surgical care
what are some key nursing interventions on the pre-surgical checklist?
informed consent
pre-op assessment
allergy band if any
ID band
pre-op teaching
what is the best way to prevent infections?
hand washing
what does the normal stoma look like?
pink, beefy red
You are working on the unit and the nurse beside you asks for your password so they can access a patient record. What would be your response?
I can't give it to you, it is confidential
what is this alteration?
pH 7.31
CO2 50
HCO3 23
respiratory acidosis
what topics should the pre-op teaching include?
breathing - cough and deep breathing, IC
ambulation
prevention of DVT
pain management
prevention of wound infection
how long should you scrub your hands?
at least 20 seconds
what do you do when the skin is red around the stoma?
clean it off and monitor
the nurse has committed a medication error but since there is no harm to the patient, she decides not to report it. Which ethical principle is she violating?
veracity
Heart disease causes a dilution of which electrolyte in the presence of edema
sodium (hyponatremia)
what is the nurse's role with informed consent?
ensure the patient is the one who signs the consent
ensure patient doesn't have any questions
ensure patient understands what is about to happen
which type of surgery carries the greatest risk of sepsis?
abdominal/GI surgery
Recommendations that promote bowel elimination
fiber
fluids
exercise
you have to leave work early today because your kid is playing a game. What should you do first?
talk to the charge nurse to see if it is possible
what acid-base imbalance do you suspect your patient to have when they have opioid overdose?
respiratory acidosis
what are the signs and symptoms of paralytic ileus?
absent bowel sounds
no flatus
no BM
abdominal distension
what are some of the labs that will change in infection?
WBC
why do patients get ostomies?
colorectal cancer
IBS
severe bowel obstruction
Chron's/Colitis
your patient is really upset and wants to go home AMA from the hospital. You tell him that you are going to restrain him if he attempts to leave. what type of tort can you be accused of?
assault
what acid-base imbalance do you expect to see when your patient has diarrhea?
metabolic acidosis
what are some of the priority nursing considerations when a patient has surgery in the face, mouth?
prevention of aspiration
wait until the return of gag reflex before giving anything PO
What are the types of isolation precautions
standard
contact (plus special contact for Cdiff)
droplet
airborne
protective
what are some complications of antibiotic therapy?
diarrhea
nausea/vomiting
The patient who wants to go home AMA tells you that he is leaving. You lock the door and don't let him go. What type of tort can you be accused of?
false imprisonment
A high level of these 2 electrolytes can cause a sedative effect on muscles in the body
calcium (hypercalcemia)
magnesium (hypermagnesemia)