Post-Operative Care Quiz for Nurses

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Questions and Answers

Which post-operative finding is the nurse most concerned about?

  • Lack of appetite
  • A mild fever
  • Frequent swallowing (correct)
  • Throat pain

Why might a patient experience throat pain after surgery?

  • The patient did not receive adequate pain medication.
  • The patient is allergic to the anesthetic.
  • The patient was intubated during the procedure. (correct)
  • The patient has a bacterial infection.

Which post-operative finding is usually not a serious concern?

  • Rapid heart rate
  • Decreased urine output
  • Lack of appetite (correct)
  • Excessive bleeding

What is the primary reason for a post-operative patient experiencing a mild fever?

<p>Normal inflammatory response (D)</p> Signup and view all the answers

What is a potential consequence of frequent swallowing after surgery?

<p>Airway obstruction (C)</p> Signup and view all the answers

What is the recommended depth for inserting a thermometer rectally?

<p>4cm (A)</p> Signup and view all the answers

What is the typical age range for a child to be considered a teenager?

<p>13-18 years old (D)</p> Signup and view all the answers

In the case of a 15-year-old girl experiencing diarrhea, what would be the most likely cause? (Assume no other medical information is provided.)

<p>All of the above (D)</p> Signup and view all the answers

What is the primary symptom being described in the provided scenario?

<p>Diarrhea (C)</p> Signup and view all the answers

Which of the following is NOT a common cause of diarrhea in children and adolescents?

<p>Chronic obstructive pulmonary disease (COPD) (E)</p> Signup and view all the answers

What is the main reason for wearing a supportive bra?

<p>To relieve discomfort. (D)</p> Signup and view all the answers

What is the suggested action regarding breastfeeding?

<p>Consult a doctor before making changes. (A)</p> Signup and view all the answers

What is the main concern being addressed in the text?

<p>Discomfort or pain in the breasts. (D)</p> Signup and view all the answers

What is the likely reason for the need to wear a supportive bra?

<p>A medical condition. (D)</p> Signup and view all the answers

What is the most appropriate next step after reading this text?

<p>Consult a doctor or lactation consultant. (C)</p> Signup and view all the answers

What should the nurses do if a patient in the Male Medical Unit needs an abdominal CT with contrast?

<p>Ask the physician to provide a written order for the procedure. (B), Verify the patient's identity and their understanding of the procedure. (D)</p> Signup and view all the answers

Which of the following steps should be taken if a patient in the Male Medical Unit is unresponsive?

<p>Check the patient's vitals and inform the physician. (B)</p> Signup and view all the answers

What is the primary purpose of obtaining a signature from a patient before an abdominal CT with contrast?

<p>To document the patient's consent to the procedure and its risks. (A)</p> Signup and view all the answers

What is the best course of action for nurses when taking a signature on a form for a medical procedure?

<p>Ensure the patient understands the procedure and its risks before obtaining their signature. (B)</p> Signup and view all the answers

What is the role of the physician in the context of the patient needing an abdominal CT with contrast?

<p>To provide a written order for the procedure. (C)</p> Signup and view all the answers

What is the most likely reason a newborn is started on phototherapy?

<p>To treat jaundice (B), To treat hyperbilirubinemia (C)</p> Signup and view all the answers

What is the primary goal of breastfeeding a newborn receiving phototherapy?

<p>To facilitate the excretion of bilirubin (A)</p> Signup and view all the answers

Why is it important to feed a newborn receiving phototherapy frequently?

<p>To provide adequate hydration (A)</p> Signup and view all the answers

What is the purpose of phototherapy in newborn hyperbilirubinemia?

<p>To convert bilirubin into a more soluble form (B)</p> Signup and view all the answers

What does the 'G' in the GTPAL format represent?

<p>The number of pregnancies (C)</p> Signup and view all the answers

What does the abbreviation 'A' in GTPAL signify?

<p>Abortions, both spontaneous and elective (D)</p> Signup and view all the answers

What would the GTPAL format for this client look like?

<p>G5 T2 P2 A1 L4 (A)</p> Signup and view all the answers

What is the correct dosage of the medication to be administered?

<p>15 ML (C)</p> Signup and view all the answers

Which of the following dosages could potentially lead to an overdose?

<p>20 ML (B)</p> Signup and view all the answers

If a nurse administers a dosage of 5 ML, what aspect of patient care could be compromised?

