Podcast
Questions and Answers
What is a key nursing action when a patient demonstrates symptoms of waking up wild post-operatively?
What is a key nursing action when a patient demonstrates symptoms of waking up wild post-operatively?
- Apply restraints to prevent injury
- Request a sedative from the physician
- Administer oxygen due to hypoxia (correct)
- Perform a neurological check immediately
Which of the following factors can contribute to hypertension in a post-operative patient?
Which of the following factors can contribute to hypertension in a post-operative patient?
- High levels of hydration pre-operatively
- Pain experienced after surgery (correct)
- Increased fluid intake
- Low blood sugar levels
What should be assessed to evaluate a patient's mobility status post-operatively?
What should be assessed to evaluate a patient's mobility status post-operatively?
- Patient's medication schedule
- Patient's emotional state
- Patient's pain tolerance
- Patient's pre-operative mobility status (correct)
Which complication is often associated with renal failure during pre-operative assessment?
Which complication is often associated with renal failure during pre-operative assessment?
What non-pharmacological action can be implemented to manage post-operative pain?
What non-pharmacological action can be implemented to manage post-operative pain?
Which medication is commonly monitored during the pre-operative assessment for patients on blood thinners?
Which medication is commonly monitored during the pre-operative assessment for patients on blood thinners?
What is a common reason for decreased mobility in post-operative patients?
What is a common reason for decreased mobility in post-operative patients?
What role does the nurse have in the process of obtaining consent for surgery?
What role does the nurse have in the process of obtaining consent for surgery?
What is the primary assessment for a patient suspected of hypovolemia?
What is the primary assessment for a patient suspected of hypovolemia?
In the case of pneumonia, which symptom indicates a possible worsening condition?
In the case of pneumonia, which symptom indicates a possible worsening condition?
Which nursing intervention is appropriate for a patient experiencing an ileus?
Which nursing intervention is appropriate for a patient experiencing an ileus?
What is a critical step to take if a patient exhibits low urine output?
What is a critical step to take if a patient exhibits low urine output?
How should a nurse respond to a patient with abnormal skin and suspected decubitus?
How should a nurse respond to a patient with abnormal skin and suspected decubitus?
What should be done if a dressing becomes saturated with blood?
What should be done if a dressing becomes saturated with blood?
Which action is NOT appropriate for managing a patient with fever?
Which action is NOT appropriate for managing a patient with fever?
What is the expected minimum urine output for an adult patient?
What is the expected minimum urine output for an adult patient?
Which of the following statements about managing constipation is true?
Which of the following statements about managing constipation is true?
In monitoring a patient for signs of infection, which area is least likely to be examined?
In monitoring a patient for signs of infection, which area is least likely to be examined?
What is a recommended intervention for a patient with aspiration pneumonia?
What is a recommended intervention for a patient with aspiration pneumonia?
When assessing a patient, which condition is primarily associated with decreased lung sounds?
When assessing a patient, which condition is primarily associated with decreased lung sounds?
Why is it important for patients with low urine output to have their body checked for edema?
Why is it important for patients with low urine output to have their body checked for edema?
What should be done prior to initiating fluid therapy in a patient with potential hypovolemia?
What should be done prior to initiating fluid therapy in a patient with potential hypovolemia?
Study Notes
Pre-Op Care
- Assessment involves evaluating cardiovascular history, including myocardial infarction (MI) before age 50 and hypertension; also consider blood thinners like heparin, warfarin, or Plavix.
- Gastrointestinal (GI) history should include constipation, nausea, and diabetes evaluation.
- Genitourinary (GU) assessment includes difficulty voiding and renal failure history.
- Skin condition must be assessed for integrity.
- Nurses play a key role in witnessing consent, ensuring that patients understand the procedure.
Pre-Op Checklist
- A comprehensive checklist should be utilized to ensure all pre-operative preparations are complete, including assessments and consent.
Post-Operative Care
Neurological Complications
- Hypoxia can cause a patient to "wake up wild"; administer oxygen as needed.
- Manage pain through medication and non-pharmacological methods like ice application, deep breathing, and distraction techniques.
Mobility Issues
- Post-surgery may lead to decreased mobility, necessitating realistic assessments and encouragement for patients to get up and ambulate.
Cardiovascular Complications
- Hypertension often results from pain; assess regularly and provide medications as needed.
- Hypotension may require evaluation for blood loss and initiating force fluids if the patient can tolerate them.
- Assess for signs of venous thromboembolism (VT), including thrombosis indicators.
Respiratory Complications
- Monitor respiratory functions for pneumonia and atelectasis; abnormal lung sounds and low oxygen saturation are critical indicators.
- Encourage ambulation to improve lung capacity and consider deep breathing exercises along with incentive spirometry.
Gastrointestinal Complications
- Ileus indicated by absence of bowel sounds or flatus; assess the abdomen for tenderness and encourage ambulation.
- Chewing gum (without swallowing) can aid in stimulating bowel activity.
- Manage constipation through ambulation and increased fluid and dietary fiber intake.
Genitourinary Complications
- Low urine output is defined as less than 0.5 ml/kg/hr or 30 ml/hr; assess for potential obstruction and obtain a bladder scan if needed.
- Monitor for edema in extremities and consider catheter insertion if warranted.
Skin Complications
- Prevent decubitus ulcers by ensuring patient ambulation and turning them every 2 hours.
- Maintain a high-protein, high-water diet to support skin integrity and healing.
- Regularly assess dressings for bleeding; mark and time any drainage, and notify the team if saturation occurs.
Immune System Monitoring
- Fever management involves bathing the patient and monitoring for signs of infection, especially in commonly affected regions like the skin and lungs.
- Keep an eye on elevated WBC counts and administer antibiotics as per orders regarding any infection concerns.
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Description
Test your knowledge on preoperative and postoperative care. This quiz covers essential aspects from patient history to nursing actions during complications. Ideal for nursing students and professionals looking to refresh their skills.
