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Chapter 37 continued
Stack #199102
| Question | Answer |
|---|---|
| How could you assist a patient who is scheduled for abd. surgery with a lg-midline incision to promote post-op respiratory function? | Explain & show them coughing, deep breathing exercises w/splinting of the abdomen, assist in & encourage turning & positioning q 2 hrs, reinforce the use of the incentive spirometer, explain & show ROM exercises, provide prescribed pain meds before acts. |
| A patient who smokes is at greater risk for what? | Increased risk for bronchospasm, laryngospasm, the patient should have aggressive pulmonary hygiene implemented w/frequent turning, coughing, deep breathing, incentive spriometry & chest physiotherapy |
| What are some common pre-op meds used? | Sedatives, used to relax & decrease nausea; Tranquilizers, used to decrease anxiety & relax skeletal muscles; Narcotics- used to sedate, decrease pain & anxiety & reduce the amount of anesthesia needed; Anticholinergics- used to decrease secretions |
| What are some common Nursing Dx used for the pre-op patient? | Anxiety,Decisional Conflict,compromised family coping,ineffective coping,fear,risk for imbalanced fluid volume, hopelessness,deficient knowledge,Imbalanced nutrition less or more than body requirements, powerlessness, inneffective role performance, |
| In the planning phase of the pre-op patient what things are necessary to do? | Set goals for the pt,create a care plan, make sure they understand the surgery; Setting Priorities according to DX; Continuity of Care-continues on well after surgery and when the pt goes home, it is in this phase that a ref. to a pastor may be beneficial |
| During pre-op what things do you want to make sure are on the chart? | H & P, Allergies, Consent for procedure, labwork |
| What is NPO? | Nothing by mouth |
| Physical preparation the day before surgery may include what? | Insructing the pt to be NPO, giving a sedative or antianxiety, shower w/antiseptic soap, shaving area to be expored-follow policy & guidelines for this; void or catheterize, Bowel prep |
| On the day of surgery in pre-op you want to double check things, why would you want to recheck vital signs? | The surgery may need postponed if there are abnormal vitals, the surgeon will need notified immediately. |
| If a patient has a broken tooth or loose tooth why is it important to find this out? | The tooth could become dislodged during the insertion of an endotracheal tube and obstruct the airway |
| on transport to the OR what things do you want to check? | Check id braclet, transport on stretcher, take chart and chip, sign checkoff flow sheet, prep the room for return, holding area procedures are done |
| The Intraoperative Nursing role includes what? | Circulator, scrub, preanesthesia or pre surgical unit |
| General, Regional, Local and conscious sedation are all kinds of what? | Anesthesia |
| "Time Out" verifies what? | Site, patient, procedure |
| Who implemented Wrong-Site, Wrong-Patient, Wrong-Procedure Surgery? | JCAHO |
| Why is being NPO before surgery so important? | It can cause aspiration pneumonia |
| Aspiration of vomitus,Heart irregularities, hypo or hypertension, hypoxia and respiratory are all complications of what kind of anesthesia? | general |
| Regional anesthesia can cause what? | hypotension |
| local anesthesia can cause what? | anaphylactic shock, hives and rash |
| conscious sedation can cause what? | aspiration, decreased level of consciousness, hypoxemia, respiratory depression |
| Post operative nursing intervention focuses on what? | Complications that may arise, that is why care planning takes place |
| How often should you monitor a patient after surgery | Q 15 mins |
| When do you shave the patient if hair needs removed before surgery and why? | As close to the time as surgery as possible to minimize the chance of infection |
| Postoperative care for the patient includes what things? | Wound healing w/aseptic technique,avoid disruption of the wound, rest, pain meds & complete assessmt of the pain, limiting visitors, hiccups or cough leading to wound dehiscence, discuss emotions, planning discharge w/patient and family |
| Some post operative complications may be what? | circulatory problems, pneumonia, thrombophlebitis, vomiting, urinary problems, abd distention |
| What can help circulatory problems? | Ted hose or antiembolism stockings (same thing) |
Created by:
lexie8ceci2
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