Postoperative Nursing Care Guidelines Quiz
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Questions and Answers

Which phase of surgery occurs during the actual surgical procedure?

  • Perioperative
  • Intraoperative (correct)
  • Postoperative
  • Preoperative

    • What is a risk factor for surgery related to the heart's inability to cope with anesthesia?

  • Blood coagulation disorders
  • Advanced age
  • Obesity
  • Cardiac conditions (correct)

    • Which type of surgery is performed at the convenience of the patient?

  • Elective surgery (correct)
  • Emergency surgery
  • Minor surgery
  • Urgent surgery

    • What is a characteristic of minor surgery?

    <p>Produces few complications</p> Signup and view all the answers

    Which condition is a risk factor for surgery due to its impact on circulation and wound healing?

    <p>Obesity</p> Signup and view all the answers

    What is the term for surgery that must be performed within a few days for the patient's health?

    <p>Urgent surgery</p> Signup and view all the answers

    Which phase of surgery is related to the period around the time of a surgical operation?

    <p>Perioperative</p> Signup and view all the answers

    What is the purpose of a Telfa dressing?

    <p>To prevent gauze from sticking to the wound</p> Signup and view all the answers

    Which type of drainage system drains by gravity into a dressing or receptacle?

    <p>Penrose drain</p> Signup and view all the answers

    What is the effect of nicotine on wound healing?

    <p>Attaches to O2 and depletes it, leading to slow healing</p> Signup and view all the answers

    Which type of dressing is a thin film used over IVs?

    <p>Tegaderm</p> Signup and view all the answers

    What is the function of steristrips?

    <p>To secure and close small wounds</p> Signup and view all the answers

    What is the purpose of wound irrigation?

    <p>To flush out an open wound</p> Signup and view all the answers

    Which factor can negatively affect wound healing?

    <p>Smoking</p> Signup and view all the answers

    What is the purpose of a butterfly dressing?

    <p>To secure and close small wounds</p> Signup and view all the answers

    What is the function of a closed suction drainage system?

    <p>To extract fluid into a closed receptacle</p> Signup and view all the answers

    Which type of surgery involves the use of endoscopes and video cameras for visualization and surgical procedures?

    <p>Fiber optic surgery</p> Signup and view all the answers

    For which type of surgery are stable vital signs, ability to stand and walk without dizziness or nausea, controlled pain, and ability to urinate without problems the criteria?

    <p>Ambulatory surgery</p> Signup and view all the answers

    Which pre-operative diagnostic test is especially essential for elective surgeries in patients over 40 or with a history of cardiovascular disease?

    <p>Chest x-ray</p> Signup and view all the answers

    Which technique is used in post-operative care to prevent complications such as atelectasis, deep vein thrombosis, and pneumonia?

    <p>Incentive spirometer use</p> Signup and view all the answers

    Which type of anesthesia involves distinct effects on the patient's consciousness and pain perception?

    <p>Conscious sedation</p> Signup and view all the answers

    Where do patients recover after surgery and undergo monitoring of vital signs, respiratory and cardiovascular assessments, and potential extubation?

    <p>Post-anesthesia care unit (PACU)</p> Signup and view all the answers

    What is involved in post-operative care in the surgical unit to ensure proper recovery and prevent complications?

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

    What are potential signs of respiratory complications post-surgery?

    <p>Restlessness, dyspnea, rapid pulse, decreased SpO2</p> Signup and view all the answers

    What are potential cardiovascular complications characterized by?

    <p>Decreased blood pressure, tachycardia, decreased urine output</p> Signup and view all the answers

    What are potential symptoms of thrombophlebitis/DVT and pulmonary embolism post-surgery?

    <p>Pain/tenderness, swelling, respiratory distress</p> Signup and view all the answers

    What are potential complications requiring interventions such as encouraging voiding and applying pressure to the abdomen with valsalva maneuver?

    <p>Urinary retention and paralytic ileus</p> Signup and view all the answers

    What are potential preventive measures for infection, dehiscence, and evisceration as wound-related complications?

    <p>Assessment, preventive measures, and prompt medical intervention</p> Signup and view all the answers

    What are the distinct wound healing phases in the postoperative period?

    <p>Inflammatory, reconstruction, and maturation phases</p> Signup and view all the answers

    What are employed forms of wound healing based on the nature and condition of the wound to optimize healing and minimize scarring?