<p>Ineffective treatment (D)</p> Signup and view all the answers

Which dosage might be considered appropriate for a larger patient requiring a higher amount?

<p>15 ML (A)</p> Signup and view all the answers

What is the first action to take regarding team improvement?

<p>Schedule meeting with staff (B)</p> Signup and view all the answers

What should be done to address necessary changes in the team?

<p>Start changes to improve (C)</p> Signup and view all the answers

What could be the potential consequence of administering a dosage below the recommended amount?

<p>No therapeutic effect (D)</p> Signup and view all the answers

What symptom is primarily experienced by the 18-year-old man in the scenario?

<p>Severe quadrant pain (D)</p> Signup and view all the answers

What is an essential step before implementing improvements?

<p>Review evaluation details (A)</p> Signup and view all the answers

Which action is not supportive of an effective team improvement process?

<p>Making unilateral changes (B)</p> Signup and view all the answers

What reaction did the patient have upon palpation of the abdomen?

<p>He jerked in response (B)</p> Signup and view all the answers

What age group does the patient fall into based on the information provided?

<p>Young adult (D)</p> Signup and view all the answers

What is a beneficial practice when aiming to enhance team performance?

<p>Schedule ongoing training sessions (D)</p> Signup and view all the answers

What condition might be indicated by the symptoms described for the patient?

<p>Appendicitis (A)</p> Signup and view all the answers

What was the general state of the patient when he was rushed to seek help?

<p>He was fainting (A)</p> Signup and view all the answers

What is the most appropriate initial nursing action when a discrepancy is found in the narcotic box count?

<p>Report the discrepancy to the nursing supervisor. (C)</p> Signup and view all the answers

Which of the following actions should a nurse avoid when discovering a discrepancy in the narcotic box count?

<p>Accuse staff of theft without evidence. (C)</p> Signup and view all the answers

In the event of a missing pill from the narcotic box, which action enhances safety in the workplace?

<p>Increase security measures around medication storage. (A)</p> Signup and view all the answers

When a nurse identifies a difference between the narcotic box count and the recorded amount, what should the nurse consider doing first?

<p>Reconcile the counts with the last records. (A)</p> Signup and view all the answers

What is a potential consequence of not addressing a discrepancy in the narcotic count promptly?

<p>Increased risk of drug misuse or theft. (B)</p> Signup and view all the answers

What is the most concerning behavior of the patient post-thyroidectomy based on the provided information?

<p>Inability to respond verbally (B)</p> Signup and view all the answers

How is the patient's level of consciousness best described in this scenario?

<p>Drowsy but responsive to stimuli (D)</p> Signup and view all the answers

What might be an expected physiological response after thyroid surgery?

<p>Uncontrolled nausea and vomiting (D)</p> Signup and view all the answers

Which observation would likely require immediate medical attention for the patient?

<p>Consistent drowsiness without improvement (A)</p> Signup and view all the answers

What key factor should be monitored in the patient immediately after a thyroidectomy?

<p>Respiratory function (A)</p> Signup and view all the answers

Why is incident reporting essential in healthcare?

<p>It helps identify areas for improvement. (A)</p> Signup and view all the answers

What is a potential outcome of neglecting incident reporting?

<p>Reduced patient safety. (D)</p> Signup and view all the answers

How should incident reporting be prioritized in healthcare settings?

<p>As a primary duty of all staff members. (C)</p> Signup and view all the answers

Who should be responsible for reporting incidents in a healthcare facility?

<p>Each individual healthcare worker. (C)</p> Signup and view all the answers

What might occur if incidents are not reported effectively?

<p>Lessons learned from incidents may be forgotten. (A)</p> Signup and view all the answers

Flashcards

Post-operative findings

Observations and symptoms evaluated after surgery.

Lack of appetite

A significant decrease in desire to eat post-surgery.

Throat pain

Discomfort felt in the throat area after surgery.

Frequent swallowing

Repeatedly needing to swallow, often a response to throat irritation.

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Post-operative concern priority

The most critical observation to address after surgery.

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Vital Signs Monitoring

Checking a patient's vital signs like pulse, temperature, breath rate, and blood pressure.

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Notify Physician

Informing a doctor about any significant changes or issues observed with a patient.

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Signature for Abdominal CT

Obtaining patient consent is necessary before conducting medical imaging such as a CT scan with contrast.

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CT Scan with Contrast

A medical imaging procedure that uses contrast material to enhance the visibility of internal structures in the body.

