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SURGICAL CARE MED SURG QUIZ 4 UNITEK LVN QUESTIONS AND ANSWERS
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Maligant hypothermia- what do you need to ask your pt when doing assessment? - Correct Answers -Ask relatives if they have problem with general anesthesia You are taking care of a pt who just had hysterectomy, pt has not been allowed to drink/eat, still NPO, the physician has ordered a clear liquid diet. What should the nurse asses first before giving any liquids? - Correct Answers -Bowel sounds Post opperrative anesthesia, what will you hear the pt complain of during the assessment? - Correct Answers -Headache How do you prevent DVT? Deep Vein Thrombosis. - Correct Answers -Compression socks, Ambulation Wound complication- Dehiscence - Correct Answers -Treatment: cover open wound with sterile dressing saturated with normal saline, if the bowel is protruding, cover with a wet/moist sterile dressing If peristalsis stops completely, pt with have.. - Correct Answers -paralytic ileus Disrupted tissue integrity - Correct Answers --the nurse resume responsibility for removing the dressing and not the AP
You are giving discharge information to a pt, what are themes important teaching? - Correct Answers -the signs/sympoms of infections (fever, redness, swelling, increased pain) How do you know post opp if the pt knows how to use the incentive spirometer? - Correct Answers -when you osculate lungs, lungs are clear. If pt hasn't voided for 8 hours post surgery what do you do? - Correct Answers -sit client on side of bed, encores pt to void (dont do anything invasive) If pt has conscious sedations what findings should you report? - Correct Answers -Pt is difficult arousing What is the effects of hydroxyzine? - Correct Answers -(pain reliever) decreases anxiety, control emesis, reduce amount of narcotic needed. Pt is anxious during pre opp assessment. Heart rate and Bp are elevated, what do you do? - Correct Answers -reassure the pt; notify the anesthsiologist who is responsible for explaining procedure to the pt? - Correct Answers -the dr what info are you going to ask the pt before or during assessment? - Correct Answers -- allergies -medications -past medical condition pt is scheduled for liver biopsy, when doing your assessment, what medication do you need to ask about? - Correct Answers -if they are taking aspirin if the pt is going for procedure, they are NPO, and is complaining they are thirst, what will you do? - Correct Answers -limited ice chips when pt is going for surgical procedure they have bowel preparation what are the rationals to do this? - Correct Answers -to decrease post abdominal distention, reduce possibility of fecal contamination, avoid constipation, decreases straining at stool nurse is obtaining an informed consent from client, what are the necessary for the form to be valid? - Correct Answers -disclosure of treatment is provided, make sure client understands, and it has to be a voluntary consent Monitor obses pt post hysterectomy complication - Correct Answers --wound infection, respiratory difficulties Post opp/pre opp disorder that can put them at risk for recovery? - Correct Answers -- diabetes