chapter 19: postop care

Question 1

______ ____ is admitting ambulatory surgery pts directly to phase 2 care

Answer 1

fast tracking

Question 2

which phase of post anesthesia?

care during immediate post anesthesia period

Answer 2

phase 1

Question 3

which phase of post anesthesia?

ECGs used and more intensive monitoring

Answer 3

phase 1

Question 4

which phase of post anesthesia?

ambulatory surgery pts

Answer 4

phase 2

Question 5

if pt received regional aesthetic, check ______

Answer 5

dermatomes

Question 6

in PACU the most common causes of airway compromise include (3)

Answer 6

obstruction
hypoventilation
hypoxemia

Question 7

greatest risk for respiratory distress occurs in first _____ following surgery

Answer 7

24 hours

Question 8

an airway obstruction is commonly caused by blockage of airway by ____ ______

Answer 8

pts tongue

Question 9

hypoxemia is a partial pressure of arterial oxygen less than ____

Answer 9

60

Question 10

______ is the most common cause of atelectasis

Answer 10

hypoxemia

Question 11

common causes of respiratory problems for postop pts in the clinical unit are _____ and ______

Answer 11

atelectasis
pneumonia

Question 12

the use of _____ and _____ muscles can indicate respiratory distress

Answer 12

abdominal
accessory

Question 13

most common cause of hypotension in PACU is _____ and _____ _____

Answer 13

fluid and blood loss

Question 14

primary heart dysfunction results in

Answer 14

acute drop in cardiac output

Question 15

secondary heart dysfunction occurs as a result of

Answer 15

negative chronotropic and negative inotropic effects of drugs

Question 16

_______ in PACU most frequently result of SNS stimulation

Answer 16

hypertension

Question 17

hypertension in the PACU is most frequently the result of _____ ______

Answer 17

SNS stimulation

Question 18

fluid retention is caused by the secretion and release of ______, ______, and activation of ______

Answer 18

-antidiuretic hormone (ADH)
-ACTH
-RAAS

Question 19

antidiuretic hormone release leads to increased ____ _______ and decrease ____ _____

Answer 19

water reabsorption
urine output

Question 20

ADH release results in increased ______ ______

Answer 20

blood volume

Question 21

urine output indicative of adequate renal function

Answer 21

0.5mL/kg/hr

Question 22

if delirium occurs, first suspect ______

Answer 22

hypoxia

Question 23

most common cause of postop agitation is ______

Answer 23

hypoxemia

Question 24

hypothermia is body temp less than

Answer 24

96.8 F

Question 25

wound infection from ____ organisms often accompanied with fever that spikes in afternoon or night and returns to near normal levels by morning

Answer 25

aerobic

Question 26

surgical pts who take antibiotics for a period of time at risk for ___ ____

Answer 26

c diff

Question 27

intermittent high fevers accompanied with shaking chills and diaphoresis suggests ______

Answer 27

septicemia

Question 28

increased ______ _____ levels seen with malignant hyperthermia

Answer 28

creatine kinase

Question 29

_____ and _______ are the most common post op complications

Answer 29

nausea
vomiting

Question 30

most common health care acquired infection

Answer 30

surgical site infection

Question 31

after abdominal surgery motility in the large intestine may be reduced for ____-____ days

Answer 31

2-5

Question 32

sudden discharge that is brown, pink, or clear would indicate

Answer 32

wound dehisenence

Question 33

if the pt responds to verbal stimuli postop, gradually elevate the head of the bed to ____ _____ position

Answer 33

semi fowlers

Question 34

urine output less than ____mL/hr can indicate hypovolemia

Answer 34

30

Question 35

in order to be discharged from the PACU the pt must have an Aldrete score of ___-____

Answer 35

8-10

Question 36

encourage gum chewing post op to stimulate _____ _____ and promote the return of ______ _____

Answer 36

gastric secretions
intestinal peristalsis

Question 37

an airway obstruction often manifests as _____ or _______

Answer 37

stridor
snoring

Question 38

______ can prolong QT

Answer 38

zofran

Question 39

pt can be discharged from ambulatory surgery if no IV ____ were given in the past ________

Answer 39

opioids
30 mins