Surgical Wound Care
This drainage type is light red or pink and watery
serosanguinous
This drainage type is often yellow-green or gray and may have an odor
purulent
The total daily recommended fluid intake for an adult
2200 - 2700 mL
This electrolyte is the most abundant in the body and is primarily found in the extracellular fluid
Sodium
When obtaining a throat culture, the nurse swabs this area
pharynx
Irrigation of a wound should be performed so that fluid flows in this direction
least to most contaminated
Term that refers to separation of an incision
dehiscence
Intravascular and Interstitial fluids are combined in this fluid compartment
extracellular
Bananas, oranges, apricots, green leafy vegetables, potatoes, carrots, and meat are all high in this mineral
potassium
Stool collected for this purpose must be taken to the laboratory stat
ova and parasites
The nurse should educate the abdominal post-op patient to do this when they feel they may cough
"splint" their abdomen with a pillow
The nurse should do this when a gauze dressing is found to be adhering to a wound
Moisten the dressing with sterile water or sterile normal saline
This amount of fluid loss can be lethal for an adult
20%
This electrolyte imbalance is indicated by cardiac dysrhythmias, decreased bowel sounds, skeletal muscle weakness and leg cramps
hypokalemia
Following a bronchoscopy, the nurse is assessing the patient for this
This class of wound includes a surgical entry into the stomach with no break in technique
class II: clean, contaminated
This type of wound healing refers to a wound that has closely approximated edges and typically leaves only a fine scar.
primary intention
The three types of passive transport
Diffusion, Osmosis, Filtration
The three pH balancing systems in the body, ranked by least efficient to most
Blood buffers, respiratory system, renal system
The nurse will assist the patient to a supine position, to remain there for 12 hours following this procedure
lumbar puncture
The nurse observes evisceration in a post-op patient. This is the first intervention the nurse should perform.
Cover the organ with a sterile saline dressing.
A post-op patient is found to have a rapid pulse, low BP, decreased urine output, and minimal drainage from the wound. The nurse should suspect this condition.
dehydration
Inhaled oxygen travels into the intravascular space through this method of passive transport
diffusion
pH below 7.35 an elevated CO2, normal O2 and normal HCO3- indicate this condition
respiratory acidosis
The nurse assesses the patient's knowledge of a procedure for this purpose
to determine what education is still needed