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15 Cards in this Set
- Front
- Back
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DEMONSTRATING POSTOPERATIVE EXERCISES:
What is the complications of general anesthesia? |
Lung is not fully inflated during surgery
Cough relfex is suppressed ===> mucus collects within airway passages |
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POSTOPERATIVE EXERCISES:
As a nurse, if your client show signs of thrombus formation, what should you do? |
Notify MD immediately
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POSTOPERATIVE EXERCISES: Diaphragmatic breathing:
How do you position your client during diaphragmatic exercise?Why? |
Sitting position on side of bed or in chair or standing position
Upright position facilitates diaphragmatic excursion |
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POSTOPERATIVE EXERCISES: Diaphragmatic breathing: As a nurse, you know that you client need to repeat this breathing for how many times each hour? Benefit of it?
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10 slow, deep breath every hour
Benefit: regular deep breathing prevents postoperative complications such as ateletasis and pneumonia |
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POSTOPERATIVE EXERCISES: Incentive spirometry: When you teach your client about incentive spirometry, what position should your client be assumed for IS? What is the appropriate position for obese client?
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Semi-flower's or high Fowler's position
Reverse Trendeleburg's position |
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DEMONSTRATING POSTOPERATIVE EXERCISES:
What is the complications of general anesthesia? |
Lung is not fully inflated during surgery
Cough relfex is suppressed ===> mucus collects within airway passages |
|
|
POSTOPERATIVE EXERCISES:
As a nurse, if your client show signs of thrombus formation, what should you do? |
Notify MD immediately
|
|
|
POSTOPERATIVE EXERCISES: Diaphragmatic breathing:
How do you position your client during diaphragmatic exercise?Why? |
Sitting position on side of bed or in chair or standing position
Upright position facilitates diaphragmatic excursion |
|
|
POSTOPERATIVE EXERCISES: Diaphragmatic breathing: As a nurse, you know that you client need to repeat this breathing for how many times each hour? Benefit of it?
|
10 slow, deep breath every hour
Benefit: regular deep breathing prevents postoperative complications such as ateletasis and pneumonia |
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POSTOPERATIVE EXERCISES: Incentive spirometry: When you teach your client about incentive spirometry, what position should your client be assumed for IS? What is the appropriate position for obese client?
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Semi-flower's or high Fowler's position
Reverse Trendeleburg's position |
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POSTOPERATIVE EXERCISES: Incentive spirometry: when your client reaches maximal inspiration, what should you instruct your client do next? What is other instructions?
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Have client hold breath for 3-5seconds and then exhale slowly
Other instructions: Ensure number of breaths does not exceed 10-12 per session Instruct clients to breath normally for short period between 10 breaths on IS Have client end with 2 cougs afte end of 10IS breaths |
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POSTOPERATIVE EXERCISE: Controlled coughing: Position? Instructions?
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Position: upright (to facilitates diaphragm excursion and enhances thorax expansion
Instructions: two slow, deep breaths, through nose and out thru mouth, deeply third time, and hold breath to cound of 3, then coug fully for 2 or 3 consecutive coughs without inhaling between coughs |
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POST OPERATIVE EXERCISE: Controlled coughing: Contraindication with?
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with clients after having brain, spinal, head, neck or eye surgery
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POSTOPERATIVE EXERCISES: If your client is unable to perform the exercise correctly preoperatively, what should you do?
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Assess client for anxiety, pain and fatigue
Teach client stress reduction techniques and or pain management strategies Repeat teaching using more demonstration or redemonstrate with family present |
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POSTOPERATIVE EXERCISES: If your client is unwilling to perform exercise because of incisional pain of thorax and abdominal pain, what should you do?
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Instruct client to ask for pain medication 30 minutes before exercise or to use PCA
Report to surgeon or pain team inadequate pain relief and need to change analgesic or increase dose |
