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Priority of holistic care
To incorporate mind, body, and spirit connection
What is receptive aphasia?
Inability to read and understand speech
Deep breathing and incentive spirometers are used to
Prevent atelectasis
What would you do if a patient is ending life care but scared to tell family?
Advocate for the patient.
Grieving family member states she is happy she doesn’t have to go to the hospital anymore. What kind of grief is that?
anticipatory grief
Normal sensory changes in older adults. (Select all that apply)
•difficulty hearing high pitch. •impaired night vision
Perioperative meaning
Around or surrounding surgery
Diet progression after cyst removal on arm
Clear liquids, soup, and crackers. Advance diet as tolerated.
Medical problems after sexual assault
PTSD
Psychological nursing diagnosis of hearing and visual impairment
Impaired socialization
Why is surgical time-out done?
Done preoperative to verify the patient identity, type of surgery, and site to prevent mistakes in surgery
Hypercarbia, tachypnea, tachycardia, PBC’s, and muscle rigidity are signs of what?
Malignant Hyperthermia
Patient takes opioids for a year and abruptly stops due to fear of becoming addicted. What will the patient go through?
Opioid withdrawal
Purpose and benefits of sleep
Cognitive restoration
Tissue restoration
Physical restoration
Home health care safety issues. (Select all that apply)
•No smoke alarms
•Area rugs in the kitchen
•Inadequate stairway lighting
What does conscious sedation mean?
Depressed level of consciousness
Condom application steps
1. Check expiration date
2. Put condom on
3. Get rid of air bubbles
4. Proceed
Patient rates pain at a 6, wife says he is not in pain. How do you determine the patients pain?
Listen to the patient
Sleep apnea priority assessment
Assess breathing frequency and pattern
Best option to communicating with expressive aphasia
Use non verbal communication
Medication to withhold before surgery
Warfarin
What should be reported in OR to PACU report? (Select all that apply)
•vitals signs
•IV fluids given
•Anesthesia used
•Estimated blood loss
The patient is given a preoperative sedative. What instructions do you give the patient?
Inform the patient to stay in bed and press their call light if they need anything.
Types of surgical procedures urgent, major, elective, emergency
Emergency- immediate life threatening
Elective- to improve patient health/planned
Major- open heart, transplant, cancer removal
Urgent- serious/could become life threatening