recognize cues
shortness of breath, wheezing, hypotension after an administration of pre-op antibiotic
What is anaphylaxis reaction?
bedrest, venous stasis, abdominal surgery
What are risk factors for VTE?
Increasing levels of BUN and creatinine, decreased urine output, in patient receiving gentamicin for osteomyelitis.
What is nephrotoxicity?
medication used as prophylactic anticoagulant after surgery
what is enoxaparin?
what the nurse does when patient has respiratory depression after opioid administration
what is administer naloxone?
Incentive spirometer, cough and deep breath, early ambulation
what are things patient should do to avoid atelectasis?
indication for midazolam before surgery
what is relaxation and sedation?
hemorrhage, VTE, atelectasis, pneumonia, surgical site infection, PE
what are possible post-op complications?
The nurse has just started giving IV nitroglycerin to a patient with chest pain. Due to the MOA, the nurse is aware of this side effect
what is hypotension?
5-HT3 antagonist medication commonly used for postoperative nausea
What is ondansetron?
antidote for warfarin overdose
what is vitamin K?
The client was NPO for surgery, given insulin, corrected with glucagon. These symptoms should now be resolved
What are shaking, sweating, confusion?
prior to start of surgery, this safety check must be completed in the OR with all attending personnel
what is a time out?
easy bruising, bleeding gums, black tarry stools, GI bleed, bleeding cuts
what are side effects of anticoagulants?
compromised airway, low body temp, hemodynamic instability right after surgery
what are immediate post-op risks?
this type of anesthesia keeps the patient in a twilight state in which protective reflexes are maintained
What is moderate sedation?
this must be completed by the HCP, and can be witnessed by the RN prior to any surgery or invasive procedure
what is signed, informed consent
The client with a history of Addison's disease is given a dose of fludrocortisone prior to surgery. what is the rationale for this
what is to prevent Addisonian crisis from the stress of surgery?
The client reports drowsiness after taking this antihistamine
what is diphenhydramine?
audible crackles, pitting edema, shortness of breath with exertion, decreased urinary output
what are symptoms of CHF?
The client going home after surgery with a prescription for an opioid analgesic should be given these instructions
what is increase fluids, eat high fiber foods, and include movement in daily activities?
antibiotics and acid reducers are risk factors for this diarrheal illness?
what is c-diff?
using this technique to support the abdomen during cough and deep breathing can reduce the risk of atelectasis
what is pillow splinting?
These symptoms are expected to improve when furosemide is given for HF? (name 2)
what is increased urine output, clear breath sounds, no pedal edema?
The nurse is completing the medication reconciliation prior to surgery. The nurse will inform the healthcare provider if the client takes what medications. State at least 2
What are anticoagulants, anti platelets, herbals supplements such as green tea and St. John's wart, steroids, antihypertensives furosemide, ACEI?
hypotension, decreased urine output, pale, cool skin after a surgical procedure with 400 mL blood loss
What is hypovolemic shock?
A client has received spinal anesthesia for a hip replacement surgery and is moving to the surgical unit from PACU. Prior to the surgery, the client had a scopolamine patch placed behind the right ear to prevent post-op nausea. Which side effect is the client at increased risk for.
What is urinary retention?
The client takes spironolactone, reports palpitations and muscle weakness. The nurse suspects this condition
what is hyperkalemia?
The client takes spironolactone, reports palpitations and muscle weakness. The nurse should take this action
what is place the client on the cardiac monitor?
SBAR for potassium level?
This medication may be used to reduce oxygen demand and decrease cardiac workload after MI
what is metoprolol?