Complications
Assessments
Interventions
Pharm Pop Quiz
Nursing Diagnosis
100
Postoperative complication that may result from the effect of anesthesia or the use of opioid based pain medications.
What is respiratory depression?
100
A quantifiable tool that assists the PACU nurse in determining patient appropriateness for discharge.
What is an Aldrete Score?
100
Encouraging pulmonary exercises, such as turning frequently; deep breathing and coughing; and using an incentive spirometer are interventions that are aimed at preventing this postoperative respiratory concern.
What is atelectasis?
100
May be prescribed prophetically for the purpose of reducing postoperative complications such as deep vein thrombosis (DVT) or pulmonary embolism (PE). (Two medications)
What are low molecular weight or low dose heparin and Coumadin (warfarin)?
100
This diagnosis may be related to the following factors: mechanical interruption of the skin/tissues; altered circulation; or accumulation of drainage.
What is Impaired Skin Integrity?
200
Postoperative complications of the gastrointestinal system that may result from manipulation of the abdominal organs and the effects of some anesthetic agents. Symptoms include abdominal distention, discomfort, vomiting, and absence of bowel sounds.
What are intestinal obstruction and paralytic ileus?
200
Increased heart rate; increased respiratory rate; sweating, restlessness; wincing; groaning; or crying.
What are common signs and symptoms of pain?
200
Tilting the head back; opening the mouth; and thrusting the jaw forward while lifting it gently.
What are maneuvers to resolve hypopharyngeal airway obstruction?
200
A device that is inserted subcutaneously to deliver a continuous amount of a local anesthetic.
What is an On-Q Pump?
200
This diagnosis may be related to: open body cavities; infusion of cool intravenous fluids; and the effects of anesthetic agents.
What is Ineffective Thermoregulation?
300
Results from prolonged anesthesia exposure, which causes all muscles to become relaxed. Signs and symptoms include choking; noisy, irregular respiration; decreased oxygen saturation; and cyanosis of the skin.
What is hypopharyngeal obstruction?
300
Monitoring vital signs; observing non-verbal cues; and/or using a scale based scoring system.
What are ways of assessing patient response to pain medication?
300
Assessing patency of IV lines, drains and indwelling urinary catheters; administering IV fluids; monitoring intake and output (including output from emesis and drains); and monitoring serum electrolyte, hemoglobin and hematocrit levels are nursing interventions aimed at assessing this.
What is fluid balance?
300
A GI stimulant that helps to relieve nausea by stimulating gastric emptying and increasing GI transit time. Can be administered orally, intramuscularly (IM) or intravenously (IV).
What is Reglan (metoclopramide).
300
This NANDA diagnosis is used to describe the potential for a post-surgical complication that causes bladder distention and pain which may result from the effects of anesthetic agents, as well as anticholinergic and opioid medications.
What is Risk for Urinary Retention?
400
May result from electrolyte imbalances; altered respiratory function; pain; hypothermia; stress; and the effects of certain anesthetic agents.
What are cardiac dysrhythmias?
400
This phase of shock manifests with feelings of apprehension, decreased cardiac output, and vascular resistance.
What is the "early phase" of hypovolemic shock?
400
The nurse may perform this intervention in order to: provide a proper environment for wound healing; absorb drainage; splint or immobilize a wound; protect new epithelial tissue from mechanical injury; protect the wound from contamination; or to provide mental and physical comfort for the patient.
What is a dressing change?
400
Examples include Dilaudid, Morphine, codeine, Percocet and Percodan. May be administered at prescribed intervals or given as needed (PRN).
What are opioid-based analgesic medications?
400
This diagnosis may be related to depressed respiratory function, the use of opioid medications and anesthetic agents. Nursing interventions include deep breathing and coughing, and instructing the client on the use of an incentive spirometer.
What is Risk for Ineffective Airway Clearance?
500
Occurring at the time of surgery (primary); during the first few hours after surgery when blood pressure returns to normal level (intermediate); or some time after surgery due to infection or erosion of the suture (secondary).
What are classifications of hemorrhage?
500
What is the most critical assessment to perform after surgery for a patient that underwent general anesthesia, moderate sedation, or has received sedative or opioid drugs?
What is a respiratory assessment?
500
Assessing breathing and oxygenation; monitoring vital signs; assessing the surgical site and wound drainage systems; assessing level of consciousness; assessing pain; assessing IV sites for patency; and assessing urine output are all interventions that the nurse performs during this postoperative period.
What is the immediate postoperative period?
500
Useful for patients who have undergone surgery and are expected to experience significant or prolonged levels of pain. May be administered by continuous infusion, or bolus dose as necessary.
What is patient controlled analgesia?
500
This diagnosis relates to a patient's ability to manage wound care; adhere to dietary restrictions; participate in activity recommendations; use medications appropriately;obtain follow up care; and recognize signs and symptoms of complications.
What is Risk for Ineffective Therapeutic Regimen Management?
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