5 Written questions
5 Matching questions
- true statements regarding medications and surgery:
- manifestations of resp. alkalosis
- surgical patients are a the GREATEST RISK of developing:
- sodium and potassium depletion
- a 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.
- b rapid deep breathing; seizures, confusion, hypokalemia, muscle weakness, numbness of extremities
- c 1. review of the patient's current medication regimen is essential; the multiple medications predisposes patients to adverse drug reactions and interactions with other medications.
2. a seriously ill patient may receive as many as 20 medications in a perioperative setting at one time.
3. the patient's chart should be "flagged" to alert all health care providers to the patient's allergy status. the patient with a history of allergic responsiveness has a greater potential for demonstrating hypersensitivity reactions to anesthetic agents.
- d Life threatening deep-vein thrombosis ans pulmonary embolism. no only surgery injure blood vessels, but anesthesia and inactivity also cause venous stasis.
- e Serium potassium >5.0
5 Multiple choice questions
- characterized by an increase in HCO3 levels, leading to a decrease in H+, causing an increase in PH
- nausea, vomiting, restlessness, muscle cramps, seizures, hypoventilation, dysrhythmias, tingling toes or fingers
- verbal consent often has more meaning than written consent because it is based on trust. fully explain the need for written consent. the patient is expressive regarding pain; pain may cause intense fear. prepare for painful procedures, and develop a care plan to prevent pain
- the effectiveness of the plan of care is evaluated by the nurse
- related to:
emergency nature of surgery
5 True/False questions
hypovolemia → Common causes include decreased intake of fluids or excessive vomiting, diarrhea, hemorrhage, urine output
RISK FACTORS FOR OLDER PATIENTS → INCENTIVE SPIROMETRY
prevent or treat atelectasis
improve lung expansion
anesthesia three categories → characterized by excessive retention of CO2 due to hypovention, increased carbonic acid causes H+ to increase, PH decreases
the following is an accurate statement regarding the older adult facing surgery: → 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.
preoperative nursing diagnoses → airway clearance, ineffective, related to:
diminished cough (post operative)
increased pulmonary congestion