Show:
PACU
Respiratory
Complications
Nursing Interventions
Medications
100
Care during the immediate post-op period
What is Phase 1
100
Restlessness is one of the first signs of this?
What is hypoxemia
100
This can cause laryngospasm, infection and pulmonary edema?
What is gastric aspiration
100
This is the most significant general nursing measure to prevent post-operative complications?
What is early ambulation
100
During the recovery from regional anesthesia which of the following areas is the last to recover?
What is the areas near the injection site
200
The nurse should begin the assessment with which of the following
What is the ABCs
200
This measurement could be used to monitor for respiratory depression.
What is end-tidal CO2 (PETCO2 capnography)
200
Abdominal surgery, limited dietary intake and decreased physical activity can lead to this complication?
What is postoperative ileus.
200
Because the most common cause of hypotension is fluid loss what is a common intervention ordered by the surgeon to alleviate this symptom
What is IV fluid administration
200
Elderly patients are at increased risk of this?
What is drug toxicity
300
This position keeps the airway open and reduces the risk of aspiration from vomiting
What is lateral recovery position
300
May be caused by retained secretions or decreased lung volumes.
What is atelectasis.
300
Elderly patients and patients that had long surgical procedures with prolonged anesthetic administration are at increased risk of this complication?
What is hypothermia
300
The nurse is aware that which of the following times during the intraoperative process is the most appropriate to do patient teaching?
What is the preoperative period
300
Medication given prophylactically to prevent vein venous thromboembolism (VTE)
What is low molecular weight heparin or unfractionated heparin
400
While in the PACU, the post operative patient suddenly develops muscle rigidity with a profound elevation in body temperature. The nurse is aware that the patient is most likely developing which of the following?
What is malignant hyperthermia
400
Without interventions atelectasis can progress to this?
What is pneumonia
400
When administering opioids for pain management, it is essential for the nurse to monitor the patient for?
What is respiratory depression
400
The nurse is caring for a patient following abdominal surgery. Which of the following medications ordered by the primary care provider will the nurse administer to increase gastric motility?
What is metoclopramide (Reglan)
400
The client develops profound elevation in body temperature from anesthesia. What medication will the nurse administer first?
What is dantrolene (Dantrium)
500
While in the PACU the patient verbalizes symptoms of nausea and vomiting. Which medication would be most appropriate to administer initially?
What is ondansetron (Zofran)
500
Decreased respiratory rate or effort may lead to this?
What is hypercapnia
500
Upon ambulating the patient. The patient verbalizes that they felt something pop. The nurse assesses the wound and visualizes the intestine is protruding through the surgical wound. The nurse is aware that this is which of the following?
What is evisceration.
500
The post operative patient is exhibiting cardiac dysrhythmias on the monitor. The nurse is aware that which of the following can cause dysrhythmias? List 2
What is check for hypoxia, hypercapnia, acid-base instability and fluid & electrolyte imbalance
500
The client is exhibiting respiratory depression after receiving multiple doses of lorazepam (Ativan). What medication will the nurse administer initially?
What is flumazenil (Romazicon)