5 Written Questions
5 Matching Questions
- Gastrointestinal status
- preparing for the postoperative patient
- manifestations of resp. alkalosis
- the true statement regarding informed consent:
- a 3 to 4 days for bowel activity to return
assess bowel sounds in all four quadrants for 1 minute
normal peristalsis is indicated by by hearing 5 to 30 gurgles per minute
- b if the patient was hospitalized before surgery and will return to the same nursing unit, prepare the bed and room for the patient's return. arrange furniture so that the gurney can easily be brought to the bedside. place the bed in the HIGH position with the bed rails down on the receiving side and up on the other side. a postoperative bedside unit should include the following:
sphygmomanometer, stethoscope, and thermometer
wash cloth, towel, and facial tissues
IV pole and pump
extra pillows ans bed pads
PCA pump, as needed
- c rapid deep breathing; seizures, confusion, hypokalemia, muscle weakness, numbness of extremities
- d evaluate depth, rate sounds, rhythm, and chest movement. assess color of mucous membranes.
place hand above patient's nose to detect repirations if shallow.
initiate coughing and deep breathing exercises as soon as patient is able to respond
chart time oxygen is discontinued
monitor oxygen saturation levels (Sao2) by purse oximetry checks
- e the witness of a consent form is only verifying that this is the person who signed the consent and that it was a voluntary consent. the witness (often a nurse) is not verifying that the patient understands the procedure.
5 Multiple Choice Questions
- fluid loss during surgery- through blood loss increased insensible fluid loss through the lungs and skin.
for at least the first 244 to 48 hours after surgery, the body retains fluids as part of the stress response to trauma and the effect of anesthesia
- local anesthetic is injected via an IV line into an extremity below the level of a tourniquet after blood has been withdrawn
- related to:
anticipation of postoperative pain
- related to:
temporary role change of patient
impending severity of surgery
- decrease external stimuli
reduce interruptions and eliminate odors
5 True/False Questions
hyperphosphatemia → serum potassium level > 4.5; causes decrease in calcium`
resp. alkalosis causes → characterized by low PaCO2 due to hyperventilation Breathe into bag
metabolic acidosis → Na, K, Ca, Mg
Hypovolemia → decreased circulatory blood volume resulting from extracellular fluid losses.
anesthesia three categories → characterized by a decrease in HCO3 level in serum leading to an increase in H+ and a decrease in PH