PN1 exam 2

Hypertension, inability to conserve sodium, decrease urine concent. ability, tendency to develop hyperkalmemia&acidosis

current meds, medical/fam hx, previous surgical procedures&anesthesia, pain, blood donation, discharge & planning

Surgeon obtains signed consent before sedation and surgery

Fam hx, nutrition, elimination pattern, COCA, abd. pain, anorexia, fatigue, Recent use of NSAIDs, vitals & abd, assess.

Nurse may clarify facts and dispels myths about surgery

Urge to urinate in small amounts, dysuria, urine is cloudy, foul smelling, blood tinged, low back pain, nocturia, incont

Skin, Psychosocial, nutritional, malnutrition, obesity

Hx, info about GI disorder, Surgery, tx, Recent N/V & color of emesis, pain assess., passage of flatus, bm, meds,hiccups

Eat high foods, adequate fluids, no lax, exercise, natural foods to stimulate peristalsis, no bedpan, bulk forming prod.

Knowledgeof events, age, allergies, drug/subs.use, current meds, med/fam hx, prev. surg/anest. proced. blood donat, pain

fever, chills, tachycardia/pnea, flank or loin pain, tenderness(CVA), abdominal. discomfort, nausea, malaise, burning P

Chew food slowly, ingest 30-40g fiber, 8-10glasses of H20, bulk forming & antidiarrheal meds.

Recent infections, travel, exposure to viruses, parasites, surgery, inspect skin, face, eyelids, hands, SOB, COCA, BP

Nurse is responsible for providing detailed info about procedure

Determine baseline, assess LOC, ability to follow commands

Penicillin, erythromycin, azithromycin caused by strep antibiotic therapy for

Hx of weight change, nutrition, elimination pattern, COCA, abdominal pain, fatigue/malaise, abdom. assess., list of meds

Unintentional wt loss,(Freq., consistency, blood of stools), fever, assess abdominal, inspect peri, psychological assess

Be aware of pt at risk for DVT, anti embolism stockings, pneumatic compression devices, leg exercises, mobility

CAD, MI w/n 6 months b4 surgery, angina, hypertension, & dysrhythmias

Chronic illness, malnutrition, impaired self care ability, allergies, inadequate support system

Relieve S/S, rest, record stool, monitor skin in peri area, weight client 2x wk, surgical management & meds

Drink 2-3L H2o, sleep, good nutrition, loose clothing, clean front2back, cotton underwear, avoid scented lubricant,

NPO, NGT Tube, vitals, BP, assess abdom. 2x a day, monitor fluid and electrolyte status

Surgery does not provide an exception for advance directives or living well