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5 Written questions

5 Matching questions

  1. traditional analgesia
  2. drainage
  3. GI preparation
  4. prosthesis
  5. evisceration
  1. a the removal of fluids from a body cavity, wound or other source of discharge by one or more methods
  2. b intermittent injections, PCA, epidural, oral analgesics (when oral intake allowed)
  3. c an artificial replacement for a missing part of the body i.e., contact lenses, dentures, jewelry
  4. d protrusion of an internal organ though a wound or surgical incision, esp in the abdominal wall
  5. e npo after midnight (6-8 hours), sign on door and over bed, may have oral care, moist cloth to lips, bowel cleanser, enema, laxative, GI lavage, medication to detoxify and sterilize bowel

5 Multiple choice questions

  1. separation of sa surgical incision or reputure of a wound closure may occur within three days to over two weeks postop
  2. involuntary contraction of the diaphragm followed by rapid losure of the glottis; irritation of the phreni nerve; causes could be abdominal distention or internal bleeding
  3. 2-3 days after solid foods are started, patient should have stool, suppository or tap water enema, ambulation
  4. the effectiveness of the pain of care is evaluated by the nurse
  5. 3-4 days for bowel activity to return; assess bowel sounds: 5-30 gurgles per minute

5 True/False questions

  1. preoperative teachinginclude patient and family, 1-2 days before surgery, clarify preoperative and postop events, surgical procedure, informed consent, skin preparation, GI cleanser, time of surgery area to be transferred, frequent vital signs, dressings, equipment, turning, coughing, deep breathing exercises, pain medication prn, lab tests i.e, urinalysis, CBC, blood chem profile, electrolytes, diagnostic imaging chest xray, EKG

          

  2. general anesthesiaoffer every 3-4 hours, acute pain-first 24-48 hours, intermittent injections, PCA, epidural, oral analgesics

          

  3. psychosocial needsfear of loss of control (anesthesia), fear of unknown (outcome), fear of anesthesia (waking up), fear of pain (pain control), fear of death (surgery), fear of separation (support group), fear of disruption of life patterns (ADLs, work), fear of detection of cancer

          

  4. prevention of atelectasis and pneumoniaresults in loss of sensation in an area of the body; nerve block, spinal anesthesia, epidural anesthesia, IV anesthesia

          

  5. preparing for the postop patientsphygmomanometer, stethoscope and thermometer, emesis basin, clean gown, washcloth, towel and tissues, IV pole and pump, suction equipment, oxygen equipment, extra pillows and bed pads, PCA pump