Questions and Answers
The nurse monitors the patient for which of the following major postop complications after an abd hysterectomy? (Select all that apply)
The nurse is aware that signs and symptoms indicating a postop hemorrhage include which of the following? (Select all that apply)
Which of the following interventions should the nurse consider to minimize the risk of postop DVT? (Select all that apply)
The nurse should assess the effectiveness of the pain medication within 30 minutes after administration.
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The nurse monitors the patient's response to pain medications, especially opioid medications such as morphine, for adverse effects. Which of the following would reverse the effects of morphine?
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The nurse identifies a decrease in urine output in the postop patient and considers which of the following as a potential cause? (Select all that apply)
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Mrs. Bowman underwent an abd hysterectomy with salpingo-oophorectomy. In addition to the removal of the uterus, this procedure involves the removal of which of the following?
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Which of the following nursing actions are appropriate for a patient receiving opioid therapy for pain? (Select all that apply)
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If Bowman is found unresponsive and not visibly breathing, which of the following should be the nurse's priority intervention?
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If Bowman had been found unresponsive with no pulse, the nurse's next immediate priority intervention would be which of the following?
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What does the nurse determine was the cause of Bowman's unresponsiveness?
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Bowman is receiving ondansetron (Zofran) for nausea. Which lab value should the nurse monitor related to potential adverse effects of this drug?
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What are the specific assessments that the nurse monitors to detect the complication of hemorrhage following a hysterectomy? (Select all that apply)
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Study Notes
Postoperative Complications
- Major postoperative complications after an abdominal hysterectomy include infection, hemorrhage, bladder dysfunction, and deep vein thrombosis (DVT).
Signs of Hemorrhage
- Signs indicating postoperative hemorrhage encompass decreased blood pressure and decreased hemoglobin levels.
Minimizing DVT Risk
- Interventions to reduce the risk of postoperative DVT include applying anti-embolic stockings, encouraging early ambulation, and avoiding the use of pillows under the knees.
Pain Management
- Nurses need to assess the effectiveness of pain medications, particularly within 30 minutes after administration to ensure proper pain management.
Opioid Adverse Effects
- Monitoring for adverse effects of opioid medications such as morphine is essential, with naloxone (Narcan) being the reversal agent for opioid effects.
Urine Output Concerns
- Decreased urine output in postoperative patients may indicate potential causes such as decreased cardiac output, hypovolemia, or urinary retention.
Surgical Procedure Details
- An abdominal hysterectomy with salpingo-oophorectomy involves removing the uterus, fallopian tubes, and ovaries, while the vagina, ureters, and bladder remain intact.
Opioid Therapy Monitoring
- Patients on opioid therapy require close monitoring of sedation levels and respirations to prevent respiratory depression.
Emergency Response Protocols
- In cases where a patient is unresponsive and not visibly breathing, the first priority intervention is to check for a pulse.
Cardiac Arrest Procedure
- If a patient is unresponsive and lacks a pulse, the immediate action is to start chest compressions, following the "C-A-B" sequence for CPR.
Opioid Intoxication Cause
- Opioid intoxication, leading to respiratory depression and drowsiness, was determined to be the cause of the patient's unresponsiveness.
Monitoring Ondansetron Effects
- When administering ondansetron (Zofran) for nausea, it is crucial to monitor liver function tests, specifically AST and ALT, to detect potential hepatic side effects.
Hemorrhage Detection Assessments
- To identify hemorrhage complications post-hysterectomy, nurses should monitor perineal pad counts, observe vital sign trends, and inspect abdominal dressings for drainage.
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Description
These flashcards focus on key postoperative complications and nursing interventions following an abdominal hysterectomy. Each card presents scenarios related to patient monitoring and signs of complications, essential for nursing students or professionals. Test your knowledge on safe postoperative practices and enhance your nursing skills.
