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47 Cards in this Set
- Front
- Back
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Which of the following should the nurse include when teaching the client about out-coming outpatient surgery?
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which of the following should the nurse include when teaching the client about out-coming outpatient surgery
- Post-op nursing interventions |
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When looking into a pre-op teaching plan, what intervention is most important?
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when looking into a pre-op teaching plan, what intervention is most important?
- Answering any questions the client may have |
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What is the greatest risk factor to a pt who is going on general anesthesia?
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what is the greatest risk factor to a pt who is going on general anesthesia?
- Aspiration and vomiting - NPO 6 to 8 prior surgery |
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when preparing for surgery, what do we want to ask the pt?
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when preparing for surgery, what do we want to ask the pt?
- any allergies to medications, iodine, or shellfish |
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pt feels anxious about surgery procedure, what is the most effective way to help the client?
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pt feels anxious about surgery procedure, what do ask the pt?
- encourage them to express their feelings about their fears |
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what criteria is necessary in order to obtain a consent? who has the capacity to give consent?
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what criteria is necessery in order to obtain a consent?
(below are all of the choices) - parent of a minor - spouse - women who are pregnant - anyone who obtain the military - anyone over the age of 18 |
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when signing a consent, what is the understanding for the consent?
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when they are signing the consent, what is the understanding for the consent?
- nature and reason for the surgery |
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pt is scheduled for a exploratory laparotomy in the morning. What would be the most important thing to do for that pt?
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pt is scheduled for a exploratory laparotomy. what would be the most important thing to do for that pt?
- ANSWER: give a pHisoHex shower (antimicrobial shower) |
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your are ordered to give a pre-op enema to a pt. Pt starts to cry and tells you she is sorry you have to do this procedure on her, what is the best therapeutic response?
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your are ordered to give a pre-op enema to a pt. Pt starts to cry and tells you she is sorry you have to do this procedure on her, what is the best therapeutic response?
- ask an open question, find out what she is upset about |
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Just before surgery the client ask you "what are they going to do to me today", what is your response?
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just before surgery the client ask you "what are they going to do to me today", what is your response?
- "what did the doctor tell you"? |
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what is the priority or nursing intervention to prevent infection (reduce infection) before surgery?
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what is the priority or nursing intervention to prevent infection before surgery?
- prepping the skin (could be shaving the skin, cleansing the skin) |
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Pt is going for a total right knee replacement, what do you teach the pt that need to be follow post-op?
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pt is going for a total right knee replacement, what do you teach the pt that need to be follow post-op?
- pain scale - how to use the CPM= continuous pressure machine - teach about the PCA pump - how long before they can ambulate - **WHILE IN BED AND TO PREVENT pulmonary emboli - turn, cough, deep breath, use incentive spirometer, and leg exercises This is standard for all except for surg that is above the neck. |
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before the pt goes into surgery what is the most important thing to check?
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before the pt goes into surgery what is the most important thing to check?
- The ID |
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What are other risk factors for aspiration?
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what are other risk factors for aspiration?
- obesity - eating to close to surgical time - best answer: general anesthesia (not sure if it's one of the answers but keep in mind) |
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who is at risk for maglinant hyperthermia?
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who is at risk for maglinant hyperthermia?
- big muscular bodies (male or female) - general anesthesia can trigger hyperthermia |
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your caring for a client receiving conscious sedation. What perimeter do you monitor
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your caring for a client receiving conscious sedation. What perimeter do you monitor
- Level of consciousness |
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who can give anesthsia?
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who can pass anesthsia
- anesthesiologist - RN enestisis |
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what is the most dangerous stage for general anesthesia?
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what is the most dangerous stage for general anesthesia?
- stage 2 |
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what level do we aim for surgical anesthesia?
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what level do we aim for surgical anesthesia?
level 3 |
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what level do we not want to get to for anesthesia?
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what level do we not want to get to for anesthesia?
- level 4 |
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when the surgery is over and the pt is transfered to the PACU, what period is this called? (from completion of surgery to whatever unit they are transfered to)
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When the surgery is over and the pt is transfered to the PACU, what period is this called? (from completion of surgery to whatever unit they are transfered to)
- post-op period |
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Why do we put pt's in the PACU?
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why do we put pt's in the PACU?
- to maintain airway - stabilization of the patient - critical evaluation |
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What s/s would tell you pt has a compromised airway?
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what s/s would tell you pt has a compromised airway?
- noisy breathing - confused - restless - anxiety - strider |
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how would you correct the following prob?:
- noisy breathing - confused - restless - anxiety - strider |
How would you correct the above
- open airway - head tilt or jaw thrust |
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What medication can be given immediately post-op to prevent laringo spasm?
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what medication can be given immediately post-op to prevent laringo spasm?
- succinylcholine trade name= Anectine |
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What position to we often put pt's in after surgery to drain their oral secretions?
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what position to we often put pt's in after surgery to drain their oral secretions?
- turn them on their side |
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your monitoring pt and taking temp. what does the pt's body temperature reflect?
