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A comprehensive overview of the key nursing considerations and interventions related to the preoperative and postoperative phases of surgical care. It covers a wide range of topics, including preoperative patient assessment, informed consent, preparation for surgery, postoperative monitoring and management of common complications, pain control strategies, and patient education. Structured in a question-and-answer format, addressing a variety of scenarios and clinical situations that nurses may encounter when caring for surgical patients. By studying this document, students and healthcare professionals can gain a deeper understanding of the essential nursing responsibilities and evidence-based practices that contribute to positive surgical outcomes and patient well-being.
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During a preoperative physical exam, the nurse is alerted to the possibility of respiratory function during or after surgery in the patient with - ✔✔obesity when the nurse is performing a physical exam of a client who smokes and v.... on the day of surgery, it is especially important to - ✔✔auscultate for normal and adventitious breath sounds the nurse asks a hospitalized client to sign the operative permit as directed in the hear...preop orders. The client tells the nurse, "i don't really understand what is involved in this surgery" the nurse should - ✔✔delay the clients signature on the consent form and notify the health care provider the informed consent process is not complete appropriate preop teaching for a client scheduled for abdominal surgery includes - ✔✔methods for effective deep breathing and coughing ten mins after receiving the ordered preop opioid by IV injection the patient asks to get up to go to the bathroom to urinate. the most appropriate action by the nurse is to - ✔✔offer a urinal or bedpan and position the client in bed to promote voiding an 82 year old man is admitted to the hospital the evening before a prostatectomy. he is alert and oriented but has difficulty seeing and hearing. his wife answers most questions directed to the client. to accomplish preop teaching with the client the nurse plans to - ✔✔provide additional time for the client to understand preop instructions and carry out procedures a diabetic client well controlled with insulin injections has been NPO since midnight before having a mastectomy the nurse will anticipate the need to - ✔✔obtain a blood glucose measurement before any insulin administration a client is to receive atropine before surgery. the nurse teaches the client to expect - ✔✔dry mouth
to promote effective coughing, deep breathing, and ambulation in the posop patient, what is most important for the nurse to do? - ✔✔provide adequate and regular pain meds the preop nurse encourages a family member or friend to remain with the client in the preop holding area until the client is taken to the operating room primarily to - ✔✔help relieve the stress of separation for the client and significant others the physical environment and traffic control measures of the operating room are designed primarily to - ✔✔prevent transmission of infection a patient scheduled for hip-replacement surgery in the early afternoon receives and ingests a breakfast tray with clear liquids the morning of surgery/ the nurse notifies the ACP with the expectation that the patient - ✔✔will be able to undergo surgery as scheduled all of the following components are essential for adequate disclosure in the case of informed consent expect: - ✔✔-purpose or treatment
while caring for a client on the second postop day, which info about the client is most important to communicate to the HCP - ✔✔the right calf is swollen, warm and painful the nurse notes that the oxygen saturation is 88% in an unconscious patient who was transferred to the PACU 10 mins previously. an airway obstruction is suspected. all of the following nursing actions would be appropriate except - ✔✔-perform the jaw thrust manuerver
assess skin moisture and temp - ✔✔integumentary system palpate for presence of leg edema - ✔✔cardiovascular system inspect the sclera of the eyes - ✔✔hepatic system weigh the client - ✔✔gastrointestinal system ausculatate the apical pulse - ✔✔cardiovascular system assess orientation to time and place - ✔✔neurological system what is the most common client position during surgery? - ✔✔supine monitor pulse oximetry findings - ✔✔opioids assess levels of consciousness - ✔✔benzodiazepines which of the following statements regarding spinal anesthesia is accurate? - ✔✔local anesthesia is injected into the cerebrospinal fluid in the subarachnoid space during the preop phase which of the following questions asked by the nurse would best assess for potential complications of malignant hyperthermia - ✔✔have any members of your family experienced any muscle complications after surgery which of the following postop assessments may indicate inadequate oxygenation? - ✔✔restlessness which of the following nursing measures is most significant to achieve the client outcomes of prevention of postop complications - ✔✔early ambulation
Valium (diazepam) - ✔✔Benzodiazepine morphine sulfate - ✔✔opioid what should be included in the instructions given to the postop patient before discharge - ✔✔writen information about self-care during recuperation