Medical-Surgical Nursing Exam #1

Nursing Management of the Surgical Client {Ans: - Knowledge of the nature of the disorder - Determine the client's response to the stress of surgery - Assess the results of preoperative diagnostic tests (Look at lab tests) *What does the patient know, why are they here*}Anesthesia Care Provider (ACP) {Ans: Administers Anesthesia - "Knows everything" - Monitors breathing, insulin, etc - Maintenance of physiologic homeostasis throughout intraoperative period - Fluid replacement, blood pressure, etc}Fluid and Electrolyte Balance Objective Data: {Ans: - Assess Electrolytes - Use of diuretics (Evaluate serum electrolyte levels; can alter K+) - NPO Status (Dehydrated) - Critical assessment for older adults because they have a reduced adaptive capacity}What Are the Purposes of Surgery? {Ans: - Diagnosis (Yes or No) - Exploration (Find Problem) - Cure (Remove/Fix) - Prevention (Early Stages) - Palliation (Dying, Hospice, Comfort, No Cure) - Cosmetic Improvement (Burns, Mastectomy, Reconstruction)}Integumentary System Objective Data: {Ans: - Ulcers - History of skin and musculoskeletal problems (Arthritis, stroke deficit problems, ask the patient if they are comfortable) - History of pressure ulcers (Vulnerable)}Suffix meanings {Ans: - ectomy: excision or removal of - lysis: destruction of - orrhaphy: repair or suture of