NURS 6560 MIDTERM EXAM 2 LATEST VERSIONS
(VERSION A & B) 2023-2024 ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Practice questions for this set
Learn 1 /7 Study with Learn
Slow destruction of bones/ joint followed by production of replacement
collagen which causes inflammatory changes
- older than 60
- more female after 55
- more black than white women
- men and women equal risk between 45 - 55
- abnormal height or weight (obesity)
- repetitive movement
- prior trauma (sprains/ dislocations)
- diabetic neuropathy
- genetic
Give this one a try later!
, 1 Lee's revised cardiac risk index Osteoarthritis: what, incidence
Rheumatoid arthritis: Findings and
3 4 Components of informed consent
diagnostics
Don't know?
Terms in this set (196)
Class 1: benefits outweigh risk, should be done
Class 2a: reasonable to perform
Surgery risk classes
Class 2b: should be considered
Class 3: rarely appropriate
ECG before surgery only if coronary disease, except
General rules for surgery: when low risk surgery
testing Stress test not indicated before surgery
Do not do prophylactic coronary revascularization
- Diabetic agents: Use insulin therapy to maintain
glycemic goals(iii) Discontinue biguanides, alpha
glucosidase inhibitors, thiazolidinediones, sulfonylureas,
and GLP-1 agonists
- Do not start aspirin before surgery
Meds before surgery
- Stop Warfarin 5 days before surgery. May be bridged
with Lovenox.
- Do not stop statin before surgery
- Do not start beta-blocker on day of surgery, but may
continue
, - Unstable cardiac condition (recent MI, active angina,
active HF, uncontrolled HTN, severe valvular disease),
concern with CAD, CHF. arrhythmia, CVD
- patient stable or unstable?
- urgency of the procedure (oncology will be time
Assessment of surgical risk sensitive)
- risk of procedure
- nutritional status
- immune competence
- determine functional capacity (need to be more than 4
METS, more than 10 METs makes low risk)
catarcts
breast biopsy
Low risk surgeries cystoscopy, vasectomy
laporascopic procedures
Plastic surgery
Head/ neck surgery
thyroidectomy
Intraperitoneal
Prostate
Laminectomy
intermediate risk surgeries
Hip/ knee
Hysterectomy
cholecystectomy
nephrectomy
non majot intrathoracic
aortic/ cabg
transplants
High risk surgeries
spinal reconstruction
peripheral vascular surgery
, 6 points:
High risk surgery = 1
CAD = 1
CHF = 1
Cerebrovascular disease = 1
Lee's revised cardiac risk
DM 1 on insulin = 1
index
Creat greater than 2 = 1
1 = low risk
2 = moderate risk
3 = high risk
- Prophylactic antibiotics should be received within 1 h
prior to surgical incision
SCIP pre-operative
- be selected for activity against the most probable
infection measures
antimicrobial contaminants
- be discontinued within 24 h after the surgery end-time
- pre-op hair removal (clippers)
- wash hands
Postoperative infection - normothermia
reduction methods - maintain euglycemia
- urinary catheters are to be removed within the first two
postoperative days
Slow destruction of bones/ joint followed by production
of replacement collagen which causes inflammatory
changes
- older than 60
- more female after 55
Osteoarthritis: what,
- more black than white women
incidence
- men and women equal risk between 45 - 55
- abnormal height or weight (obesity)
- repetitive movement
- prior trauma (sprains/ dislocations)
- diabetic neuropathy
- genetic
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TheAlphaNurse. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
