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Week 6 Pre Post Op Care
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Flashcards in this deck (36)

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  • What are the learning outcomes for NURS 224 Week 6?

    • Define safety and clinical judgment in pre-op/post-op care
    • Apply nursing process for surgical patients
    • Examine RN's role in managing surgical patients
    • Analyze clinical judgment and ethical issues in care
    nursing education learning_outcomes

  • What is a general suggestion for safety in nursing?

    • Do a scene survey of the hospital room
    • Ensure patient is alive
    • Check for safety equipment
    • Assess patient safety needs
    nursing safety suggestions

  • What should you recognize regarding calling for help in nursing?

    • Know when to call for security, code team, or rapid response teams
    nursing safety emergency

  • What is the responsibility of an RN when questioning orders?

    • Consult with the doctor for clarification of orders
    • Protect the patient if the order seems harmful
    • Seek further consultation if necessary
    nursing responsibility clinical_judgment

  • What is the composition of a rapid response team?

    • Critical care nurse
    • Respiratory therapist
    • Physician or nurse practitioner
    nursing teams emergency

  • What are red flag indicators of patient health?

    • SpO2 90–95% (early), <90% (late)
    • Urine output <200 mL over 8h (early), <200 mL over 24h (late)
    • GCS <9–11 (early), ⩽8 (late)
    nursing clinical_judgment health_indicators

  • What are the criteria for a rapid response team?

    • Heart Rate: <40 or >140
    • Systolic B/P: <90 mmHg
    • Respiratory Rate: <8 or >36
    • O2 Saturation: <90% despite O2
    nursing criteria emergency

  • What should you do if an order seems incorrect?

    • Discuss with the doctor for rationale
    • Do not carry out the order if harmful
    • Consult with other nurses or unit manager
    nursing clinical_judgment orders

  • What is the role of an RN in safety management during surgery?

    • Manage patients in pre-op and post-op contexts
    • Ensure safety protocols are followed
    nursing safety surgery

  • What does 'mentation' refer to in patient assessment?

    Mental status or cognitive function of the patient.

    health assessment

  • What indicates 'unresponsive to verbal commands'?

    Patient does not respond to spoken prompts.

    health assessment

  • What is a sign of 'partial airway obstruction'?

    Presence of airway obstruction or stridor.

    health respiratory

  • What respiratory rates indicate abnormal conditions?

    5–9 or 31–40 breaths per minute; >40 or <5 is critical.

    health respiratory

  • What systolic blood pressure ranges are concerning?

    80–100 mm Hg or 181–240 mm Hg; <80 mm Hg is critical.

    health cardiovascular

  • What pulse rates are considered abnormal?

    40–49 or 121–140 beats per minute; >140 or <40 is critical.

    health cardiovascular

  • What condition is indicated by 'chest pain'?

    Possible cardiac arrest.

    health cardiovascular

  • What does 'poor peripheral circulation' indicate?

    pH <7.2.

    health circulation

  • What does 'greater than expected fluid loss from drains' suggest?

    Potential complication in post-operative care.

    health postoperative

  • What should be noted about 'newly reported pain or uncontrolled pain'?

    Indicates possible complications or worsening condition.

    health pain

  • What does 'any seizure activity' signify?

    Potential neurological emergency.

    health neurology

  • What blood glucose levels are concerning?

    1–2.9 mmol/L.

    health metabolism

  • Why is knowing a patient's health history important?

    Helps identify red flag indicators.

    health assessment

  • What skills are expected at the junior acute care level?

    Identify issues and report abnormal findings.

    health nursing

  • What is expected at the 3rd year nursing level?

    Identify, prioritize, intervene, and report with independence.

    health nursing

  • What should be considered if a patient experiences chest pain?

    Myocardial infarction (MI) or pulmonary embolism (PE).

    health cardiovascular

  • What are key relevant lab values?

    Hgb, Platelets, WBC, BMP (Sodium, Potassium, Glucose, Creatinine, BUN).

    health lab_values

  • What is the normal range for Hemoglobin in males?

    140-180 g/L.

    health lab_values

  • What is the normal range for Hemoglobin in females?

    120-160 g/L.

    health lab_values

  • What is the normal range for Platelets?

    140-450 x 10^9/L.

    health lab_values

  • What is the difference between CBC and CBC-Diff?

    CBC includes basic blood counts; CBC-Diff provides detailed white blood cell counts.

    health lab_values

  • What are the phases of surgery?

    Pre-operative, Intra-operative, Post-operative, Discharge.

    health surgery

  • What is the focus of pre-op nursing care?

    Assessment and patient teaching.

    health nursing

  • Why is communication important in perioperative care?

    Ensures continuity and clarity in patient management.

    health communication

  • What is Pre-op Nursing Care?

    Assessment and patient teaching

    nursing pre-op

  • What does Pre-op Nursing Care involve?

    • Assessment
    • Patient teaching
    nursing pre-op

  • What is the goal of Pre-op Nursing Care?

    Determine/anticipate patient factors that significantly increase risk for perioperative

    nursing risk_management