Surgical PTs and Pain Flashcards
all mes taken before surgery are automatically ________ after surgery unless a health care provider _______
discontinued, reorders the drugs
care of the post-op PT centers on
the body systems that anesthesia, immobilization, and surgical trauma most likely affect
Obesity places patients at an increased surgical risk because of which of the following factors? (Select all that apply.)
A. Risk for bleeding is increased.
B. Ventilatory capacity is reduced.
C. Fatty tissue has a poor blood supply.
D. Metabolic demands are increased.
B. Ventilatory capacity is reduced.
C. Fatty tissue has a poor blood supply.
A decreased blood supply in adipose tissue slows the delivery of essential nutrients, antibodies, and enzymes needed for wound healing. A decreased ventilatory capacity allows for alveolar collapse, which can lead to pneumonia.
The primary reason that family members should be included when the nurse teaches the patient preoperative exercises is so they can:
Coach and encourage the patient after surgery.
(Patients may need support from family to be motivated to return to their previous state of health. The family may also have better retention of preoperative teaching and will be with the patient and able to help them in their recovery.)
In the postanesthesia care unit (PACU) the nurse notes that the patient is having difficulty breathing and suspects an upper airway obstruction. The nurse would first:
Position the patient on one side with the face down and the neck slightly extended so the tongue falls forward.
(Positional change helps to move the tongue forward to open the airway. The immediate intervention should be to open the airway.)
Because an older adult is at increased risk for respiratory complications after surgery, the nurse should:
Encourage the patient to turn, deep breathe, and cough frequently and ensure adequate pain control.
a common early complication of surgery is
bleeding.
Signs of bleeding post-op include:
hypotension; tachycardia; and cool, clammy, pale skin
what is a life-threatening complication of general anesthesia?
malignant hyperthermia (a severe hypermetabolic condition that causes rigidity of skeletal muscles caused by an increase in intracellular Ca+ concentration-->hypercarbia, tachypnea, and tachycardia. Elevated temp is actually a LATE sign
After a surgical patient has been given preoperative sedatives, which safety precaution should a nurse take?
Reinforce to the patient to remain in bed or on the stretcher
The operating room (OR) and postanesthesia care unit (PACU) are high-risk environments for patients with a latex allergy. Which safety measures to prevent a latex reaction should the nurse implement? (Select all that apply.)
A. Screening patients about food allergies known to have a cross-reactivity to latex such as kiwis and bananas
B. Having a latex allergy cart available at all times
C. Communicating with the operating room (OR) team as soon as 24 to 48 hours in advance of the surgery when a latex-sensitive patient is identified
A nurse is recovering a patient who received conscious sedation for cosmetic surgery. Which of the following is an advantage that conscious sedation has over general anesthesia?
Amnesia and relief of pain
PARSAP scale
The PARSAP is an important functional screen to assess the function of the ambulatory surgery patient. The total score must be at least 18 for a patient to be discharged to home, unless the patient is not walking or is unable to use extremities before surgery.
pain is
a purely subjective physical and psychosocial experience
the goal of pain mngt is
to anticipate and prevent pain rather than to treat it
Which of the following signs or symptoms in an opioid-naïve patient is of greatest concern to the nurse when assessing the patient 1 hour after administering an opioid?
A. Oxygen saturation of 95%
B. Difficulty arousing the patient
C. Respiratory rate of 10 breaths/min
D. Pain intensity rating of 5 on a scale of 0 to 10
B. Difficulty arousing the patient
(Opioid-naive patients may develop a rare adverse effect of respiratory depression, and sedation always occurs before respiratory depression.)
Patients usually become tolerant to the side effects of opioids, with the exception of
constipation.
A patient is being discharged home on an around-the-clock (ATC) opioid for chronic back pain. Because of this order, the nurse anticipates an order for which class of medication?
Stimulant laxative
The major adverse effect of acetaminophen is
hepatotoxicity.
A patient with chronic low back pain who took an opioid around-the-clock (ATC) for the past year decided to abruptly stop the medication for fear of addiction. He is now experiencing shaking chills, abdominal cramps, and joint pain. The nurse recognizes that this patient is experiencing symptoms of:
Physical dependence.
A patient returning to the nursing unit after knee surgery is verbalizing pain at the surgical site. The nurse’s first action is to:
Assess the characteristics of the pain.
(It is necessary to monitor pain on a regular basis along with other vital signs. It is important for the nurse to understand that pain assessment is not simply a number.)
When using ice massage for pain relief, which of the following are correct? (Select all that apply.)
A. Apply ice using firm pressure over skin.
B. Apply ice until numbness occurs and remove the ice for 5 to 10 minutes.
C. Apply ice until numbness occurs and discontinue application.
D. Apply ice for no longer than 10 minutes.
A. Apply ice using firm pressure over skin.
B. Apply ice until numbness occurs and remove the ice for 5 to 10 minutes.
When teaching a patient about transcutaneous electrical nerve stimulation (TENS), which information do you include?
TENS electrodes are applied near or directly on the site of pain.
TENS pain therapy involves
stimulation of the skin with a mild electrical current passed through external electrodes. The therapy requires a health care provider order.
While caring for a patient with cancer pain, the nurse knows that the World Health Organization (WHO) analgesic ladder recommends:
Transitioning use of adjuvants with nonsteroidal antiinfl ammatory drugs (NSAIDs) to opioids.
A postoperative patient is currently asleep. Therefore the nurse knows that:
A. The sedative administered may have helped him sleep, but assessment of pain is still needed.
