Complications
Your patient is a 79 y/o male. You know that this patient is at increased risk of certain issues due to age related changes. You are aware that age may increase the following risk factors:
What is coronary artery disease, delirium, respiratory changes, age related skin changes, age related musculoskeletal changes, decreased gastrointestinal motility, decreased genitourinary function, comorbidities of the central nervous system?
Your patient is scheduled for a colostomy in the morning. You have orders to administer a cleansing enema. You know this is to be done because:
What is it will clear the bowel prior to surgery?
Your patient had surgery yesterday. They are complaining of abdominal pain/bloatin. You notice abdominal distention upon assessment with hypoactive bowel sounds. You will encourage your patient to:
What is ambulate/move in bed to relieve gas pain?
You would like to work in an intra-operative setting as a circulating nurse. You know your job would include:
What is apply the nursing process to coordinate the activities in the operating room, be the client advocate, respond to emergencies, document?
Your patient is using an incentive spirometer after surgery. You know this will help to:
What is increase lung expansion, increase mucus expulsion, decrease risk of pneumonia and atelectasis?
Your patient is obese. You know that they are at greater risk for the following post operatively:
What is delayed healing, infection, fatigue, impaired pulmonary function, cardiovascular disorders?
You are preparing your patient for surgery. You want to ensure normothermia because:
What is hypothermia raises oxygen consumption by about 40%, you know hypothermia is a post-op surgical risk?
Your patient has been out of surgery for 8 hours. They have not urinated. You know that this may be caused by:
What is anesthesia, anticholinergic medications, inflammation of the pelvic region?
You know that general anesthesia produces:
What is rapid unconsciousness and loss of sensation; may be adjusted during surgery?
Your patient is 82 y/o female. They have decreased cardiac efficiency related to aging. You know that this puts them at risk for:
What is lower exercise tolerance, decreased ability to respond to oxygen demands, increase risk of orthostatic hypotension, increased rest required?
Your patient is an infant. You know that surgical risk in this age group includes:
What is limited ability to regulate body temperature, immature immune system, increased risk for infection, increased risk for fluid volume imbalance, immature cardiovascular system, immature liver, immature renal system?
You know that you should include post-op teaching prior to surgery. This should include:
What is self-care, how to prevent infection, surgery specific teaching?
Your patient is showing signs of urinary retention. You know you should:
What is provide privacy and time to urinate, if unable may need catheterization?
You know that an advantage of conscious sedation is:
What is pain and anxiety are controlled without the risks of general anesthesia, recovery is rapid?
You are reading an EKG. You notice that there appears to be no P wave. You know this indicates:
What is lack of atrial contraction?
Your patient has Diabetes Mellitus. You know that the surgical risks associated with this disease include:
What is delayed healing, increase in risk of infection, associated cardiovascular disorders?
Your patient is asking about surgery classifications. You know that they may be classified by:
What is body system, purpose, or degree of urgency?
The physician has ordered an abdominal binder for your patient. You know this is often used:
What is after abdominal surgery to support the muscles?
You know that disadvantages of general anesthesia include:
What is respiratory and circulatory depression, risk of death, heart attack, stroke, malignant hyperthermia, sore throat, N/V, headache, confusion, and shivering?
You are reading an EKG. You are able to identify QRS complex. You know that this:
What is represents ventricular depolarization and leads to ventricular contraction?
Your patient is a 14 y/o female. You know that teenagers often fear the following related to surgery:
What is disfigurement resulting from scars?
What is no?
Your patient had a procedure using conscious sedation. You know that this:
What is allows the patient to be unconscious but awoken easily; blood pressure, RR, HR, and oxygen need to be monitored?
What is regional anesthesia/spinal anesthesia?
You are planning outcomes for your patient who has decreased cardiac output. You would include:
What is no dyspnea or shortness of breath, HR regular, brisk capillary refill, peripheral pulses strong and equal bilaterally?