What is the minimum urine output per hour for a patient? >30 ml/hr
How would you prepare the OR for a patient with a latex allergy? Make sure that it is free of latex equipment. Ideally schedule them in the morning. Everything should be washed down.
Why are smokers at a higher risk for complic...
Nur 227 Exam 1 Questions and 100%
Correct Answers
What is the minimum urine output per hour for a patient? ✅>30 ml/hr
How would you prepare the OR for a patient with a latex allergy? ✅Make sure that it is
free of latex equipment. Ideally schedule them in the morning. Everything should be
washed down.
Why are smokers at a higher risk for complications in the post op period? ✅15% of
oxygen binding sites on hemoglobin are occupied by carbon monoxide which reduces
oxygen carrying capacity
How often should you assess a pt after surgery? ✅Immediately assess after surgery
and monitor vitals every 15 minutes.
What assessments are key in the immediate post op period/ what are you looking for?
✅- Vital signs including temp and pain
- LOC
- Pressure reading (ICU stuff)
- Position of the patient
- Condition and color of skin
- Neurovascular if possible
- Condition of dsgs, drainage tubes, catheters amount, and type of drainage
- Muscular response and strength
- Pupillary response
- Fluid therapy
- Physical and emotional comfort
Why should you do a neuro assessment post-op? ✅Assess risks for
- delirium
- fever
- hypothermia
- pain
- post op cognitive dysfunction
Why should you do a GI assessment post-op? ✅Assess risks for
- delayed gastric emptying
- distention/flatulence
- hiccups
- n/v
- paralytic ileus!!!!!
,Why should you do a urinary assessment post-op? ✅Assess risks for urinary retention
or infection (UTI)
Why should you do a fluid and electrolyte assessment post-op? ✅Assess risk for
- acid-base disorders
- electrolyte imbalances
- fluid deficits
- fluid overload
Why should you do a skin assessment post-op? ✅Assess risk for
- dehiscence
- hematoma
- infection
Why should you do a cardiovascular assessment post-op? ✅Assess risk for
- dysrhythmias
- hemorrhage
- HTN/hypotension
- weak pulses
- DVT
- pulmonary embolus
Why should you do a respiratory assessment post-op? ✅Assess risk for
- airway obstruction
- aspiration
- atelectasis
- resp depression
- hypoxia (shallow breath)
- pneumonia
- laryngospasm
- obesity-related concerns
Which nursing action will help the patients most with pain control post-op? ✅-
Administering medications
- Repositioning
- Use pharmacologic and nonpharmacologic techniques lol
What is malignant hyperthermia? Manifestations? Antidote? ✅- inherited muscle
disorder triggered by certain types of anesthesia that may cause a fast acting life-
threatening crisis.
- manifestations: sustained muscle contraction and breakdown, with anaerobic
metabolic and metabolic acidosis
- antidote: dantrolene IV
What is malignant hyperthermia triggered by? ✅certain volatile anesthetics
, What are EARLY clinical manifestations of malignant hyperthermia? ✅- hypercarbia
(increase in CO2)
- sinus tachycardia
- muscle rigidity
- hyperthermia is not a presenting sign, initially absent when other s/s are occurring
How can you prevent malignant hyperthermia from happening? ✅During the patient
interview ask about the patient's family health history. If they have a hx of family dying
under anesthesia, it's not a good sign. Include adverse reactions to anesthesia.
What are common nursing roles in the pre-op process? ✅- Nursing and anesthesia
provider assessment
- patient interview/history: explore patients understanding of surgery, ask about previous
surgeries or anesthetics, pts family health hx, current meds, allergies, recreational drug
use/abuse/addiction, tobacco use, possibility of pregnancy (want to know last menstrual
period if applicable), and informed consent and legal concerns!!
- Planning of care
- Interventions to prepare for surgical procedure
What are common nursing roles in the intraoperative process? ✅- Circulating nurse:
not scrubbed, gowned, and gloved and remain in unsterile field; records all nursing care
- Scrub nurse: follow designated scrub procedure; are gowned
- Registered nurse first assistant (RNFA): assists with surgery
- Nurse anesthetist (CRNA)
- Actions: use 2 patient identifiers, time out, patient positioning (prevention of injury such
as muscle strain, joint damage, pressure ulcers, nerve damage, skin breakdown)
What are common nursing roles in the post-op process? ✅PACU nursing focused on
recovery from...
- general anesthesia
- airway management
- PAIN MANAGEMENT
- close observation of physiologic indicators
What is general anesthesia? ✅inhaled or injection of anesthetic drugs resulting in loss
of all sensation and consciousness with amnesia
What is regional anesthesia? ✅Medication is instilled into or around nerves to block
transmission of nerve impulses in a particular region. Nerve block, bier block, spinal,
epidural
What is local anesthesia? ✅temporary loss of feeling as result of inhibition of nerve
endings in part of body (ex. Used for removing wart, skin tag, etc)
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