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SURGICAL CARE MED SURG QUIZ 4 UNITEK LVN QUESTIONS AND ANSWERS, Exams of Advanced Education

SURGICAL CARE MED SURG QUIZ 4 UNITEK LVN QUESTIONS AND ANSWERS

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2024/2025

Available from 07/14/2025

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SURGICAL CARE MED SURG QUIZ 4
UNITEK LVN
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
- check the dressing hourly for bedding or drainage
Wound colors and drainage - Correct Answers -- immediate postoperative phase,
wound drainage is often bright red (sanguineous)
- as the amount of blood in the drainage decreases, the fluid becomes pinkish
(serosanguineous)
-purelent drainage is thick yellow, green or brown in color
You are performing post app assessment for a pt that just returned from hernia repair.
BP is 90/60, Pulse 108 bpm, what are you initially going to do? - Correct Answers -
Check dressing sight.
Pt has no medical coditions prior to surgery, then post app pt is difficult to arouse. You
check O2 sat, and it went down to 85%. What will you do? - Correct Answers -You're
going to arouse the pt. encourage pt to cough, and encourage pt to deep breathe
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SURGICAL CARE MED SURG QUIZ 4

UNITEK LVN

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

  • check the dressing hourly for bedding or drainage Wound colors and drainage - Correct Answers -- immediate postoperative phase, wound drainage is often bright red (sanguineous)
  • as the amount of blood in the drainage decreases, the fluid becomes pinkish (serosanguineous) -purelent drainage is thick yellow, green or brown in color You are performing post app assessment for a pt that just returned from hernia repair. BP is 90/60, Pulse 108 bpm, what are you initially going to do? - Correct Answers - Check dressing sight. Pt has no medical coditions prior to surgery, then post app pt is difficult to arouse. You check O2 sat, and it went down to 85%. What will you do? - Correct Answers -You're going to arouse the pt. encourage pt to cough, and encourage pt to deep breathe

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