PostOp Exam Flashcards

1
Q

what should be inside the room

A

admission kit and accessories, measuring devices, medical devices, surgical bed, tele box

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

how should the surgical bed be

A

covers pulled back, blue pad in place and the highest it can be

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

when you receive the patient what should you quickly assess

A

LOC, VS, attach tele, check IV site

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

when you receive the patient what is the first thing you should do

A

identify pt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

where should you take SBAR report

A

at pt bedside

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

when should you assess and record VS post procedure

A

every 15min x 4
every 30 min x 4
every hour x 1
every 4 for remainder of 24 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

who takes the first set of vital signs

A

a licensed nurse then after the first set a CNA can

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what are the 6 VS that should be checked

A

temp, pulse, resp, BP, Pain, SaO2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the symptoms of bleeding and shock

A
pallor
BP drop
HR increases
Thready pulse
Decreased urine output
Rapid shallow respirations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what does PCA stand for

A

patient controlled analgesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

who is the only person who can touch the PCA button

A

the patient!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what pump is a 2 nurse verify

A

PCA pump

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what should you instruct the patient about the PCA pump

A

since it is an opioid narcotic it could cause resp depression
has a lock out (5-20 minutes)
pt only presses button

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what should be on the patient continuously while on PCA

A

O2 Sat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

when is a passer opiod induced sedation scale used

A

when they are unable to tell us how they are feeling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is multimodal

A

taking non narcotics and staggering them in conjunction with narcotics to control pain as well as turning on care channel, distraction techniques etc

17
Q

what are TED hose for

A

to increase venous return to the heart

18
Q

when should you worry about a pt that might get a DVT

A

pt who is laying in bed still

19
Q

the TED hose have ______ compression and ______ blood flow to the _____

A

gradually; increase; heart

20
Q

where is the pressure highest in the TED hose

A

the ankle and lessens going up the leg

21
Q

what do SCDs do

A

maximizes venous blood flow, helps prevent DVTs

22
Q

one difference the SCDs do vs TED hose is they

A

gradually squeeze and then release

23
Q

what should you watch for when a pt has on TED hose or SCDs

A

pressure points, make sure they ant too tight, not rubbing skin, assess bend for breakdown, should always be clean

24
Q

what are the 4 important factors regarding restraints

A

must have an order, choose lease restrictive, monitor every 15min-2hrs
apply safely

25
what should you monitor for when a pt has restraints
monitor for skin breakdown
26
what is of HIGH IMPORTANCE in the use of restraints
DOCUMENTATION
27
what is the most restrictive restraint
posey vest
28
what is the least restricted restraint
wrist or ankle restraint
29
what is considered a level up from a wrist restraint
mitt restraint mainly for people trying to pick at things