Podcast
Questions and Answers
Which factors are affected by a patient's age and health?
Which factors are affected by a patient's age and health?
Which information should a postoperative patient receive before discharge? (Select all that apply)
Which information should a postoperative patient receive before discharge? (Select all that apply)
What are two considerations for the older adult surgical patient? (Select the two that apply)
What are two considerations for the older adult surgical patient? (Select the two that apply)
Which interventions can the Assistive Personnel (AP) perform in preparing a patient for abdominal surgery? (Select all that apply)
Which interventions can the Assistive Personnel (AP) perform in preparing a patient for abdominal surgery? (Select all that apply)
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What type of therapy is aimed at alleviating uncomfortable symptoms without curing the problem?
What type of therapy is aimed at alleviating uncomfortable symptoms without curing the problem?
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Discharge planning for a surgical procedure begins in the ______ and continues through the ______.
Discharge planning for a surgical procedure begins in the ______ and continues through the ______.
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Place the interventions in the correct order for immediate assessment once the patient enters the PACU:
Place the interventions in the correct order for immediate assessment once the patient enters the PACU:
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The inappropriate intervention related to caring for a patient with a PCA is:
The inappropriate intervention related to caring for a patient with a PCA is:
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Removal of a right leg in a 73-year-old patient with diabetes is an example of which type of surgery?
Removal of a right leg in a 73-year-old patient with diabetes is an example of which type of surgery?
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What is the legal term for the permission that a patient must give for any specific test or procedure?
What is the legal term for the permission that a patient must give for any specific test or procedure?
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Which circumstance could prevent a patient from signing his informed consent?
Which circumstance could prevent a patient from signing his informed consent?
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The anesthesiologist provides anesthesia by inhalation and IV administration routes. This is called:
The anesthesiologist provides anesthesia by inhalation and IV administration routes. This is called:
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A type of anesthesia that requires a depressed level of consciousness is:
A type of anesthesia that requires a depressed level of consciousness is:
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The older adult patient may not respond to surgical treatment as well as a younger adult because of:
The older adult patient may not respond to surgical treatment as well as a younger adult because of:
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Which postoperative nursing interventions would be contraindicated for a patient presenting signs of increased intracranial pressure (ICP)?
Which postoperative nursing interventions would be contraindicated for a patient presenting signs of increased intracranial pressure (ICP)?
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Anxiety, hypotension, and jarring during transfer can cause a postoperative increase in which vital sign?
Anxiety, hypotension, and jarring during transfer can cause a postoperative increase in which vital sign?
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On postoperative day 4, the surgical wound dehisced. This means that:
On postoperative day 4, the surgical wound dehisced. This means that:
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The most effective way to increase her peristalsis on postoperative day 2 is:
The most effective way to increase her peristalsis on postoperative day 2 is:
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Which is the first assessment to make when a patient is transferred from the operating room to the recovery room after surgery?
Which is the first assessment to make when a patient is transferred from the operating room to the recovery room after surgery?
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One of the first signs and symptoms of hemorrhage may be:
One of the first signs and symptoms of hemorrhage may be:
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Frequent monitoring of the postoperative patient's vital signs assesses which body system?
Frequent monitoring of the postoperative patient's vital signs assesses which body system?
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Decreased activity in an obese surgical patient predisposes the patient to which complication?
Decreased activity in an obese surgical patient predisposes the patient to which complication?
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The nurse acknowledges that all preoperative nursing interventions have been performed by signing which document?
The nurse acknowledges that all preoperative nursing interventions have been performed by signing which document?
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Which nursing interventions would be appropriate after a wound evisceration?
Which nursing interventions would be appropriate after a wound evisceration?
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When should the nurse offer prescribed analgesics to a patient who is 24 hours postoperative?
When should the nurse offer prescribed analgesics to a patient who is 24 hours postoperative?
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What nursing interventions will minimize the effects of venous stasis?
What nursing interventions will minimize the effects of venous stasis?
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Serum potassium levels are usually determined before surgery to:
Serum potassium levels are usually determined before surgery to:
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The nurse is assisting with the sponge and instrument count in the operating room. The operative phase in which the nurse is assisting is called the:
The nurse is assisting with the sponge and instrument count in the operating room. The operative phase in which the nurse is assisting is called the:
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Which early postoperative observation is abnormal and should be reported immediately?
Which early postoperative observation is abnormal and should be reported immediately?