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Patient Awakening Strategies

Methods attempted to arouse a patient who may be unresponsive or in need of stimulation.

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Supportive Bra

A type of bra designed to provide comfort and support, especially during breastfeeding.

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Breastfeeding

The natural process of feeding an infant with milk from the mother's breast.

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Discomfort

A feeling of slight pain or unease in the body.

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Condition Resolves

The process where a health issue improves or disappears.

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Stop Breastfeeding

To discontinue feeding an infant with breast milk.

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Rectal Temperature Insertion Depth

The recommended depth for inserting a thermometer for rectal temperature measurement is 4cm.

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Thermometer Insertion Options

Insertion options include 2cm, 3.5cm, 4cm, and 4.5cm.

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Hospital Admission Signs

A 15-year-old girl is admitted with diarrhea, indicating potential dehydration or illness.

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Signs of Dehydration

Dehydration can occur due to excessive fluid loss from diarrhea.

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Importance of Rectal Temperature

Rectal temperature offers accurate readings, especially important in children.

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GTPAL format

A system used to summarize obstetric history.

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Gravida (G)

The number of times a woman has been pregnant.

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Term (T)

The number of pregnancies that reached term (37 weeks or more).

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Abortions (A)

The number of pregnancies that ended before 20 weeks, including miscarriages.

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Living children (L)

The number of children currently living.

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Hyperbilirubinemia

A medical condition characterized by high bilirubin levels in the blood.

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Phototherapy

A treatment using light to reduce bilirubin levels in newborns.

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Feeding instructions for hyperbilirubinemia

Nurses should instruct breastfeeding every two hours for affected newborns.

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Benefits of frequent breastfeeding

Helps lower bilirubin levels by promoting hydration and bowel movements.

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Glucose drinks in newborns

Not advisable as primary nutrition for newborns with hyperbilirubinemia.

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Vomitus

The material expelled from the stomach during vomiting.

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Post-operative drowsiness

A state of sleepiness or reduced alertness after surgery.

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Thyroidectomy

Surgical removal of the thyroid gland.

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Post-operative observation

Monitoring a patient for signs of recovery or complications after surgery.

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Respiration assessment

Evaluation of how well a patient is breathing.

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Narcotic Box Count Discrepancy

A situation where the number of narcotic pills in a box does not match the recorded number.

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Initial Nursing Action

The first step a nurse should take when encountering a narcotic count discrepancy, often to ensure safety and accountability.

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Report Discrepancy

Notify the appropriate authority or supervisor about the difference in count of narcotics.

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Inventory Protocol

Standard procedures to follow when counting and verifying controlled substances.

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Controlled Substances

Drugs that are regulated by law due to their potential for abuse and require strict inventory management.

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Medication Dosage

The specific amount of medication to be administered.

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5 ML Dosage

One of the possible dosages of medication to administer.

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10 ML Dosage

Another potential dosage of medication for administration.

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15 ML Dosage

A higher potential dosage of medication to give.

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20 ML Dosage

The highest dosage option presented for medication.

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Schedule Meeting with Staff

Arrange a time for staff to discuss relevant topics.

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Start Changes to Improve

Initiate actions aimed at enhancing performance or outcomes.

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Review Evaluation Details

Examine the specifics of an assessment or appraisal.

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Implement Feedback

Apply suggestions or evaluations to improve processes.

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Team Improvement Goals

Objectives set to enhance team performance and collaboration.

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Nausea

A feeling of discomfort in the stomach that often precedes vomiting.

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Appendicitis

An inflammation of the appendix, often resulting in severe abdominal pain.

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Severe quadrant pain

Intense pain felt in the lower right abdominal area, often related to appendicitis.

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Fainting during an episode

Loss of consciousness due to decreased blood flow to the brain, often linked to severe pain.

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Palpation response

The physical examination technique to feel organs or structures, which may cause pain in appendicitis.

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Incident Reporting

The process of documenting and prioritizing adverse events or near misses in healthcare.

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Priority in Incident Reporting

The importance placed on addressing and documenting incidents immediately in clinical settings.

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Adverse Events

Unintended injuries or complications resulting from medical care, indicating a need for reporting.

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Patient Safety

The prevention of errors and adverse effects to patients associated with healthcare.

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Documentation in Healthcare

The act of recording information about patient care and incidents for legal and safety purposes.

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Study Notes

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