Skin
Pre-Op
PACU
Labs
Meds
100
What is stage 4 ulcer
100
Patients must be NPO for what amount of time for solid food and what amount of time for clear liquids prior to general anesthesia?
What is 6 hours for solid food and 2 hours for clear liquids.
100
What is spontaneous opening of an incisional wound?
What is dehiscence.
100
What lab needs collected for transfusion readiness?
What is blood type and crossmatch.
100
What medication class can be administered IV to help reduce acid secretion prior to anesthesia?
What is H2 Receptor Antagonist such as Pepcid (famotidine), Tagamet (cimetidine), and Zantac (ranitidine).
200
What is the normal amount of negative pressure applied with wound vac therapy?
What is 125 mmHg.
200
What time frame should prophylactic antibiotics be administered prior to surgery?
What is within 1 hour of the surgical incision.
200
What should you do if a patient experiences evisceration of their surgical incision?
What is cover the wound with a sterile towel or sterile gauze soaked in sterile saline. Pt the patient in low fowler's position with hips and knees bent. Notify the provider immediately. DO NOT TRY TO REINSERT ORGANS.
200
What lab is standard policy to obtain on female patients?
What is urine pregnancy if patient is still menstrating.
200
What medication is administered for post-op shivering?
What is demerol (meperidine).
300
What is the dressing you should NOT use on infected wounds?
What is Occlusive.
300
What home medication is crucial that a patient takes the morning of the procedure?
What is BETA-BLOCKER.
300
What 3 complications can occur d/t to immobility after surgery?
What is respiratory compromise (pneumonia), thrombophlebitis, pressure ulcers.
300
What lab is released by the liver in response to liver injury.
What is ALT.
300
What medication is administered for Malignant Hyperthermia?
What is IV dantrolene.
400
What two things in a pressure ulcer cause the pressure ulcer to be unstageable?
What is eschar and slough.
400
What is the nurse's role pertaining to the consent form?
What is a witness to the patient's VOLUNTARY signature and that the patient has been well informed. The nurse can't teach new information that was not given by the surgeon but can reiterate/clarify the information given by the physician.
400
What is the terms used for description of drainage from a surgical wound? How should the drainage change over time?
What is Sanguineous, serosanguineous, serous and purulent.
Should go from sanguineous to serosanguineous to serous to nothing.
400
A nurse is reviewing a client's lab values before surgery. Which of the following results should the nurse report to the provider? (Select all that apply).
A. Potassium 3.9
B. Sodium 145
C. Creatinine 2.8
D. Blood Glucose 235
E. WBC 17,850
What is C, D, E.
Creatinine- 0.5-1.5
Blood Glucose- <110
WBC- <11,000
400
What are the complications from Opioids?
What is RESPIRATORY DEPRESSION, drowsiness, dizziness, CONSTIPATION, urinary retention.
500
What treatment for psoriasis decreases epidermal cell division?
What is Coal tar preparations such as anthralin.
500
Do not have the patient sign the consent form if these types of medications have been administered?
What is Opioids (fentanyl, Morphine), Sedatives (Propofol), Benzos (valium)
500
What type of shock is caused by accumulation of fluid in the pericardial sac?
What are the S&S of this?
What is obstructive shock from cardiac tamponade.
What is hypotension, tachycardia, muffled heart sounds.
500
A nurse is caring for a client who is post-operative and manifests indications of hypovolemia while in the PACU. Which of the following findings requires action by the nurse? (Select all that apply)
a. Urine Ouput less than 25 ml/hr
b. Hematocrit 48%
c. Bun 24
d. Tenting of skin over the sternum
e. Heart rate of 62 bpm
What is A, B, C, D
They are all manifestations of hypovolemia.
We would expect an increased HR with hypovolemia to compensate for the low blood volume.
500
What is the antidote to Opioids and what is the antidote to Benzodiazepines and Barbiturates?
What is NARCAN and FLUMAZENIL.