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Sudden chest pain combined with dyspnea, cyanosis, and tachycardia is an indication of:
Sudden chest pain combined with dyspnea, cyanosis, and tachycardia is an indication of:
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An appendectomy during a hysterectomy would be classified as:
An appendectomy during a hysterectomy would be classified as:
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Which patients would be at greatest risk during surgery?
Which patients would be at greatest risk during surgery?
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A patient will have an incision in the lower left abdomen. Which intervention by the nurse will help decrease discomfort in the incisional area when she coughs postoperatively?
A patient will have an incision in the lower left abdomen. Which intervention by the nurse will help decrease discomfort in the incisional area when she coughs postoperatively?
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Although informed about the proposed surgical procedure, the patient has only vague responses about the postoperative period. A nursing diagnosis at this time would be:
Although informed about the proposed surgical procedure, the patient has only vague responses about the postoperative period. A nursing diagnosis at this time would be:
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In preparing for the return of the surgical patient, the patient's bed should be in what position?
In preparing for the return of the surgical patient, the patient's bed should be in what position?
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Southeast Asian and Native American patients often do not make eye contact during preoperative teaching because:
Southeast Asian and Native American patients often do not make eye contact during preoperative teaching because:
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What are the high-risk conditions that may affect perioperative procedures? (Select all that apply):
What are the high-risk conditions that may affect perioperative procedures? (Select all that apply):
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Study Notes
Postoperative Care Overview
- Patient-controlled analgesia (PCA) allows patients to self-administer pain relief; nurses should not administer doses.
- A below-the-knee amputation is classified as an ablative surgery, involving removal of body parts.
Informed Consent and Patient Rights
- Informed consent is necessary for procedures; it confirms that the patient understands the procedure.
- Patients under sedation should not be asked to sign consent due to disorientation.
Anesthesia and Its Types
- General anesthesia is provided via IV and inhalation, influencing patient awareness during surgery.
- Conscious sedation results in a depressed level of consciousness, suitable for minor procedures.
Response to Surgical Treatment
- Older adults exhibit varied responses to surgery due to physiological changes, affecting recovery.
- Postoperative complications can include increased intracranial pressure, which should be monitored closely.
Vital Signs and Complications
- Frequent vital sign monitoring is essential to detect cardiovascular complications.
- Early signs of hemorrhage include restlessness and increased pulse rate, indicating potential hypovolemic shock.
Postoperative Interventions
- Early ambulation post-surgery facilitates recovery and reduces complications like venous stasis.
- Wound evisceration requires immediate sterile dressing application and patient positioning to prevent further injury.
Education and Preoperative Considerations
- Preoperative teaching should occur a day or two before surgery to ease anxiety and enhance understanding.
- Special cultural considerations may affect communication and preoperative teaching.
High-Risk Patients
- Patients on anticoagulants face increased surgery risks due to potential bleeding; these medications should be paused before surgery.
- Risk factors for surgical complications include age, mental state, and nutritional status.
Discharge Instructions
- Essential discharge information includes wound care, signs to report, and medication side effects.
- Compliance with discharge instructions is critical for a successful recovery.
Role of Nursing Staff
- Nurses are responsible for ensuring informed consent is properly obtained and documented.
- Assistive Personnel can conduct basic assessments like vital signs and height/weight but cannot perform invasive procedures.
Cultural Sensitivity in Care
- Awareness of cultural differences regarding eye contact and communication styles can improve patient-nurse interactions.
Postoperative Assessment Techniques
- Bowel sounds assessment requires auscultation for one minute to determine the functionality of the digestive system post-surgery.
- Changes in bowel movements and pain levels should be monitored and reported as necessary.### Palliative Therapy
- Designed to alleviate or decrease uncomfortable symptoms.
- Focuses on symptom relief rather than curing the underlying issue.
- Important in providing comfort for patients with serious or terminal illnesses.
Discharge Planning
- Initiated in the preoperative period before surgery.
- Continues throughout the recuperative period post-surgery.
- Ensures a smooth transition for patients from hospital to home or next care facility.
Post-Anesthesia Care Unit (PACU) Assessment
- Immediate assessment protocol after surgery involves a specific sequence of checks for a patient's safe recovery.
- Assessments should be conducted in the following order:
- Airway (D)
- Breathing (B)
- Level of consciousness (E)
- Circulation (C)
- System review (A)
- Follows a systematic approach to monitor vital functions and overall patient status after anesthesia.
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Description
Test your knowledge on the care of surgical patients with this quiz focused on postoperative care and analgesia management. Review the critical concepts surrounding patient-controlled analgesia (PCA) and identify inappropriate interventions. Ideal for nursing students or healthcare professionals!
