Podcast
Questions and Answers
What is a crucial role of the registered nurse when caring for a deteriorating perioperative patient?
What is a crucial role of the registered nurse when caring for a deteriorating perioperative patient?
- Promptly recognizing changes in the patient's condition and initiating appropriate interventions and escalating care. (correct)
- Documenting changes in the patient's condition without communicating them to the medical team unless they become life-threatening.
- Independently altering medication dosages based on perceived patient needs.
- Delegating all monitoring tasks to unlicensed assistive personnel to conserve resources.
A patient in the recovery room exhibits increased restlessness, declining oxygen saturation, and rising heart rate. What initial nursing intervention is most appropriate?
A patient in the recovery room exhibits increased restlessness, declining oxygen saturation, and rising heart rate. What initial nursing intervention is most appropriate?
- Assessing the patient's airway, breathing, and circulation (ABCs) and notifying the surgical team. (correct)
- Increasing the rate of the patient's opioid infusion to manage presumed pain.
- Administering a bolus of intravenous fluids to address potential hypovolemia.
- Immediately transferring the patient back to the operating room for further surgical evaluation.
A patient with hypernatremia is prescribed a hypotonic intravenous solution. What effect does this solution have on the patient's cells?
A patient with hypernatremia is prescribed a hypotonic intravenous solution. What effect does this solution have on the patient's cells?
- It causes fluid to be drawn into the blood vessels from the cells.
- It causes cells to swell as fluid moves from the extracellular space into the cells. (correct)
- It causes cells to shrink as fluid moves out of the cells into the extracellular space.
- It has no effect on cell size as it is isotonic with body fluids.
In a patient with severe blood loss, what type of fluid replacement therapy is MOST appropriate to rapidly expand intravascular volume?
In a patient with severe blood loss, what type of fluid replacement therapy is MOST appropriate to rapidly expand intravascular volume?
What mechanism primarily drives fluid movement between the interstitial space and the intracellular space?
What mechanism primarily drives fluid movement between the interstitial space and the intracellular space?
Which of the following factors would cause fluid to shift from the vascular space into the interstitial space?
Which of the following factors would cause fluid to shift from the vascular space into the interstitial space?
Which fluid compartment contains the largest amount of body water?
Which fluid compartment contains the largest amount of body water?
What physiological response occurs when the body experiences a fluid volume deficit?
What physiological response occurs when the body experiences a fluid volume deficit?
Which clinical manifestation is commonly observed in a patient experiencing fluid volume deficit during the perioperative period?
Which clinical manifestation is commonly observed in a patient experiencing fluid volume deficit during the perioperative period?
What is the effect on hematocrit levels in a patient experiencing dehydration?
What is the effect on hematocrit levels in a patient experiencing dehydration?
Flashcards
RN role: Deteriorating patient
RN role: Deteriorating patient
The RN assesses, monitors, and intervenes when a perioperative patient shows signs of deterioration, ensuring patient safety.
Interventions: Patient deteriorates
Interventions: Patient deteriorates
Interventions include assessing vital signs, administering oxygen, notifying the surgeon, and preparing for advanced life support if needed.
What is Tonicity?
What is Tonicity?
The concentration of a solution compared to another solution. Determines fluid movement in/out of cells.
Fluid Replacement Therapy
Fluid Replacement Therapy
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Fluid Shifts
Fluid Shifts
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Mechanisms of Fluid Shift
Mechanisms of Fluid Shift
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Fluid Compartments
Fluid Compartments
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Fluid Alterations: What Happens?
Fluid Alterations: What Happens?
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Manifestations: Fluid Deficit
Manifestations: Fluid Deficit
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Study Notes
- Registered nurses play a critical role in caring for perioperative patients whose condition is deteriorating.
- Nursing interventions are essential when a patient's condition declines in the recovery room or postoperative surgical ward.
- Understanding fluid tonicity is important for correcting body fluid imbalances.
- Various fluid replacement therapies are available to address different fluid imbalances.
- Fluids shift throughout the body, influenced by multiple mechanisms.
- Different types of fluid compartments exist within the body.
- Fluid alterations can lead to specific changes and effects within the body.
- Recognizing clinical signs of fluid balance deficit is crucial during the perioperative period.
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