Medical-Surgical Nursing
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| When does the postoperative period begin? | Immediately after surgery
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| What are focuses of nursing care during the postoperative period? | Maintaining patient safety and identifying actual and potential patient problems
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| How often are V/S monitored in Phase 1? | Every 5 minutes
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| How often should you check the dressing over the surgical site in Phase 1? | Whenever you do V/S
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| What is the priority assessment during the postoperative period? | Respiratory
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| When should first look at the surgical site dressing? | When the patient arrives from the OR with the person who transported them
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| What are possible complications from hypoxemia? | Atelectasis and pulmonary edema
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| What position should the patient be in while recovering? | Lateral position, preferably on the left side
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| What position should the patient be in once conscious? | Supine
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| What should you consider if the patient's respirations are 10 or less? | Opioid toxicity
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| How often should you monitor the patient's lungs once they are on the floor? | Every hour for the first 24 hours
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| How is blood pressure normalized usually? | With an IV fluid bolus
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| What are methods of VTE prophylaxis? | TED hose, SCDs, moving the legs in bed, early ambulation
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| What is often done for patients with a history of DVT in preop? | They're often given a dose of Lovenox
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| What adverse effects are associated with reversal agents? | Seizures
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| What is one of the most common causes of confusion postop? | Hypoxemia
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| When do you know a patient's bowel function has returned? | When they pass gas
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| When should you expect infection postop? | If the temperature spikes after the first 48 hours
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| What is a decrease in temperature up to 12 hours after surgery related to? | Surgical heat loss
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| What can an increase in temperature up to 48 hours after surgery be due to? | Inflammatory response, atelectasis, or dehydration
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| True or False: No or low bowel sounds is normal for the first 24 hours after surgery. | True
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| How long should it take the patient to void after the catheter is removed? | Up to 8 hours
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| What should you do if the patient has not voided 8 hours after the catheter was removed? | Call the surgeon
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| True or False: You should document the time the urinary catheter was removed. | True
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| What is a normal urine output postop? | 30 mL/hour
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| What is the general order in which bowel sounds return? | Small bowel, stomach, and colon
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| True or False: Wound healing can occur with high blood sugar. | False
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| How long must a patient wait to be discharged from ambulatory surgery after being given IV opioids? | At least 30 minutes
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| Should you ensure a follow up is scheduled before discharge? | Yes
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