    <p>Primary, secondary, and tertiary intention, as well as the use of wound vac therapy</p> Signup and view all the answers

    Which type of dressing is a plastic cover over a gauze to prevent it from sticking to the wound?

    <p>Telfa dressing</p> Signup and view all the answers

    What is the purpose of a Penrose drain?

    <p>To drain by gravity into a dressing or receptacle</p> Signup and view all the answers

    Which factor negatively affects wound healing by depleting oxygen and leading to slow healing?

    <p>Nicotine</p> Signup and view all the answers

    What is the function of a closed suction drainage system?

    <p>To extract fluid into a closed receptacle</p> Signup and view all the answers

    Which type of drainage system permits drainage of exudate and promotes healing?

    <p>Closed suction drainage</p> Signup and view all the answers

    What is the primary purpose of wound irrigation?

    <p>To flush an open wound</p> Signup and view all the answers

    What is the purpose of a butterfly dressing?

    <p>To cover IVs</p> Signup and view all the answers

    Which type of dressing is a thin film used over IVs?

    <p>Transparent wound barriers</p> Signup and view all the answers

    What is the purpose of a Montgomery strap in wound care?

    <p>To secure dressings without adhesive tape</p> Signup and view all the answers

    Which postoperative complication may require monitoring for potential adverse reactions such as febrile, urticarial, hemolytic, or anaphylactic reactions?

    <p>Blood therapy protocols for transfusions</p> Signup and view all the answers

    What are potential cardiovascular complications characterized by post-surgery?

    <p>Decreased blood pressure, tachycardia, decreased urine output</p> Signup and view all the answers

    What is the potential complication that may present risks post-surgery with symptoms such as pain/tenderness, swelling, and respiratory distress?

    <p>Thrombophlebitis/DVT</p> Signup and view all the answers

    What is the potential postoperative complication that may manifest as restlessness, dyspnea, rapid pulse, and decreased SpO2?

    <p>Respiratory complications</p> Signup and view all the answers

    Which potential postoperative complication may necessitate interventions such as encouraging voiding and applying pressure to the abdomen with valsalva maneuver?

    <p>Urinary retention</p> Signup and view all the answers

    What is the potential complication that may require close monitoring and preventive measures such as adequate replacement and early detection?

    <p>Fluid and electrolyte imbalance</p> Signup and view all the answers

    What are potential wound-related complications necessitating assessment, preventive measures, and prompt medical intervention?

    <p>Infection, dehiscence, and evisceration</p> Signup and view all the answers

    What is the term for surgery that is voluntary and performed when convenient for the patient?

    <p>Elective surgery</p> Signup and view all the answers

    Which condition is a risk factor for surgery due to its impact on circulation and wound healing?

    <p>Obesity</p> Signup and view all the answers

    What is the function of a Telfa dressing in postoperative care?

    <p>Absorb exudate</p> Signup and view all the answers

    Which type of anesthesia involves distinct effects on the patient's consciousness and pain perception?

    <p>Moderate sedation</p> Signup and view all the answers

    What are potential complications requiring interventions such as encouraging voiding and applying pressure to the abdomen with valsalva maneuver?

    <p>Urinary retention</p> Signup and view all the answers

    What is the purpose of wound irrigation in postoperative care?

    <p>Prevent infection</p> Signup and view all the answers

    What are potential respiratory disorders that can be risk factors for surgery?

    <p>Asthma</p> Signup and view all the answers

    Which type of anesthesia involves the use of a laser device to cut through tissue?

    <p>Laser anesthesia</p> Signup and view all the answers

    What is the purpose of the post-anesthesia care unit (PACU)?

    <p>To monitor vital signs and respiratory assessments</p> Signup and view all the answers

    What are the criteria for ambulatory surgery?

    <p>Ability to stand and walk without dizziness or nausea, controlled pain, and ability to urinate without problems</p> Signup and view all the answers

    What is the purpose of patient education in the perioperative phase?

    <p>To cover general information about the perioperative phase and specific instructions for the gastrointestinal, respiratory, and cardiovascular systems</p> Signup and view all the answers

    What technique is used in post-operative care to prevent complications such as atelectasis, deep vein thrombosis, and pneumonia?

    <p>Incentive spirometer use</p> Signup and view all the answers

    What is the purpose of pre-operative diagnostic tests for elective surgeries, especially for patients over 40 or with a history of cardiovascular disease?

