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Assignment NR 206 -Perioperative Nursing 001

Assignment: NR 206 -Perioperative Nursing 001

1.) Which of the following is most dangerous complication during induction of spinal anesthesia?
A.)Tachycardia
B.)Hypotension
C.)Hyperthermia
D.)Bradypnea

2.) Which type of surgery is most likely to predispose a patient to postoperative atelectasis, pneumonia or respiratory failure?
A.)Upper abdominal surgery on an obese patient with a long history of smoking
B.)Upper abdominal surgery on a patient with normal pulmonary function
C.)Lower abdominal surgery on a young patient with diabetes mellitus
D.)Surgery on the extremities of a nonsmoking football player
Ans: A

3.) Which of the following characterizes excitement stage of anesthesia
A.) Occurs from the administration of anesthesia to the loss of consciousness
B.) Extends from the loss of consciousness to the loss of lid reflex, characterized by struggling and talking
C.) From the loss of lid reflex to the loss of most reflexes
D.) From the loss of most reflexes to respiratory and circulatory failure

 

4.) To prevent headache after spinal anesthesia the patient should be positioned:
A.) Semi-fowler’s
B.) Flat on bed for 6 to 8 hours
C.) Prone position
D.) Modified trendelenburg

5.) Which of the following nursing actions should be given highest priority when
admitting the patient into the operating room?
A.) Level of consciousness
B.) Vital signs
C.) Patient identification and correct operative consent
D.) Positioning and skin preparation

6.) What is the primary reason for the gradual change of position of the patient after surgery?
A.) To prevent muscle injury
B.) To prevent sudden drop of BP
C.) To prevent respiratory distress
D.) To promote comfort

7.) Which of the following assessment data is most important to determine when caring for a patient who has received spinal anesthesia?
A.) The time of return of motion and sensation in the legs and toes
B.) The character of respiration
C.) Level of consciousness

8.) Which of the following postop findings should the nurse report to the M.D.?
A.) The patient pushes out the oral airway with his tounge
B.) Urine output is 20ml/hr for the past two hours
C.) VS are as follows: BP=110/70;PR=95;RR=19,Temp=36.8C
D.) Wound drainage is serosanguinous

Assignment NR 206 -Perioperative Nursing 001

Assignment NR 206 -Perioperative Nursing 001

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9.) Which of the following is the earliest sign of poor respiratory function?
A.) Cyanosis
B.) Fast thready pulse
C.) Restlessness
D.) Faintness

10.) If wound eviscerations occurs, the immediate nursing action is:
A.) Cover the wound with sterile gauze moistened with sterile NSS
B.) Cover the wound with water-soaked gauze
C.) Cover the wound with sterile dry gauze
D.) Leave the wound uncovered and pull the skin edges together

11.) Appendectomy is classified as
A.) Ablative
B.) Constructive
C.) Reconstructive
D.) Palliative

12.) The worst of all fears among clients undergoing surgery is:
A.) Fear of financial burden
B.) Fear of death
C.) Fear of the unknown
D.) Fear of loss of job

13.) The best time to provide preoperative teaching on deep breathing, coughing and turning exercises is:
A.) Before administration of preoperative medications
B.) The afternoon or evening prior to surgery
C.) Several days prior to surgery
D.) Upon admission of the client in the recovery room

14.) The following are the appropriate nursing actions before administration of preoperative medications EXCEPT:
A.) Ascertain the consent has been signed
B.) Ensure that NPO has been maintained
C.) Instruct patient to empty his bladder
D.) Shave the skin at the site of surgery

15.) The patient has been observed pacing along the hallway, goes to the bathroom frequently and asks questions repeatedly during preoperative assessment. The most likely cause of the behavior is:
A.) She is anxious about the surgical procedure
B.) She is worried about separation from the family
C.) She has urinary tract infection
D.) She has an underlying emotional problem

Important information for writing discussion questions and participation

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to.

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

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