OP

Question 1

informed consent

Answer 1

-explained by the surgeon
-nurse can be a witness
-nurse obtains pt signature
-ensure pt understanding & agreement

Question 2

iv line

Answer 2

should be large enough for blood products

Question 3

pt should void

Answer 3

immeadiately preop
within 6-8hrs post op >200ml

Question 4

no smoking

Answer 4

24 hrs pre op

Question 5

prevents pneumonia & atelectasis

Answer 5

deep breathing & coughing techniques
incentive spirometry
chest physiotherapy
postural drainage

Question 6

prevent venous statis post op

Answer 6

ambulation
leg and foot exercises
wearing of compression stockings or sequential compression devices

Question 7

pt valuables

Answer 7

surrendered to the family
or locked in the hospital safe

Question 8

before first ambulation postop

Answer 8

instruct to sit at the edge of the bed with feet supported to assume balance

Question 9

unless contraindicated, position post op

Answer 9

low-Fowler’s position to increase the size of the thorax for lung expansion

Question 10

constipation

Answer 10

if no defecation 48 hrs after pt resumes full diet

Question 11

pulmonary embolism

Answer 11

sudden
-dyspnea
-sharp upper abdominal or chest pain
-low bp

Question 12

paralytic ileus

Answer 12

NGT TD
maintain NPO until + bowel sounds

+nausea vomiting
abdominal distention
-bowel movement/sounds

Question 13

wound infection

Answer 13

3 to 6 days post op
(⬆️ risk if immunocompromised or diabetic)

Question 14

wound dehiscence

Answer 14

6 to 8 days post op
separation of wound edges at the suture line
common in obese & poor healing

Question 15

wound evisceration

Answer 15

emergency
6 to 8 days post op
protrusion of internal organs through an incision
common in obese & poor healing

Question 16

wound evisceration mgt

Answer 16

-low fowlers, knees bent
-cover wound w/ sterile nss dressing & keep moist
-call surgeon, call for help
-monitor for s/s of shock

Question 17

after receiving general anesthesia

Answer 17

not to drive, make important decisions, or sign any legal documents for 24 hours

Question 18

during exercises post op

Answer 18

splinting the incision (w/ pillow or 1 hand over the other)

Question 19

NSAIDs & aspirin

Answer 19

discontinued 48 hrs pre op

Question 20

clopidogrel

Answer 20

discontinued 5 days pre op

Question 21

corticosteroids

Answer 21

increased temporarily pre & post op

Question 22

when are sutures & staples removed

Answer 22

sutures: 7 to 10 days post op
staples: 7 to 14 days post op

Question 23

for 6 weeks…

Answer 23

avoid lifting, pushing, pulling more than 10lbs

Question 24

incentive spirometry

Answer 24

-semi-Fowler’s or high-Fowler’s
-mouthpiece covered completely and tightly
-inhale slowly, with a constant flow -breath held for 5 seconds before exhaling slowly