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Postoperative Care
Medical-Surgical Nursing
| Question | Answer |
|---|---|
| When does the postoperative period begin? | Immediately after surgery |
| What are focuses of nursing care during the postoperative period? | Maintaining patient safety and identifying actual and potential patient problems |
| How often are V/S monitored in Phase 1? | Every 5 minutes |
| How often should you check the dressing over the surgical site in Phase 1? | Whenever you do V/S |
| What is the priority assessment during the postoperative period? | Respiratory |
| When should first look at the surgical site dressing? | When the patient arrives from the OR with the person who transported them |
| What are possible complications from hypoxemia? | Atelectasis and pulmonary edema |
| What position should the patient be in while recovering? | Lateral position, preferably on the left side |
| What position should the patient be in once conscious? | Supine |
| What should you consider if the patient's respirations are 10 or less? | Opioid toxicity |
| How often should you monitor the patient's lungs once they are on the floor? | Every hour for the first 24 hours |
| How is blood pressure normalized usually? | With an IV fluid bolus |
| What are methods of VTE prophylaxis? | TED hose, SCDs, moving the legs in bed, early ambulation |
| What is often done for patients with a history of DVT in preop? | They're often given a dose of Lovenox |
| What adverse effects are associated with reversal agents? | Seizures |
| What is one of the most common causes of confusion postop? | Hypoxemia |
| When do you know a patient's bowel function has returned? | When they pass gas |
| When should you expect infection postop? | If the temperature spikes after the first 48 hours |
| What is a decrease in temperature up to 12 hours after surgery related to? | Surgical heat loss |
| What can an increase in temperature up to 48 hours after surgery be due to? | Inflammatory response, atelectasis, or dehydration |
| True or False: No or low bowel sounds is normal for the first 24 hours after surgery. | True |
| How long should it take the patient to void after the catheter is removed? | Up to 8 hours |
| What should you do if the patient has not voided 8 hours after the catheter was removed? | Call the surgeon |
| True or False: You should document the time the urinary catheter was removed. | True |
| What is a normal urine output postop? | 30 mL/hour |
| What is the general order in which bowel sounds return? | Small bowel, stomach, and colon |
| True or False: Wound healing can occur with high blood sugar. | False |
| How long must a patient wait to be discharged from ambulatory surgery after being given IV opioids? | At least 30 minutes |
| Should you ensure a follow up is scheduled before discharge? | Yes |
Created by:
shrewsburysd
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