postoperative

Question 1

what would we see with pulmonary embolism (9)

Answer 1

• chest pain
• dyspnea
• INCR RR and HR
• tachycardia
• incr anxiety
• diaphoresis
• orientation and BP decr
• blood gas exchanges impaired

Question 2

urinary retention-what would you see (4)

Answer 2

• unable to void (8-10hr post)
• palpable bladder
• frequent,small amount voids
• pain suprapubic area

Question 3

pneumonia- S&S (9)

Answer 3

• rapid and shallow resp
• fever
• wet breath sounds
• asymmetrical chest movement
• productive cough
• hypoxia
• tahcycardia
• leukocytosis

Question 4

atelectasis S&S (6)

Answer 4

• dyspnea, tachypnea
• breath sounds decr
• asymmetrical chest movement
• tachycardia
• incr in restlessness

Question 5

infection S&S (5)

Answer 5

redness, purulent drainage, fever, tachycardia, leukocytosis

Question 6

hypovolemic shock (8)

Answer 6

• urine and BP decr
• weak pulse
• cool clammy
• restless
• incr in bleeding and thirst
• decr CVP

Question 7

evisceration S&S

Answer 7

painful

Question 8

gastric dilation

Answer 8

N/V

distention

Question 9

paralytic ileus (6)

Answer 9

• no bowel sounds, absent
• no stool or flatus
• N/V
• distention and tenderness

Question 10

Reasons for Urinary indwelling catheter: monitor

Answer 10

monitoring critically or acutely ill for accurate urinary output

Question 11

Reasons for Urinary indwelling catheter: manage

Answer 11

seveerly ill patinets

Question 12

Reasons for Urinary indwelling catheter: urinary retention

Answer 12

that is NOT manageable by intermittent cath or other means

Question 13

Reasons for Urinary indwelling catheter-pressure injuries

Answer 13

management of urinary incontinent ONLY in patients with stage 3 or 4 pressure injuries on sacrum

Question 14

Reasons for Urinary indwelling catheter: terminally

Answer 14

management of those terminally ill

Question 15

Reasons for Urinary indwelling catheter: continous

Answer 15

continuous bladder irrigation

Question 16

reasons for straight urinary catheter

Answer 16

• steril specimen
• check residual
• intermittent/ routine emptying of bladder for patients with neurogenic bladder

Question 17

ENT: C1

Answer 17

C1, atlas, supports head

Question 18

C2-

Answer 18

axis, rotates (on self)

Question 19

cachetic appearance

Answer 19

• chronic wasting
• sunken eyes
• hollow cheeks
• anorexic or starving –> don’t have adequate nutrition, dehydration, CANCER

Question 20

6th sense

Answer 20

intuitive sense

Question 21

floaters

Answer 21

vitreous fluid starts clumping and goes past; incr with aging

Question 22

accommodation

Answer 22

eyes able to adjust and remain in focus, PERRLA

-decreases over time

Question 23

macular degeneration-aging

Answer 23

retinal filed of eye has decreased visual field in center
not seeing center of what looking at
lose 35% of visual field

Question 24

presbycusis

Answer 24

age related hearing loss, sensory neural, can’t hear high pitched sounds

Question 25

document what in specific to sense

Answer 25

extensions of self

Question 26

what happens if extensions of self are lost

Answer 26

hospital responsible for, people leave at home cause don’t want to lose them

Question 27

presbyopia

Answer 27

aging, loss of ability to focus close up

Question 28

nystagmus

Answer 28

involuntary movement of eye

Question 29

astigmatism

Answer 29

causes blurring, curvature of eye is distorted, corrected with glasses

Question 30

cataracts

Answer 30

lens lose transparency, more opaque, change in color, blurred vision
-srugery to correct

Question 31

glaucoma

Answer 31

increased pressure , doesn’t go away, treat with drops or stent to relive pressure

Question 32

diabetic retionopathy

Answer 32

small vessels in eye damaged

Question 33

weber test- conduction

Answer 33

air conduction better on forehead

Question 34

common causes of ear infection

Answer 34

=otitis media –> middle ear; media think middle

Question 35

inner ear infection symptoms

Answer 35

tinnitus
nausea
vertigo