    <p>To assess the patient's overall health and identify potential risks</p> Signup and view all the answers

    What is the purpose of splinting in post-operative care?

    <p>To prevent complications such as atelectasis and pneumonia</p> Signup and view all the answers

    What condition may impede circulation and wound healing, making the patient prone to infection and dislodged fatty plaque?

    <p>Obesity</p> Signup and view all the answers

    Which medication may interfere with anesthesia during surgery?

    <p>Diuretics</p> Signup and view all the answers

    What type of surgery involves a higher degree of risk and extensive reconstruction or alteration in body parts?

    <p>Major surgery</p> Signup and view all the answers

    Which type of surgery involves the use of a laser device to cut through tissue?

    <p>Ablative surgery</p> Signup and view all the answers

    What is the primary purpose of the post-anesthesia care unit (PACU)?

    <p>To monitor vital signs and cardiovascular assessments</p> Signup and view all the answers

    What technique is used in post-operative care to prevent complications such as atelectasis, deep vein thrombosis, and pneumonia?

    <p>Leg exercises</p> Signup and view all the answers

    What is a potential postoperative complication that may require close monitoring for potential adverse reactions such as febrile, urticarial, hemolytic, or anaphylactic reactions?

    <p>Blood therapy protocols for transfusions</p> Signup and view all the answers

    What are potential cardiovascular complications characterized by specific signs such as decreased blood pressure, tachycardia, and decreased urine output, necessitating prevention strategies and early detection?

    <p>Fluid and electrolyte imbalance</p> Signup and view all the answers

    What is the purpose of postoperative nursing care in relation to wound healing phases?

    <p>To ensure optimal patient recovery and healing</p> Signup and view all the answers

    Which type of dressing is a thin film used over IVs?

    <p>Transparent wound barrier</p> Signup and view all the answers

    What is the function of a closed suction drainage system?

    <p>Extract fluid into a closed receptacle</p> Signup and view all the answers

    What is the potential complication that may manifest as restlessness, dyspnea, rapid pulse, and decreased SpO2?

    <p>Atelectasis</p> Signup and view all the answers

    What is the purpose of a Montgomery strap in wound care?

    <p>Secure a dressing without tape</p> Signup and view all the answers

    What is the potential postoperative complication that may require monitoring for potential adverse reactions such as febrile, urticarial, hemolytic, or anaphylactic reactions?

    <p>Hypersensitivity reaction</p> Signup and view all the answers

    What is the effect of nicotine on wound healing?

    <p>Depletes oxygen and leads to slow healing</p> Signup and view all the answers

    Study Notes

    Postoperative Nursing Care Guidelines

    • Gastrointestinal assessment includes checking for bowel sounds, abdominal distention, and return of peristalsis, with particular attention to NGT output for decompression and fluid/electrolyte replacement.
    • Wound assessment involves reinforcing dressing for 24 hours, monitoring for bleeding, and assessing various aspects of the wound such as appearance, size, drainage, and pain.
    • Blood therapy protocols for transfusions entail specific preparation steps, consent documentation, and monitoring for potential adverse reactions such as febrile, urticarial, hemolytic, or anaphylactic reactions.
    • Respiratory complications post-surgery may manifest as restlessness, dyspnea, rapid pulse, decreased SpO2, and pneumonia, requiring close monitoring and prompt intervention.
    • Cardiovascular complications, including hemorrhage and hypovolemic shock, are characterized by specific signs such as decreased blood pressure, tachycardia, and decreased urine output, necessitating prevention strategies and early detection.
    • Thrombophlebitis/DVT and pulmonary embolism present risks post-surgery, with symptoms such as pain/tenderness, swelling, and respiratory distress, for which preventive measures include early ambulation and anti-emboli stockings.
    • Urinary retention and paralytic ileus are potential postoperative complications, necessitating interventions such as encouraging voiding and applying pressure to the abdomen with valsalva maneuver.
    • Fluid and electrolyte imbalance and gastric suctioning can lead to complications, requiring close monitoring and preventive measures such as adequate replacement and early detection.
    • Infection, dehiscence, and evisceration are potential wound-related complications, necessitating assessment, preventive measures, and prompt medical intervention.
    • The postoperative period involves distinct wound healing phases, including the inflammatory, reconstruction, and maturation phases, with specific characteristics and timeframes for each phase.
    • Different forms of wound healing, including primary, secondary, and tertiary intention, as well as the use of wound vac therapy, are employed based on the nature and condition of the wound to optimize healing and minimize scarring.
    • The importance of postoperative nursing care lies in the meticulous assessment, monitoring, and intervention to prevent and manage potential post-surgical complications, ensuring optimal patient recovery and healing.

