Postoperative Carlos

Question 1

What are some treatments in hypotension?

Answer 1

1 O2 therapy
2 Give IV fluids
3 Inspect Surgical Incision
4 Drug Intervention

Question 2

What are some treatments for hypertension?

Answer 2

1 Eliminate cause of SNS stimulation (Analgesics, voiding and respi problems)
2 Corrects hypothermia induced hypertension
3 With preexisting HPN, vascular surgery needs drug therapy

Question 3

What are some treatmenst of dysrrhythmias?

Answer 3

1 Removing the cause

2 Prepare for ACLS

Question 4

What are examples of neurologic problems?

Answer 4

1 Emergence Delirium
2 Delayed Emergence
3 Delirium

Question 5

What are some nursing assessment for delirium?

Answer 5

1 Assess LOC, orientation, memory, and ability to follow commands
2 Assess sleep/wake cycle
3 Determine the possible cause if altered neurologic status

Question 6

What happens when there is pain and discomfort?

Answer 6

1 Trauma for surgery
2 Reflex muscle spasm
3 Anxiety and fear
4 Positioning
5 Internal devices

Question 7

What are the cause of hypothermia that lasts up to 12 hrs?

Answer 7

1 Effects of anesthesia

2 Body heat loss during surgical procedure

Question 8

First 48 hs (Mild)

Answer 8

1 Inflammatory to surgical stress
2 Moderate elevation of temp
3 Long congestion
4 Dehydration

Question 9

After 48 hrs mild elevation

Answer 9

1 Infection
2 Core body temp less than 36 degrees
3 Heat loss occurs due to skin exposure
4 Systolic BP less than 140 mmHg
5 Long surgical procedures

Question 10

What are some complications of temperature changes?

Answer 10

1 Vasoconstriction resuting to HPN
2 Compromised immune infection
3 Bleeding
4 Shivering
5 Increased pain

Question 11

What are some complications of fever?

Answer 11

1 Surgical site infections
2 Respiratory tract infection
3 UTI
4 Septicemia
5 Malignant hyperthermia

Question 12

What are the nursing implementations of fever?

Answer 12

1 Passive warming measures (socks and reflective blankets)`

2 Active warming measures (forced air warmers, warmed IV fluids)

Question 13

What are some complications in the GI?

Answer 13

1 PONV (Post-Op N and V)
2 Intermittent hiccups
3 Gastrci distenstion

Question 14

What are some complications in the urinary system?

Answer 14

1 Lower urine output for the first 24 hrs after syrgery

2 Acute urinary retention

Question 15

Nursing management for urinary problems

Answer 15

Anticholinergic and opoid drugs

Question 16

Nursing assessment for urinary problems

Answer 16

1 Urine output should be 0.5 ml/k/hr (30 cc/hr)

1 Patienst should void within 6-8 hrs after surgery

Question 17

What is the most important thing to do when a patient has urinary problems?

Answer 17

Order to catheterize in 6-8 hrs if no void

Question 18

What is the major concern of the integumentary system?

Answer 18

Wound healing

Question 19

What are the sources of SSIS?

Answer 19

1 Exogenous flora present in the environment and skin
2 Oral flora
3 Intenstinal flora

Question 20

When does SSIS oocur?

Answer 20

During the 3rd to 5th post op

Question 21

Types of surgical wounds

Answer 21

1 Dehiscence

2 Evisceration

Question 22

Important nursing intervention for Dehiscence and Evisceration?

Answer 22

Notify physician immediately

Question 23

What are some nursing responsibilities in patients discharged from the PACU?

Answer 23

1 Standardized scoring systems used to determine general condition and readiness for dischrage form PACU
2 Take care to protect IV lines, drains, and traction devices

Question 24

What are some things to in performing care of patients admitted to the clinical unit?

Answer 24

1 Record time return to unit, assess ABC
2 Assess level of pain
3 Assess wound dressing, and drainage tubes
4 Check IV infusion
5 Assess urinary status

Question 25

During ambulatory and surgery discharge the patent should be/have?

Answer 25

1 Stable, mobile, alert and able to provide degree of self care
2 Accompanied by adult at the time of d/c
3 Access to pharmacy
4 Access to Phone
5 Access to follow up care

Question 26

What are some things to do after discharge and folloe-up?

Answer 26

1 Preparation for the discharge ongoing process beginsg before surgery
2 Inlude the caregiver in the discharge planning
3 Provide info and support informed decisions
4 Record the discharge teaching in the cahrt
5 Px should be transferred to the:
Terminal care facilities
Long term care facilities
Directly tto their homes

Question 27

What are some gerontologic considerations?

Answer 27

1 Decreased respi fuction
2 Cardio status needds to be monitored
3 Renal perfusion normally decreases
4 Assess renal and liver fuction
5 Cardiac functions is often and compromised