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your monitoring pt and taking temp. what does the pt's body temperature reflect?
- thermo regulation |
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pt is hypothermic, what can you do to alleviate the condition?
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pt is hypothermic, what can you do to alleviate the condition?
- remove wet clothes or bloody clothes - put warm blankets |
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what are the characteristics are you going to note about any drainage?
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What are the characteristics are you going to note in your nersing notes about any drainage?
- color, amount, consentency, and odor (*fyi: that is for any drainage) |
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before the physician has changed the dressing for the 1st time and the drainage is saturated, what do u do?
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before physician put on new dressing and dressing is wet, what do you do to maintain?
- reinforce the dressing by putting another dressing on top (add another layer on top because you can't change the dressing or throw it away. only the dr. can) |
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What s/s would indicate to you that your pt is becoming hypovolemic?
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What s/s would indicate to you that your pt is becoming hypovolemic?
- Blood loss of at least 500 mLs |
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Q1. Before you medicate a pt post-op for pain, what info would u want to gather 1st?
Q2. What info would you gather next? |
Q1. Before you medicate a pt after post-op of pain, what information do you want to gather first?
- go through PQRST, PAIN, QUALITY, region, RADIATION, SEVERITY, AND TIME Q2. after going through the PQRSR, what do you do next? - check Vital Signs |
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Know normal rates for all vital signs:
Pulse: ? Respiration: ? Body Temp: ? (bellow 99.6) Blood Pressure: ? (above 100 Systolic) |
know normal rates for all vital signs:
Pulse: 60-100 80 Respiration: 12-20 18 Body Temp: Normal Body Temp adult oral - 98.6 axillary - 97.6 rectal -99.6 70 + oral - 96.8 Blood Pressure: Systolic 100-140 Diastolic: 60-90 Average: 120-80 |
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gave pt medication for pain, but he/she still complains of pain an hour after administered med. what do you do?
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gave pt medication for pain, but he/she still complains of pain. what do you do?
- reposition the pt |
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you suspected post-op pt has atelectasis (partial collapse of a lung). when you are asses pt what are you going to find with respirations (what are the s/s?)
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you suspected post-op pt has atelectasis (partial collapse of a lung). when you are asses pt what are you going to find with respirations?
- dimension lung sounds - chest pain - shortness of breath - pallor - blood pressure up or down - respirations and pulse increase |
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What is the most common complication to spinal anesthsia? Why?
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what is the most common complication to spinal anesthsia?
- a headache Why? - drawing spinal fluid blood pressure drops causing the headache, leave pt flat for 8-12 hrs |
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prolong surgery, what electrolyte are we concerned about losing?
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prolong surgery, what electrolyte are we concerned about?
- potassium |
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to prevent pulmonary embolism in a post-op client who is on bed rest, what can they do?
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to prevent pulmonary embolism in a post-op of client who is on bed rest, what can they do?
- leg exercises |
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Pt had abdominal surgery, and felt a pop and warm fluid coming out. see pinkish fluid what is that a sign of?
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pt had abdominal surgery, and felt a pop and warm fluid coming out. see pinkish fluid what is that a sign of?
-dehiscence |
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what are are you going to do if dehiscence happens to the pt?
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what are are you going to do if dehiscence happens to the pt?
-lay them supine, -bend thier knees - add dressing with NS - call doctor |
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pt had abdominal surgery, and felt a pop and warm fluid coming out. see pinkish fluid what is that a sign of?
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pt had abdominal surgery, and felt a pop and warm fluid coming out. see pinkish fluid what is that a sign of?
-Dehiscence |
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what are are you going to do if dehiscence happens to the pt?
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what are are you going to do if dehiscence happens to the pt?
- supine, knees bent - add dressing with Normal Saline - call Doctor |
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what is happening with a dehiscence?
- wound edges have opened up so there is a gap 40b. - stomach contents can come out and this is called evisceration |
what is happening with a dehiscence?
- the wound edges have opened up so there is a gap |
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If the dehiscence progresses and stomach contents begin to come out, what is that called?
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If the dehiscence progresses and stomach contents begin to come out, what is that called?
evisceration |
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pt has had a mastectomy, have balloon drainage bags called Jackson-Pratt, its half full what should you do?
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pt has had a mastectomy, have balloon drainage bags called Jackson-Pratt, what should you do?
- empty it, squeeze the balloon till flat, then re attach. This will provide more suction for the wound |
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A week after surgery, your assessing pt for signs of infection what do you look for?
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week after surgery, assessing pt for sign of infection what do you look for?
- elevated WBC - fever - pain - puss, reddness, and swelling - odor |
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In order to prevent dehiscence or evisceration we have pt splint the wound. How do we instruct pt to do this procedure?
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in order to prevent dehiscence or evisceration we have pt splint the wound. How do we instruct pt to do this procedure?
- pillow directly over the incision (when we have the pt cough or anytime we increase the pressure in the ab.) - increasing pressure in the abdomen |