    Surgical Procedures and Post-Operative Care

    • Surgical procedures can be categorized into diagnostic, ablative, palliative, reconstructive, and transplant, each serving specific purposes.
    • Inpatient surgical procedures require hospital admission before and after the surgery, while ambulatory or outpatient surgeries are less costly and do not require inpatient care.
    • Criteria for ambulatory surgery include stable vital signs, ability to stand and walk without dizziness or nausea, controlled pain, and ability to urinate without problems.
    • Laser surgery involves the use of a laser device to cut through tissue, while fiber optic surgery uses endoscopes and video cameras for visualization and surgical procedures.
    • Pre-operative diagnostic tests, such as CBC, serum electrolytes, coagulation studies, chest x-ray, and EKG, are essential for elective surgeries, especially for patients over 40 or with a history of cardiovascular disease.
    • Patient education covers general information about the perioperative phase and specific instructions for the gastrointestinal, respiratory, and cardiovascular systems.
    • Post-operative care includes techniques like splinting, incentive spirometer use, and leg exercises to prevent complications such as atelectasis, deep vein thrombosis, and pneumonia.
    • Pain management involves ongoing assessment and administration of medication, progressing from patient-controlled analgesia to oral medications.
    • The transfer to the operating room involves specific protocols for preparing the patient and administering pre-operative medications.
    • Anesthesia can be general, regional, or conscious sedation, each with distinct effects on the patient's consciousness and pain perception.
    • The post-anesthesia care unit (PACU) is where patients recover after surgery, and it involves monitoring vital signs, respiratory and cardiovascular assessments, and the potential need for extubation.
    • Post-operative care in the surgical unit includes respiratory, cardiovascular, and urinary assessments, vital sign monitoring, NG tube decompression, and urinary catheter management to ensure proper recovery and prevent complications.

    Postoperative Nursing Care Guidelines

    • Gastrointestinal assessment includes checking for bowel sounds, abdominal distention, and return of peristalsis, with particular attention to NGT output for decompression and fluid/electrolyte replacement.
    • Wound assessment involves reinforcing dressing for 24 hours, monitoring for bleeding, and assessing various aspects of the wound such as appearance, size, drainage, and pain.
    • Blood therapy protocols for transfusions entail specific preparation steps, consent documentation, and monitoring for potential adverse reactions such as febrile, urticarial, hemolytic, or anaphylactic reactions.
    • Respiratory complications post-surgery may manifest as restlessness, dyspnea, rapid pulse, decreased SpO2, and pneumonia, requiring close monitoring and prompt intervention.
    • Cardiovascular complications, including hemorrhage and hypovolemic shock, are characterized by specific signs such as decreased blood pressure, tachycardia, and decreased urine output, necessitating prevention strategies and early detection.
    • Thrombophlebitis/DVT and pulmonary embolism present risks post-surgery, with symptoms such as pain/tenderness, swelling, and respiratory distress, for which preventive measures include early ambulation and anti-emboli stockings.
    • Urinary retention and paralytic ileus are potential postoperative complications, necessitating interventions such as encouraging voiding and applying pressure to the abdomen with valsalva maneuver.
    • Fluid and electrolyte imbalance and gastric suctioning can lead to complications, requiring close monitoring and preventive measures such as adequate replacement and early detection.
    • Infection, dehiscence, and evisceration are potential wound-related complications, necessitating assessment, preventive measures, and prompt medical intervention.
    • The postoperative period involves distinct wound healing phases, including the inflammatory, reconstruction, and maturation phases, with specific characteristics and timeframes for each phase.
    • Different forms of wound healing, including primary, secondary, and tertiary intention, as well as the use of wound vac therapy, are employed based on the nature and condition of the wound to optimize healing and minimize scarring.
    • The importance of postoperative nursing care lies in the meticulous assessment, monitoring, and intervention to prevent and manage potential post-surgical complications, ensuring optimal patient recovery and healing.

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    Description

    Test your knowledge of postoperative nursing care guidelines with this quiz. Assess your understanding of gastrointestinal, wound, blood therapy, respiratory, cardiovascular, and wound healing assessments, as well as interventions for potential post-surgical complications.

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