Surgery Effects on Health and Fx- Chp 23?

Question 1

Emotional support is a nursing intervention. T or F

Answer 1

True

Question 2

occurs when the bowel is temporarily paralyzed & distention occurs; stoppage of the flow of intestinal contents

Answer 2

paralytic ileus

Question 3

Why is it important to manage glucose during surgery?

Answer 3

Ensuring glucose is under 200 promotes wound healing and reduces infection

Question 4

Goal of rehabbing and nursing a patient is to:

Answer 4

Return patient to performing their ADLs

Question 5

handheld device that helps patients improve their lung function by teaching them to take slow, deep breaths

Answer 5

incentive spirometer

Question 6

clot to legs-
clot to lungs-
what helps prevent this?

Answer 6

DVT- Deep Vein Thrombosis
Pulmonary Emboli
Activity, Excercise, Pt Ambulation/ Encouraging Pt movement

Question 7

How does nutrition effect surgery?

Answer 7

Good nutrition promotes immune response and wound healing

Question 8

Patients are kept NPO post op until…

Answer 8

bowel sounds return or they can pass gas

Question 9

Most common HAI are …

Answer 9

Surgical site infections

Question 10

It is ok for patient’s to have surgery if they are sick. T or F

Answer 10

False- Being sick puts pt under risk for complications

Question 11

What helps decrease risk of SSIs? (surgical site infections)

Answer 11

Patient’s having normal temp
Wiping pt body w/ Chlorhexidine wipes
Pre treat w/ abx 1 hr prior to sx

Question 12

temperature management system used to keep patient’s normal body temp intra & post op

Answer 12

Bair hugger machine

Question 13

Severe body temperature elevation after administration of certain anesthetics; FATAL condition; aka “Code Hot”

Answer 13

malignant hyperthermia

Question 14

S&S of malignant hyperthermia

Answer 14

masseter rigidity
temp goes up 1 degree every 5 mins
tachypnea
Cyanosis
Skin mottling

Question 15

Why is it important to have NO food or drink in stomach prior to surgery?

Answer 15

It decereases risk of aspiration + aspiration pneumonia

Question 16

How much urine is expected for patient’s post op and by when ?

Answer 16

At minium 30 cc’s/ hr
Pt must void within 8 hrs post op
Urine output determines hemodynamic stability

Question 17

What could no/low urine output indicate?

Answer 17

Possible bleeding/hemorraging.
Blood is not making it to kidneys to be filtered

Question 18

In the case of blood loss, what is a safe alternative?

Answer 18

IV fluids;
For 1 cc of blood loss replace w/ 3cc’s of IV fluid

Question 19

If patient does not have a catheter, how long after surgery should they void?

Answer 19

Patient should be voiding within 8 hrs post op

Question 20

Purpose of voiding pre op…

Answer 20

Bladder shrinks and makes more organs more visually accessible

Question 21

What should nurse do if patient has not voided withing 8 hrs post op?

Answer 21

Use a bladder scan
If urine visible, get MD order for straight cath
If urine not visible, call MD - pt is likely behind in IV fluids

Question 22

Purpose of laxatives for sx..

Answer 22

To clear bowels of feces and prevent infection of surgical field

Question 23

What promotes bowel sounds and gas?

Answer 23

Ambulation

Question 24

1-2 days of NO bowel sounds post op in abnormal. T or F

Answer 24

False- it is normal. If more than 2 days, MD should be alerted

Question 25

When are foley catheters removed?

Answer 25

After 24 hrs due to CAUTI