post-op discharge instructions should include (select all that apply)

wound care, medications, when to call the healthcare provider

a "time out" should be done

right before the surgery/procedure starts

Hand-off communications between PACU RN & floor RN should include which components Select all

Vital signs, type of anesthesia , blood loss, & LOC, Uninterrupted time to review pertinent events & ask question

After a surgical pt has been given pre-op sedatives, which safety precaution should RN take?

Reinforce to the pt to remain in bed

a patient understands the need for incentive spirometer when he states, “I use this device to

“Expand my lungs after surgery”

the main reason to include family when the RN teaches the pt pre-op exercises is so they can:

Coach and encourage the patient after surgery

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%

Bc older adults are at increased risk 4 respiratory complications after surgery, the RN should

Encourage pt to turn, cough & deep breathe & control pain

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Duplicate of Care of the Surgical Patient

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Nursing care of the surgical patient

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Questions 11

Answers

1
post-op discharge instructions should include (select all that apply)
wound care
medications
need to limit visitors
when to call the healthcare provider
2
what is the RNs role in informed consent
RN has no role
explain surgical procedure
explain possible complications
witness signature
3
a "time out" should be done
only if the RN thinks it is needed
right before the surgery/procedure starts
anytime
before the MD comes in
4
The nursing process is not applicable in perioperative nursing
false
true
5
Hand-off communications between PACU RN & floor RN should include which components Select all
Review of pertinent info from OR while at the nurses station
Vital signs, type of anesthesia , blood loss, & LOC
Verification of the pt using 1 identifier & type of surgery
Uninterrupted time to review pertinent events & ask question
6
After a surgical pt has been given pre-op sedatives, which safety precaution should RN take?
Raise the side rails & keep the bed in the high position
Obtain informed consent immediately after sedative given
Reinforce to the pt to remain in bed
Determine if the patient has any allergies to latex
7
a patient understands the need for incentive spirometer when he states, “I use this device to
“Expand my lungs after surgery”
“Drain excess fluid from my lungs.”
“Increase my lung capacity.”
“Help my cough reflex.”
8
the main reason to include family when the RN teaches the pt pre-op exercises is so they can:
Practice with the pt while he is waiting to go to the OR
Demonstrate to the patient at home
Relieve RN by getting pt to do the exercises every 2 hours
Coach and encourage the patient after surgery
9
the following post-op pts are under your care, which patient should you see first?
75y/o post-op hip surg c/o mod pain at surgical site, HR 92.
57y/o 6 hr post-op pt on PCA pump, hx of OSA, O2 sat at 85%
48y/o post-op knee replacement needs help repositioning
36y/o post-op, 1 hour late to receive post-op antibiotic
10
Bc older adults are at increased risk 4 respiratory complications after surgery, the RN should
Orient pt to environment & ambulate every 2 hours.
Encourage pt to turn, cough & deep breathe & control pain
Monitor fluid status q 8 hr & vital signs q 4 hr
Withhold pain medications and ambulate the pt every 2 hours
11
Postoperatively, the nurse instructs the patient to perform leg exercises every hour to:
Maintain muscle tone
Assess range of motion
Exercise fatigued muscles
Increase venous return

Duplicate of Care of the Surgical Patient Flashcards | StudBud