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Ch 33Care of the Surgical Patient Flashcards | StudBud
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Ch 33Care of the Surgical Patient
Ch 33Care of the Surgical Patient
20 terms
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23 plays
Nursing care of the surgical patient
Flashcards
20 cards
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Practice quiz
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Questions
20
Answers
1
The OR is high-risk areas for latex allergy. What should LPN do to prevent a reaction
say it will be ok
Communicate with OR asap when latex-sensitive pt is known
Scheduling the latex-sensitive pt for last case of the day.
dont worry about it
2
what is the nurse's role in informed consent
explain surgical procedure
witness signature
explain possible complications
RN has no role
3
After a surgical pt has been given pre-op sedatives, which safety precaution should LPN take?
Determine if the patient has any allergies to latex
Reinforce to the pt to remain in bed
Obtain informed consent immediately after sedative given
Raise the side rails & keep the bed in the high position
4
The nursing process is not applicable in perioperative nursing
true
false
5
a cholecystectomy would considered what type of surgery?
palliative
elective
cosmetic
salvage
6
the circulating Nurse is responsible for all of the following except
verifies instrument & sponge counts
maintaing complete, accurate written records
providing for continuity of care after surgery
handing sterile instruments to the surgeon
7
a "time out" should be done
right before the surgery/procedure starts
only if the RN thinks it is needed
anytime
before the MD comes in
8
the main reason to include family when the LPN teaches the pt pre-op exercises is so they can:
Coach and encourage the patient after surgery
Demonstrate to the patient at home
Relieve RN by getting pt to do the exercises every 2 hours
Practice with the pt while he is waiting to go to the OR
9
any surgical procedure can be done at an ambulatory surgical center
false
true
10
Hand-off communications between PACU nurse & floor nurse should include which components Select all
Review of pertinent info from OR while at the nurses station
theres no need its all in the chart
Verification of the pt using 1 identifier & type of surgery
Vital signs, type of anesthesia , blood loss, & LOC
11
malignant hyperthermia is
handled with the administration of aspirin
is a complication of certain orthopedic surgeries only
is considered a minor complication
considered a life threatening complication of anesthesia
12
post-op discharge instructions should include
need to limit visitors
a bill
when to call the healthcare provider, s/s infection
nothing
13
your #1 system to monitor in PACU is
endocrine
GI
respiratory
neuro
14
the following post-op pts are under your care, which patient should you see first?
57y/o 6 hr post-op pt on PCA pump, hx of OSA, O2 sat at 85%
36y/o post-op, 1 hour late to receive post-op antibiotic
75y/o post-op hip surg c/o mod pain at surgical site, HR 92.
48y/o post-op knee replacement needs help repositioning
15
Postoperatively, the nurse instructs the patient to perform leg exercises every hour to:
Increase venous return
Maintain muscle tone
Assess range of motion
Exercise fatigued muscles
16
Bc older adults are at increased risk 4 respiratory complications after surgery, the LPN should
Orient pt to environment & ambulate every 2 hours.
Withhold pain medications and ambulate the pt every 2 hours
Monitor fluid status q 8 hr & vital signs q 4 hr
Encourage pt to turn, cough & deep breathe & control pain
17
a patient understands the need for incentive spirometer when he states, “I use this device to
“Increase my lung capacity.”
“Drain excess fluid from my lungs.”
“Expand my lungs after surgery”
“Help my cough reflex.”
18
an obese patient is at higher surgical risk bc of which of the following factors?
Ventilatory capacity is increased
Risk for bleeding is increased
Fatty tissue has a poor blood supply
Metabolic demands are increased.
19
pt got conscious sedation. Which is advantage of conscious sedation over general anesthesia
Monitoring in phase I recovery
need for mechanical ventilation.
Loss of sensation at the surgical site
no loss of airway
20
post-op liver resection pt -B/P 90/52, HR 124, R 26, dsg lg amt bld, what do you do
Monitor vital signs q 45 minutes until condition stabilizes
Maintain IV infusion & prepare to give volume replacement
document her
perform dressing change
