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Med-Surge
Care of Postoperative Patient
| Question | Answer |
|---|---|
| At what time interval is lung functioning assessed in a postoperative patient during the first 24 hours after surgery? | 4 hours |
| How often should a postoperative patient be repositioned to prevent complications associated with immobility? | 2 hours |
| The nurse recognizes that which postoperative condition is considered to be neuromuscular complication? | Hypothermia |
| Which drug is used to reduce prolonged gastrointestinal symptoms in postoperative patients? | Ondansetron |
| The nurse is caring for a patient in the post anesthesia care unit (PACU). Arrange the order in which the patient returns to consciousness after general anesthesia. | Pt. experiences muscular irritability Pt. restless and delirious Pt. is able to feel pain Pt. has the ability to reason and control behavior |
| A patient who had abdominal surgery 2 days ago is being discharged home. Which statement by the patient indicates a need for further discharge instruction? | I can return to normal activities as long as I don't leave the house. |
| What vital sign is most important for the nurse to monitor in a pt. receiving general anesthesia in the PACU? | Respiratory rate |
| The nurse is providing postoperative care to a patient. Which medication will be prescribed if the patient experiences nausea and vomiting? | Ondansetron |
| If wound dehiscence occurs, a sterile nonadherent dressing may be applied on the wound. Which sterile nonadherent dressing is typically used? | Telfa |
| A pt. has wounds on several areas of the body. The nurse expects that the wound in which site will heal more quickly than the others? | The wound on the head |
| The nurse caring for a postoperative pt. and monitoring healing at the surgical site. What term describes a splitting open wound? | Dehiscence |
| A pt. who works in a warehouse has successfully undergone abdominal surgery. After how many weeks can this pt. return to work? | 6 Weeks |
| Which conditions can contribute to impaired wound healing following surgery? | Obesity, diabetes, weak immune system. |
| Which pt. requires immediate attention in PACU? | A pt. w/ urine output of 400ml per day. |
| Which drug is often administered via an epidural to manage pain in the postoperative patient? | Bupivacaine |
| What condition is indicated by the presence of a pulse deficit when assessing the vital signs of a postoperative pt. | Dysrhythmia |
| Which nursing intervention improve oxygenation and perfusion and promote surgical wound healing? | Using hypoallergenic tape Controlling the pt. room temp Providing adequate rest throughout the day |
| After gastric surgery, a pt. arrives in PACU. Which nursing action is most appropriate for the RN to delegate to an experienced nursing assistant? | Position the pt. on the left side |
| A pt. NG tube drainage container contained 30ml in the morning at the start of the shift. The container is marked 545ml at the end of the shift. If the total amount of drainage recorded is 395ml, how much irrigant was instilled throughout the shift? | 120 |
| The nurse is teaching a student nurse about management of anxiety in a preoperative pt. Which statement made by the student nurse indicate effective learning? | I will provide ample time for the pt. to ask questions I will continually assess the pt. responses and anxiety levels I will encourage the pt. to relax by listening to music before surgery. |
| A nursing student is preparing a care plan for preventing the risk of hypoventilation in an intraoperative pt. during surgery. Which intervention would lead to complications in this pt. | Monitoring capnography every 5 min |
| Five RNs have been floated to the PACU for the day. A 16-year-old diabetic pt. has also just arrived from the operating room after having laparoscopic abdominal surgery. The charge nurse assigns the floating RN with which kind of experience to care pt. | RN who has 5 years experience in the delivery room. |
| The nurse is in recovery room caring for a pt. who just underwent a surgical procedure. The nurse observes the pt. begin to retch, vomit and become restless. Which nursing intervention should the nurse provide during this stage of emergence ? | Provide oxygen therapy place warm blanket on the pt. Use suction equipment to prevent aspiration |
| Which nursing action will help prevent fatigue in a pt. diagnosed w/ a decrease in cardiac output? | Determining the pt. normal activity levels |
| The nurse is preparing an older patient for cataract surgery in the ambulatory health care center. How should the nurse address the pt. concern about inadequate support systems after surgery? | Coordinate with the case manager for post discharge care |
| The nurse is providing preoperative care to a pt. scheduled for cardiac surgery. Which nursing intervention is most critical to this pt. | Assessing for venous thromboembolism |
| The charge nurse for a hospital operating room is making pt. assignments for the day. Which pt. is most appropriate to assign to the least-experienced circulating nurse? | 52-year-old pt. w/ stage I breast cancer who is having a tunneled central venous catheter placed. |
| A pt. who received general anesthesia has arrived at the medical-surgical unit after discharge form the PACU. Which parameters need to be assessed by the nurse? | Response to verbal stimuli Bleeding or drainage on the dressing Color, clarity and volume of urine output |
| Which nursing action will provide comfort to a pt. who has developed nausea and vomiting after eye surgery? | Encourage side-lying position |
Created by:
latarshamiller
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