Postoperative

Question 1

when does it start?

Answer 1

completion of surgery and transfer of the patient to either the postanesthesia care unit, same day unit or ICU.

Question 2

purpose of postanesthesia

Answer 2

ongoing evaluation,stabilization of patients to anticipate prevent and treat complications

Question 3

If in critical condition

Answer 3

transfer directly from OR to ICU

Question 4

Most important assessment

Answer 4

Respiratory

Question 5

PACU

Answer 5

keep suction equipment, oxygen,and artificial breathing equipment

Question 6

Peripheral vascular assessment

Answer 6

Performed because anesthesia and positioning during surgery may impair the peripheral circulation

Question 7

general anesthesia check

Answer 7

cerebral functioning and LOC, awareness. Motor and sensory function, fluid volume deficit

Question 8

Fluid and electrolyte balance

Answer 8

Fasting and loss of fluid and blood effects it

Question 9

Nausea and Vomiting

Answer 9

most common reaction after surgery

Question 10

Hypothermia

Answer 10

causes shivering that increases oxygen demand and induces hypoxemia. Highest incidence of this occurs on the 2nd day.

Question 11

Assess the incision sight

Answer 11

in the PACU and each shift on the med-surg unit

Question 12

Clean surgical wound heals at skin level

Answer 12

In 2 weeks in the absence of trauma. Complete healing may take 6 months to 2 years.

Question 13

First dressing change(aseptic technique)

Answer 13

surgeon

Question 14

Priority nursing diagnosis

Answer 14

impaired gas exchange,impaired skin integrity, acute pain,potential for hypoxemia.

Question 15

If dehiscence or evisceration occurs

Answer 15

apply sterile non adherent or saline dressing, have patient lie flat with knees bent to reduce intra-abdominal pressure, notify surgeron.

Question 16

Signs to move out of PACU

Answer 16

score at least 10 on recovery scale,stable vitals, normal body temp,no overt bleeding, return of gag reflux and swallow reflux, Ability to take fluids.

Question 17

During post op

Answer 17

patients remain at risk for pneumonia,shock, cardiac arrest,respiratory arrest, DVT, and bleeding.

Question 18

Incision sight

Answer 18

Asses each shift

Question 19

Patients concerns

Answer 19

Pain,changes in usual activity,payment of bill.

Question 20

Education

Answer 20

Deep breathing, ambulate,verbalize feelings,taking drugs does not mean they are abusers.relaxation techniques, Range of Motion. Management of drains, diet therapy, progress in activity.