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Registered Nurse (RN)
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HESI®
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HESI®-RN Comprehensive Review
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Perioperative Care

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HESI®-RN Comprehensive Review | Registered Nurse (RN) School Study Aid

Perioperative Care
17 Picmonics to Learn | 36 mins
Preoperative Care
Preop Education
Surgical Procedure
NPO
Turn, Cough, Deep Breathe, Incentive Spirometer
Lower Extremity Exercises
Compression Stockings or SCD's
Pain Management
Safety
Informed Consent
Physical Preparation
Preop Checklist
Handoff to Surgery
Universal Precautions
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2 mins
Patient Needs
Latex Allergy Risk Factors
Allergy to Banana, Papaya, Chestnuts and Kiwi
Asthma
Spina Bifida
History of Multiple Surgical Procedures
Fall Prevention
Call Light within Reach
Eliminate Physical Hazards
Leave Items within Reach
Bed in Low Position
Side Rails Up
Test-Taking Strategies
Patient Safety
Health Promotion and Maintenance
Psychosocial Integrity
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3 mins
Patient’s Rights
Patient’s Rights When Hospitalized
Respectful Care
Information
Consent or Refuse Treatment
Continuity of Care
Privacy and Confidentiality
Medical Record Review
Consent or Refuse Part in Research
Health Alternatives
Explanation of Charges and Bills
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3 mins
Assessment
Health History
Objective Data
Subjective Data
TEST-TAKING STRATEGY: KEY WORDS
Identify
Determine
Obtain Information
CONSIDERATIONS
Assessment Always Done Before Treatments
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3 mins
Informed Consent
Key Elements
Names and Qualifications of People Involved
Explanation of the Procedure
Information on Harm that Can Result
Alternative Therapies
Right to Refuse
Nurses and Consent
Nurses May Witness Consent
Student Nurses Do Not Witness Consent
Emergency
Consent from Legally Authorized Person
Life Saving Procedure Without Consent
Special Considerations
Deaf, Illiterate, Speaks a Foreign Language
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4 mins
Postoperative Care
Head to Toe Assessment
Complications
Hemorrhage
Clotting
Pain
Dehiscence or Evisceration
Respiratory Complications
Paralytic Ileus
Infection
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2 mins
Pneumonia Assessment
Risk Factors
Older Adult
Immunocompromised
Long Term Care
Assessment
Shortness of Breath (SOB)
Hypoxemia
Cough and Sputum Production
Wheezing or Crackles
Fever
Pleuritic Pain
Diagnosis
Chest X-ray
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2 mins
Pneumonia Intervention
Interventions
Humidified Oxygen
Deep Breathing Exercises
Position of Comfort
Increase Fluid Intake
Manage Fever
Medications
Antibiotics
Mucolytics
Expectorants
Considerations
Pneumococcal Vaccine
Sepsis
Acute Respiratory Failure (ARF)
Prevention Education
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2 mins
Pulmonary Embolism Assessment
Assessment
Shortness of Breath (SOB)
Pleuritic Chest Pain
Tachypnea
Hemoptysis
Hypoxemia
Considerations
Sudden Death
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52 secs
Pulmonary Embolism Causes
Causes
FAT BAT Mnemonic
Fat
Air
Deep Vein Thrombosis (DVT)
Bacteria
Amniotic Fluid
Tumor
Risk Factors
Hypercoagulable
Central Venous Lines
Immobilized
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1 min
Types of Wound Healing
Types of Wounds
Acute
Chronic
Healing Process
Primary Intention
Approximated Edges
Secondary Intention
Edges Not Approximated
Tertiary Intention
Delayed Closure due to Infection and Necrosis
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2 mins
Wound Drainage Types and Devices
Drainage Types
Serous
Serosanguineous
Sanguineous
Purulent
Drainage Devices
T-tube
Penrose
Jackson-Pratt (JP)
Hemovac
Considerations
Record Drainage Amounts
Check Device Function
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2 mins
Urinary Tract Infection Symptoms
More Common in Elderly
Most Common in Females and Babies
Change in LOC
Dehydration
Fever
Urgency
Urethral Infection
Burning
Smelly Urine
Dark Cloudy Urine
Frequency of Urination
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2 mins
Urinary Tract Infection Prevention and Treatment
Prevention
Shower after Sex
Urinate after Sex
Wipe front to Back
Treatments and Considerations
I and Os with Daily Weights
Increase Water Intake
Antibiotics
Avoid Caffeine
Dr Appointment in 2 Weeks
Void every 2 - 4 hours
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2 mins
Superficial Thrombophlebitis
Cause/Mechanism
IV Catheter Irritation
Assessment
Erythema
Cord-like Vein
Edema
Interventions
Remove IV Catheter
Elevate
Warm Compress
Considerations
Rotate Sites Q3 Days
Aseptic Technique
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2 mins
I-SBAR-R
Identify
Situation
Background
Assessment
Recommendation
Readback
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1 min
Reports
Reporting
Shared Communication
ISBAR
ISBAR
Identify
Situation
Background
Assessment
Recommendation
Types of Reports
Change-of-Shift/Handoff Reports
Telephone/Telemedicine Reports
Transfer and Discharge Reports
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2 mins

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