Nursing Final 3

juniperk's version from 2016-12-12 03:11

Section 1

Question Answer
Name 3 types of laxativesChemical stimulants, bulk stimulants (causes fecal matter to increase in bulk), and lubricants
What does a cleansing enema do and name a key pointRemoves feces from the colon; relieves constipation or fecal impaction
What does hyptonic (tap water) and isotonic (NS solution) enemas do and name a key point Large volume 500-1000ML; results in rapid colonic emptying
What does a hypertonic enema do and name a key pointsmall volume 70-130mL; draw water into the colon and stimulates the defecation reflex
What does a retention enema do and name a key pointMedicinal or nutrient enema specially formulated so that it will remain in the bowel w/o stimulating the nerve endings that would ordinarily result in evacuation
What does a oil retention enema do and name a key pointsoftens stool and lubricates intestinal mucosa
What does a anti-helmintic enema do?destroy intestinal parasites
What does a carminative enema do and name a key pointhelp to expel flatus from the rectum; provide relief from gaseous distention; milk and molasses enema and magnesium sulfate-glycerin-water enema
What are some physiological responses for pt experiencing acute & chronic pain?Increased BP, pulse, and RR; pupil dilation; muscle tension; pallor
What are the nursing assessments for acute and chronic pain?Pt;s verbalization and description of pain, duration, location, quantity, intensity, quality, chronology of pain, aggravation/alleviating factors, physiologic indicators, behavioral responses, effect of the pain on activities and lifestyle

Section 2

Question Answer
Does the MD or RN sign as a witness, signifying that the pt signed the consent form without coercion and was alert and aware of the actRN
Is the MD or the RN responsible for securing informed consent from the pt, also give alternative therapy information, and risk factors, describe procedure and answer any questions that pt has.MD
If the nurse hears an S4 sound postop, what could that be a sign of?Hypertension
If the patient is hypotension postop, that could be a sign of what?hemorrhage
Postop; What are signs of a pulmonary embolism and what are the interventions?SOB, cough, increase respiration, cyanosis, tachycardia, anxiety. Monitor V/S, notify MD, maintain pt on bedrest in semi-fowler's position, administer O2 and meds
Postop; What are signs of a hemorrhage and what are the interventions?Cold, clammy skin, weak/ thready or rapid pulse, hypotension, deep breaths, decreased urinary output, thirst. Apply pressure and notify surgeon.
Postop; What are signs of shock and what are the interventions?Cold, clammy skin, weak/ thready or rapid pulse, hypotension, deep breaths, decreased urinary output, thirst. Place pt in supine with legs elevated
Postop; What are signs of thrombophlebitis and what are the interventions?pain/cramping in calf/thigh of involved extremity; redness/swelling in area; elevated temp. Do not massage
Postop; What are signs of pneumonia?Fever, chills, cough w/ sputum, crackles/wheezing, chest pain.
Postop; What are signs of atelectasis?decreased lung sounds over affected area, cyanosis, crackles, restlessness.
What surgical complication can an anticoagulant cause?hemorrhage
What surgical complication can diuretics cause?Electrolytes imbalances
What surgical complication can tranquilizers cause?increase hypotensive effects of anesthetic agents
What surgical complication can antibiotics cause?respiratory paralysis when combined with certain muscle relaxants
What surgical complication can oral antidiabetics cause?may react with radiologic iodized contrast dyes or collapse
Name preoperative assessmentscomplete full physical assessment before operation, identify pt, risk factors, teaching needs, and postop support
Name preoperative interventionsdemonstrate turning, coughing, deep breathing exercises, leg exercises, body prep, postoperative pain mgmt
Name intraoperative assessmentID pt, assess the pt's emotional and physical status, verify the information on the preoperative checklist incl assessment data, lab reports, consents for surgery and blood transfusion
Name intraoperative interventionspositioning to remain free of neuromuscular injury, free from wrong site, wrong side, wrong procedure, draping, documenting, transferring to post-anesthesia care unit