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LVN II Q2

Stack #52158

Questionanswer
When pt has been for 8 hours transferred to care unit, when is the pt will be eating? after gag reflux
For security reason after surgery what is the nurse do. Side rail up.
After 9 hrs pt has not urinating yet, what is the nurse will do? Try to assisst pt urinating on standing position and or turning on the water faucet while pt. try to urinate.
After spinal cord analgesia, what is the sign emergency for the nurse to know that pt. need immediate intervention? Headache
The pulse oximeter showed below 90% what will the nurse do? need O2
When pt do not know the procedure for before signing consent letter, what is the nurse will do Call the dokter to clarify the matter.
when the nurse found that the wound has beeen separated, what will be nurse do? The wound should be cleaned immediately with sterile salin and notify the doctor.
What is the requirement for pt. using PCA . Pt. must be alert oriented and follow a simple direction.
What is the nurse do to prevent deep vein thrombosis TCB
Back rub is considered analgesic based on what ? Gate theory
What happen when bp 90/45but P: 110? Hypovolemic shock
Requirement for patient to use PCA Alert oriented
What the nurse do when pt constipation at post-op? Encourage fluid?
What is the nurse is looking in pain assessment? Loc., duration,. and intensity.
3 ethods of administering Epidural anagesia Bolus dosing, CT infusion PCEA (pt. ctrl EA).
Should a person has his regular med before surgery? yes with enough fluid to swallow
What reg. med cannot be taken before surgery and why? Insulin, oral anti hyperglycemics, NSAID sa. aspirin and anti coagulant sa Heparin and coumadin.because pt will be in a dangerous low blood sugar.
In some cases a certain med cannot be taken 10 to 14 days prior to surgery. NSAID
Residual effect of sedation Amnesia
What possibly occured during the 1st 48 hrs pos op at CU? Ineffective airway clearance caused by atelectasis & hypostattic pneumonia.
The collapse of alveoli will result in Dyspnea, fever, tachypnea, tachycardia, and cyanosis.
Pain that continues and intermitten chronic pain
Created by: Marianib
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