Immunity
What is the primary function of B lymphocytes?
Produce antibodies
What interventions are used to prevent goiter?
Ionized salt, monitor thyroid hormone, increase iodine rich foods
What teaching is provided to prevent atelectasis?
incentive spirometer
cough and deep breathe
ambulation
What are examples of restorative and cosmetic surgeries?
Restorative-open reduction and internal fixation (ORIF) of fractures, ACL reconstruction, hip/knee replacement
Cosmetic-Facelift, eyelid surgery, liposuction
How many liters is in 400 mls?
0.4L
After a mastectomy which functions of the lymphatic system are affected
the drainage of interstitial fluid, lymphocytes, and immune functions
Hypothyroidism-wt gain, cold intolerance, dry skin, constipation
Hyperthyroidism-wt loss, tachycardia,heat intolerance, increased appetite,
What intervention is needed for post-op complications
Paralytic ileus
Pulmonary embolus
Thrombophlebitis
Wound infection
Paralytic ileus-ambulate early and lessen opioids
Pulmonary embolus-Report SOB, chest pain, bloody sputum
Thrombophlebitis-leg exercises and compression socks
Wound infection-wash hands and aseptic technique
What preop data is essential to collect?
Vitals
Blood glucose
Allegies
Medications (blood thinners)
What times is 3 pm in military time?
1500
What is innate and Acquired immunity?
Acquired- involves memory cells due to vaccine or exposure
innate- Present at birth
What teaching should be provided for a fluid deprivation test?
This test helps evaluate how your body retains water
No fluids during the test
Hourly urine samples will be collected
No strenuous activity during the test
What nursing interventions to prevent wound dehisence?
avoid heavy lifting and monitor drainage
What factors increase preop risks?
BMI over 30
Smoking
Previous surgeries
Any anxiety
750 mg of a medication. The available tablets are 250 mg each. How many tablets should the nurse administer?
3 tablets
What are the primary functions of IgA, IgG, IgE, IgM
IgA- Protects mucosal surfaces
IgG- Major antibody in secondary immune response
IgE-facilitates allergic reactions
IgM-First antibody in acute infections
What pt teaching should be provided for a dexamethasone suppression test?
Dexamethasone will be given before bedtime
The test evaluates cortisol levels
A blood sample will be drawn the next day
What intervention is needed for post-op complications?
Thrombophlebitis
Atelectasis
Wound Infection
Pulmonary Embolus
Thrombophlebitis- avoid crossing legs
Atelectasis- cough and deep breathe
Wound Infection- no lotion near wound
Pulmonary Embolus-report bloody sputum
What steps are required in preparing the pt for surgery?
NPO status
Pre op assessment
Pt education
Preop meds
300 mg of a medication to be given intramuscularly. The vial of medication contains 100 mg/mL. How many milliliters (mL) should the nurse administer?
3ml
What is the order of the immune response?
antigens enter the body
T cells are activated
T cells stimulate B cells
B cells produce antibodies
What is the purpose of each test?
TSH
ACTH
Serum calcium test
24-Hour Urine Cortisol
TSH-thyroid function
ACTH- reviews adrenal function
Serum calcium test- assesses parathyroid function
24-Hour Urine Cortisol- determines Cushing syndrome
What discharge teaching is needed for same day surgery?
have an adult drive you home
no important decisions for at least 24 hrs
follow diet orders per MD
What are examples of elective, diagnostic, palliative, and emergent surgeries?
Elective- Cataract removal
Diagnostic- Biopsies — breast, skin, lymph node
Pallative-Tumor debulking
Emergent-Ruptured abdominal aortic aneurysm
What teaching is provided for the glucose tolerance test?
Fast for 10–12 hours before the test.
You will drink a glucose solution during the test
Report any dizziness or sweating