Pre and Post Op Care Quiz

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Questions and Answers

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?

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?

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?

Difficulties with voiding Signup and view all the answers

What non-pharmacological action can be implemented to manage post-operative pain?

Deep breathing exercises Signup and view all the answers

Which medication is commonly monitored during the pre-operative assessment for patients on blood thinners?

Warfarin Signup and view all the answers

What is a common reason for decreased mobility in post-operative patients?

Pain from surgical site Signup and view all the answers

What role does the nurse have in the process of obtaining consent for surgery?

To witness the patient signing the consent Signup and view all the answers

What is the primary assessment for a patient suspected of hypovolemia?

Get hematocrit levels and look for signs of bleeding Signup and view all the answers

In the case of pneumonia, which symptom indicates a possible worsening condition?

Low oxygen saturation levels with fever and discolored sputum Signup and view all the answers

Which nursing intervention is appropriate for a patient experiencing an ileus?

Ambulate the patient and consider chewing gum Signup and view all the answers

What is a critical step to take if a patient exhibits low urine output?

Obtain a bladder scan to assess for obstruction Signup and view all the answers

How should a nurse respond to a patient with abnormal skin and suspected decubitus?

Ambulate the patient and ensure high protein intake Signup and view all the answers

What should be done if a dressing becomes saturated with blood?

Draw an outline around the drainage and date/time it Signup and view all the answers

Which action is NOT appropriate for managing a patient with fever?

Withhold fluids to manage fever Signup and view all the answers

What is the expected minimum urine output for an adult patient?

0.5 ml/kg/hr or less than 30 ml/hr Signup and view all the answers

Which of the following statements about managing constipation is true?

Ambulation can help relieve constipation Signup and view all the answers

In monitoring a patient for signs of infection, which area is least likely to be examined?

Feet Signup and view all the answers

What is a recommended intervention for a patient with aspiration pneumonia?

Encourage deep breathing and incentive spirometry Signup and view all the answers

When assessing a patient, which condition is primarily associated with decreased lung sounds?

Pneumonia Signup and view all the answers

Why is it important for patients with low urine output to have their body checked for edema?

To assess for possible fluid retention issues Signup and view all the answers

What should be done prior to initiating fluid therapy in a patient with potential hypovolemia?

Check if the patient can drink Signup and view all the answers

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.