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11 Cards in this Set

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During the surgery, the nurse finds that the patient has suddenly developed hypertension, muscle rigidity, cyanosis, high fever, and tachycardia. What is the priority intervention in this situation

Stop the surgery immediately

Obesity places patients at an increased surgical risk because of which factors?

Ventilatory capacity is reduced, the thicker adipose layer makes it harder to close a surgical wound

What are the functions of the circulating nurse during surgery?

Act as an advocate for the pt, coordinate the needs of the surgical team and to act as a liasion between scrubbed personnel and surge team

The nurse suspects a postop pt has a hemnorage. Why?

Rapid respiration, cold clammy skin and decreased urine output

The nurse finds that a surgical pt is taking a corticosteroid for the treatment of rheumatoid arthritis. What complications is pt susceptible to

Delayed clotting, depayed wound healing, altered immune response

The nurse is caring for an obese pt who underwent a surgical procedure yesterday. What potential postop complications does the nurse assess for when caring for the pt

Wound dehiscence, reduced cardiac function, reduced ventilatory function

Which interventions would be beneficial for a pt with atelectasis?

Administering oxygen, adminsitering analgesics and placing pt in semi Fowlers position

What are common postop complications likely to be found in obese pt?

Hypoxemia, infection, and pneumonia

What are characteristics of stage 3 surgical anesthesia?

Depressed reflexes, regular breathing, relaxed skeletal muscles

While assessing a postop pt after ab surgery, the nurse finds a large amount of serosanguineous fluid at the surgical dressing and suspects dehiscence. What would be the first nursing intervention

Place the pt in semi Fowlers position

Hand off communications that occur beteeen the PACU nurse and postop nurse should be done when a pt returns to nursing unit. Select appropriate handoff communication

Vitals, type of anesthesia provided, blood loss and level of consciousness and meds given during procedure