Acute Care Exam #3 - Pre/Intra/Post-Operative Care, Musculoskeletal Trauma/Management, Biliary Disorders (Q & A) Latest (100%)
If an infection is
... [Show More] present in an extremity that is about to be amputated, what must first be prescribed?
What type of assessment needs to be performed on both the affected and unaffected extremity before amputation is considered?
This type of pain is felt at the site post amputation of an extremity
Nursing alert: If the elastic dressing falls off on stump (amputation site) what is the nurses immediate next action?
What types of drugs are given to treat phantom pain?
What is the HALLMARk sign of peritonitis?
In what instances will pain perception be diminished? (think meds & comorbid conditions)
Defined as a complication of trauma or perforation of bowel; Extremely serious; IV antibiotics and surgery may be required
What nursing interventions/assessments are required for peritonitis?
What are the s/s associated with cholecystisis?
Defined as stones in gallbladder
If pus develops in the gallbladder due to infection, what complication can this lead to?
When are ERCP and PTC procedures used?
What type of sedation is used for ERCP and PTC interventions?
During acute pancreatitis, what should the nurse monitor for specifically?
During assessment of suspected pancreatitis, what are positive signs of diagnosis?
What diagnostic tests are used to confirm diagnosis of pancreatitis?
In this typeof pancreatitis, the benchmark of pain is met and the patient is able to more easily cope with the pain; "Burnout."
Under moderate sedation, what does the nurse need to monitor?
After epidural anesthesia, what will be continuously monitored along with continuous o2 sat monitoring?
In a patient with chronic lung disease, what is the highest priority post-op for this patient?
If a wound is dehiscing post-operatiely, what is the nurse's first action?
What lab values need to be specifically examined pre-op? If these lab values are off, is surgery postponed?
For patients with a PCA pump, what does the nurse need to continuously monitor?
If a patient becomes suddenly dizzy upon ambulation post-op, what is the nurse's first action?
If a patient becomes suddenly restless in the PACU post surgery, what is the first thing the nurse should examine?
What are the s/s of hypovolemia and hypovolemic shock?
How does the nurse prevent post-op atelectasis/pneumonia?
A score of what or higher on the Aldrete test indicates that the patient is ready to be discharged from the PACU?
When a nurse suspects compartment syndrome, how should they keep the extremity positioned?
For patients with a spica cast (typically children) what does the nurse need to assess for concerning bowel movements/constipation?
How often does the nurse need to inspect the pin sites for patients in traction?
What is important for the nurse to do in the post-op period?
What is the emergency management of fractures?
Defined as preparing the patient for every step of a surgical experience as a whole
This type of surgery would be necessary for a patient that came into the ER post a traumatic accident; Life would be threatened if surgery was not performed
How can a nurse evaluate empirical knowing for a patient potentially needing a colostomy?
What are nursing considerations associated with older adult patients going under anesthesia?
Why do older adult patients not tolerate anesthesia well? (Think body make up)
Pre-op, what education should the nurse stress following a surgical procedure to prevent post-op complications?
These patients may/may not receive blood products based on religious beliefs
This is a bowel prep used before a colonoscopy/endoscopy
What are important questions to ask the patient pre-operatively (concerning allergies)?
To find out if a patient is allergic to latex, what common foods can you ask if they have a sensitivity/allergy to?
What comorbidity will impair wound healing? Why?
What are common BP meds that cause electrolyte imbalances, specifically with potassium? What kind of imbalance (hypo/hyper)?
What type of diuretic will cause hyperkalemia in patients with renal insufficiency?
In alcoholics, what electrolyte imbalances are concerning pre-op & examined closely?
How does mild alcohol use before surgery affect the body?
How many days before surgery are patients advised to stop drinking alcohol? [Show Less]