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What is collaboration?
Collaboration is defined as two or more individuals working toward a common goal
This type of surgical drain is passive drainage.
Penrose.
The nurse can delegate the identification of the blood product at the patient's bedside.
False
The patient with a PCA should be instructed NOT to push the button every time they have pain.
False.
The nurse anticipates the patient may have a slight elevation in body temperature for the first 48 hours after surgery.
True.
What is the purpose of collaboration in healthcare?
Improve patient outcomes.
What is the GOLD standard to verify placement after insertion of a naso-gastric tube?
Chest x-ray.
To prevent insertion of the NG tube into the trachea.
The purpose of the abduction pillow after hip replacement/repair.
Keep the joint in alignment.
The nurse is caring for a SMOKER after surgery. What are some important assessments.
Auscultate breath sounds, O2 sat, RR
The nurse and respiratory therapist determine an action plan for care of a patient is an example of effective teamwork.
True.
The NGT placement has been confirmed by X-Ray. What is done to confirm placement in the stomach?
gastric pH
What is a complication associated with small-bore feeding tube?
More likely to become clogged.
Post-op patient has a PCA of hydromorphone. The respiratory rate is 6 per minute and the patient does not rouse. What is the action needed?
Administer naloxone
What are signs of hypovolemia after surgery?
Describe mentoring in the terms of collaboration.
An experienced nurse working with a newly licensed nurse.
What is a t-tube drain?
Closed drain placed in bile ducts.
The patient has received 2 units of PRBCs and is now complaining of shortness of breath, the nurse auscultates crackles. What does the nurse suspect is happening?
Fluid volume excess.
What are 2 things that prevent post-op constipation?
Early ambulation or daily walking.
High fiber diet.
Daily stool softener
A patient complains of feeling lightheaded and dizzy. What should the nurse's first action be?
Take vital signs.
The Joint Commission has identified what as an outcome of poor collaborative communication.
Death or serious injury to patient.
Jackson-Pratt
Within the first fifteen minutes after the start of a blood transfusion the patient exhibits signs of a hemolytic transfusion reaction. What should the nurse do?
Stop the transfusion, maintain line with normal saline in a separate tubing.
The patient with an Oral pharyngeal airway (OPA) begins to vomit while in PACU. What is the priority nursing action.
Remove the OPA.
When setting up a PCA pump what action is important for the nurse to perform?
Carefully, check the orders with the settings.