Surgical Client

Question 1

postoperative client documentation should include

Answer 1

1. the wound is painful
2. the color is red
3. the client has a fever

Question 2

conditions that can cause poor wound healing:

Answer 2

1. diabetes 1 and 2
2. current smoker
3. corticosteroid use
4. old age

Question 3

sequential compression devices prescribed post op are used for

Answer 3

decreasing the risk of VTE

Question 4

antihypersensitive meds prescribed post op are used for

Answer 4

hypertension

Question 5

incentive spirometer post op is used for :

Answer 5

deep breathing and its decreases the risk of getting pneumonia

Question 6

antibiotic therapy post op is used for :

Answer 6

infections

Question 7

deep vein thrombosis effects:

Answer 7

pain, redness and swelling in the lower extremity

Question 8

thrombotic stroke effects:

Answer 8

neurological deficits such as confusion and difficulty speaking

Question 9

hypovolemic shock effects:

Answer 9

hypotension, confusion, tachycardia and oliguria

Question 10

pulmonary embolism effects:

Answer 10

chest pain, shortness of breath, tachycardia and hypoxia

Question 11

preparing for surgical site in order:

Answer 11

1. scrub the surgical site in a circular fashion with an antiseptic
2. start at the center and move to the area away from the site
3. Repeat with a new sponge
4. Scrub the outer edge and repeat with a new sponge
5. Drape the client

Question 12

why is repositioning important post op?

Answer 12

to promote lung expansion and decrease the risk of muscle weakness, blood clots and pneumonia

Question 13

how often should a client cough and deep breath post op?

Answer 13

every 2 hours

Question 14

how often should a client pump their ankles breath post op?

Answer 14

every hour to promote venous return

Question 15

how often should a client use an incentive spirometer post op?

Answer 15

10 reps every hour

Question 16

regional anesthesia

Answer 16

loss of feeling to an area of the body

Question 17

local anesthesia

Answer 17

affects the motor and sensory nerves

Question 18

general anesthesia

Answer 18

medications or inhalants used to depress the CNS

Question 19

data documented pre op:

Answer 19

1. allergies
2. alcohol use
3. spiritual beliefs

Question 20

an ileus

Answer 20

minimal peristalsis, nausea and mild discomfort

Question 21

anticholinergics

Answer 21

decrease secretions in the upper airway but can also cause delirium

Question 22

opioid analgesics can cause what post op?

Answer 22

urinary retention, constipation and nausea