Chap 96- Postop Nursing Care Flashcards
PACU
Post Anesthesia Care Unit
Risk factors for surgical complications in pts w/ immobility
Respiratory compromise
Thrombophlebitis
Pressure injury
Risk factors for surgical complications in pts w/ anemia
Blood loss
Inadequate or decreased oxygenation
Impaired healing
Risk factors for surgical complications in pts w/ hypovolemia
Tissue perfusion
Risk factors for surgical complications in pts w/ hypothermia
Risk of sx wound infection
Altered absorption of medication
Coagulopathy
Cardia dysrhythmias
Risk factors for surgical complications in pts w/ CVD
Fluid overload
Deep-vein thrombosis
Arrhythmia
Upon receiving a client from the operating suite, what should be done?
Do a full Assessment and make ABC a priority
Normal urine output
30mL
Urine output less than 30mL/hr can indicate
Hypovolemia
A nurse is caring for a client who arrived in the PACU following a total hip arthroplasty. The client is not responding to verbal stimuli. Which of the following actions should the nurse performed first?
A) Compare and contrast the peripheral pulses
B) Apply a warm blanket
C) Assess dressings
D) Play the client in a lateral position
D
The greatest risk to the client who is unresponsive or unconscious is injury from aspiration. Turning the client to the side will help keep the airway clear of secretions
A nurse is caring for a client who reports nausea and vomiting two days post operative following hysterectomy. Which of the following actions should the nurse performed first? A) Assess bowel sounds B) Administer anti-emetic medication C) Restart prescribed IV fluids D) Insert a prescribed nasogastric tube
A
Using the nursing process, the first step is to assess the client. This enables the nurse to check for peristalsis and will guide further interventions
