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5 Written Questions

5 Matching Questions

  1. To help prevent respiratory complications POSTOPERATIVELY, the nurse should:
  2. spinal anesthesia
  3. sodium and potassium depletion
  4. Local anesthesia
  5. nursing diagnosis (nursing process)
  1. a establish direction for care that is provided during one or all surgical phases. preventive care is essential for effective management of the surgical patient.
  2. b can occur after surgery as a result of the loss of blood or body fluids during surgery or the loss of GI secretion because of the vomiting and NG tubes.
  3. c topical application or infiltration into tissues of an anesthetic agent that disrupts sensation at the level of the nerve endigns
    immediate area of application
    e.g., tooth extraction
  4. d the anesthesiologist performs a lumbar puncture and introduces local anesthetic into the cerebrospinal fluid in the subarachnoid space. anesthesia can extend from the tip xyphoid process down to the feet.
    normally use for lower abdominal, pelvic, and lower extremity procedures; urology procedures; or surgical obstetrics.
  5. e assist the patient to ambulate within a few hours of surgery, unless contraindicated. ambulation within a few hours of surgery helps return CARDIOVASCULAR and RESPIRATORY functions to normal more quickly.

5 Multiple Choice Questions

  1. 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
  2. emboli. previous embolic events (such as lower leg blood clots) may recur because of prolonged immobility.
    patients whose immune systems are suppressed are at a much higher risk for development of postoperative infection and are less capable of fighting that infection
  3. related to:
    pain
    postoperative activity restrictions
    casts or dressings
    surgical incision
    nasogastric (NG) tube placement
  4. local anesthetic is injected via an IV line into an extremity below the level of a tourniquet after blood has been withdrawn
  5. history (any prior surgery, allergies, current medications, use of other drugs or alcohol, and smoking status)

    physical condition
    risk factors
    emotional status of the patient and family members
    peroperative diagnostic data

5 True/False Questions

  1. The usual interval at which nursing assessments, including vital signs, are monitored in the postoperative phase is every:
    A) 15 minutes times 4; every 30 minutes times 4; every hour times 4; then every 4 hours
    15 minutes times 4; every 30 minutes times 4; every hour times 4; then every 4 hours.

          

  2. Manifestations of hypokalemiaCNS problems; muscle weakness; increased motility, orthostatic hypotension

          

  3. paintraditional analgesia
    intermittent injections
    patient-controlled analgesia (PCA)
    epidural
    oral analgesics (when oral intake allowed)

          

  4. fluid volume, risk for deficient,related to:
    surgical wound incision
    presence of Foley catheter and wound drainage

          

  5. hypermagnesemiaserum magnesium > 2.1

          

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