takes effect d. Remove the client’s dentures c. Bring her valuables to the nursing station 3. A client with Cataract is about to undergo d. Reinforce pre-op teaching surgery. Nurse Princess is preparing plan of care. Which of the following nursing diagnosis is 6. A patient is admitted to the same day surgery most appropriate to address the long term need unit for liver biopsy. Which of the following of this type of patient? laboratory tests assesses coagulation? SATA. a. Anxiety related to the operation and its a. Partial thromboplastin time. outcome b. Prothrombin time. b. Sensory perceptual alteration related to lens c. Platelet count. extraction and replacement d. Hemoglobin c. Knowledge deficit related to the pre- operative and post-operative self-care d. Body Image disturbance related to the eye 7. A client with a perforated gastric ulcer is packing after surgery scheduled for emergency surgery. The client Downloaded by Maxene Ferrer Reyes ([email protected])  lOMoARcPSD|28660966 cannot sign the operative consent form because 10. A nurse is reviewing the physician’s order he has been sedated with opioid analgesics. The sheet for the preoperative client, which states nurse should take which of the following that the client must be on nothing per mouth actions in the care of this client? (NPO) status after midnight. The nurse would clarify whether which of the following a. Obtain a telephone consent from the family medications should be given to the client and member witnessed by two persons. not withheld? b. Obtain a court order for the surgery. a. Conjugated estrogen (Premarin) c. Send the client to surgery without the b. Atenolol (Tenormin) consent form being signed. c. Cyclobenzaprine (Flexeril) d. Have the hospital chaplain sign the informed consent immediately d. Ferrous sulfate 8. A preoperative client expresses anxiety to the nurse about the upcoming surgery. Which of SAS #2 the following responses by 1. Nurse Jay is preparing to change a client’s the nurse is most likely to stimulate further dressing. The statement that best explains the discussion between the client and the nurse? basis of surgical asepsis that nurse will perform a.