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Operative care & pain Flashcards | StudBud
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Operative care & pain
Operative care & pain
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Answers
1
All antibiotics should be finished in prescribed time and as directed to prevent superinfection.
False
True
2
Patient on ward has 1.5cm spot of serosanguineous drainage on dressing. What should nurse do
Remove dressing and inspect surgical site. replace dressing
Mark the amount of drainage on dressing and monitor
Notify the doctor of increased bleeding from the wound
apply pressure for 5 mins and elevate
3
What is subjective pain
What it looks like it is
What the patient says it is
What the book says it is
What the nurse thinks the pain is
4
What patient is at greatest risk for surgical & anesthesia complications
18yo emergency appendectomy
42yo scheduled breast biopsy
80yo scheduled for exploratory laparotomy
3yo scheduled for hernia repair
5
It is a appropriate for your patient to STOP taking prescribed medication as soon as they feel better?
False
True
6
When coughing & deep breathing PT should be sitting up because this position
helps patient splint with pillow
facilitates expansion of thorax
Increases patients view of the room resulting in relaxation
is most comfortable
7
What is the most important task before antibiotics are started the?
send a UA
send culture and sensitivity
find out what worked before
send a peak and trough
8
Demerol and morphine are classified as antipyrectics
False
True
9
Diflucan is metabolized in the liver, so liver functions should be monitored
True
False
10
Important information you should obtain in report about PT coming rom OR
incision & dressing type
blood products administered
note any complications
IV & fluids administered
11
Who is responsible for counting needles, instruments and sponges during a surgery
scrub nurse
OR tech
circulating nurse
12
It is okay to stop taking your antibiotics if you start to feel better?
False
True
13
When you should you start prevention treatment for Malaria?
The day you arrive in infested area
Two weeks prior to possible exposure
4 weeks after returning from a different country
the before you leave when you drink milk
14
How often do you document the assessment in postoperative phase
20 mins
15 mins
30 mins
5 mins
15
What is hypoventilation most likely due to in the Postoperative phase
previous heart condition
patient took too much vitamin C
anesthesia or narcotics
patient has history of smoking
16
Your patient's only allergy is Penicillin, why did they react to Rocephin?
They both fall in the Quinolones category
They both fall in the Macrolides category
They both fall in the Aminoglycosides category
They both have similar chemical make up and belong to Beta-Lactam category
17
The body strives to maintain normal body temperature, what is it
98.6
97.9
97.6
98.9
18
How long should the nurse auscultate each quadrant for BS before determining No BS present
30 sec
2.5 min
1 min
5 min
19
Why is aseptic technique used for dressing changes
prevent bleeding
prevent blood clot
prevent pneumonia
prevent infection
20
A patient reports allergy to penicillin. Which question should the nurse elicit next?
How did you take it last time?
How do you know?
How old were you last time you had the medication
What type of reaction did you have?
21
WHich medication is the oldest antifungal used for systemic fungal infections
penicillin
diflucan
chloroquine
amphotericin-B
22
After extensive abdominal surgery PT admitted to the floor doesn't want to move. Nurse should
assess level of consciousness
assess knowledge of related complications to immobility
assess maturation
assess pain
23
Which phase of wound healing is keloid formation going to occur
maturation
inflammatory
secondary intention
reconstruction
24
Bacteriostatic antibiotics KILL the bacteria
False
True
25
Most antibiotics require frequent monitoring of what labs
Urinalysis
BUN & creatinine
therapeutic serum drug levels
CBC
26
To minimize an adverse effect of infusing amphotericin B the nurse could
Infuse at a faster rate
Infuse at a slower rate
Dilute with more LR
Give PO
27
Which assessment finding needs immediate attentions 2hr post-op
Foley catheter drained 30ml in the last 2 hours
A drowsy patient, but responds promptly to voices
Skin noted to be pale, dry, and cool to touch
Nasal-gastric tube drained 50ml of tea colored urine
28
What does the second "C" in ABCC'S stand for?
circulation
coma
consciousness
caring
29
What vital signs are most important in recovery PT with spinal anesthesia?
Respiratory rate & blood pressure
Temperature & blood pressure
Pulse ox & respiratory rate
Respirations & temperature
30
Acyclovir comes in the following forms except.....
topically
IV
suppository
oral
31
Antibiotics are broken down into 10 categories
True
False
32
When discharging patient w/daily dressing changes what is the most important part of teaching
teach proper gloving techniques
instructions of sterilaztion
maintaining surgical asepsis
proper hand hygiene before and after
33
Surgical patient's condition can change rapidly, the nurse should monitor& document PT status
Every 45 mins
Every 35 mins
Every 15 mins
Every 5 mins
34
What are potential complications immediate postoperative?
nausea & vomiting
hypothermia
larynspasm
aspiration
35
Superinfection is a result from overgrowth of an organism not susceptible to prescribed antibiotic
False
True
36
Teratogen interferes with normal development of
fetus
puppies
brain
plants
37
What medication would be used to treat a parasite
anthelmintic
amphotericin-B
tetracycline
acyclovir
38
Acyclovir is most common prescription for herpes virus
False
True
39
Radiant immersion is used to warm a hypothermia patient
True
False
40
Important teaching for females of childbearing years that are taking antibiotics is
don't take with alcohol
use other form of birth control
wear sunscreen
drink lots of water
41
Most Antibiotics cause GI upset and reduce oral contraceptive efficacy
True
False
42
The nurse in the PACU places the highest priority on assessing the patients
fluid and electrolyte balance
condition of surgical site
adequacy of airway and breathing
level of consciousness
43
Subjective pain is............
what the nurse says it is
what the patient says it is
What you think it is
what it looks like
44
Your patients only allergy is Penicillin, why did they have a reaction to Rocephin
because they are both Macrolides
they have similar chemical make up and are in the Beta-Lactam category
because they are both Quinolones
They are both in the aminoglycoside category
45
What is spinal anesthesia most often used for
lower abdomen, pelvic or lower extremity procedure
chest or upper extremity procedure
cranial nerve surgery
open heart surgery
46
Which one of the following medications are ototoxic and nephrotoxic effects
Macrolides
Penicillin
Aminoglycosides
Cephalosporins
47
How often are vital signs assessed during recovery in post anesthesia care unit (PACU)?
15min
10min
20min
5min
48
What is the most common side effect of antifungal medications
cardiac dysrhythmias
GI upset
hypokalemia
neurotoxicity
49
Most important thing to ensure is completed before starting antibiotics?
Send a culture and sensitivity
perform pain assessment
Send a UA
Send a CBC
