Longer time to heal. Nurse should be aware of any auditory, visual, or cognitive impairments. Disorientation or toxic reaction the administration of anesthetics.

True or False: It is NOT important to patiently and actively to listen to the patient, the family, and significant other to address fears and to help reduce anxiety.

False.

What increases ICP?

Coughing.

What is the circulating nurse is responsible for?

Observing breaks in the sterile field.

What is the first signs and symptoms of hemorrhage?

Restlessness.

What should you do when the nurse assesses an oral temp of 94F?

Cover with warm blanket.

True or False: Preoperative checklist are guidelines for insuring all nursing intervention of the day of surgery completed and documented.

True.

What should nurse do to minimize the potential for venous stasis?

Assist with early ambulation.

True or false: If potassium is not available in adequate amounts, arrhythmias can occur during anesthesia.

True.

List the following signs of pulmonary embolism:

Dyspnea. Tachycardia. Chest Pain.

True of false: Anticoagulants should be discontinues for 48 hours before the surgeries, because it alters normal clotting factors and thus increasing hemorrhaging.

True.

True or False: The responsibility of the nurse as a witness to inform consent is to verify/obtain the patient’s signature.

True.

In preparing for the return of the surgical patient, what position should the bed be in?

Highest position with side rails down on receiving side and up opposite side.

True or False: taking several deep breaths is the first step a patient should take to control coughing.

True.

True or False: The use of multiple medications can lead to adverse drug reactions and interactions with other medications in the peri operative setting.

True.

True or False: For Vietnamese patients, having an interpreter is important, depending on the sensitivity of the subject under discussion, because of modesty.

True.

True or False: If a patient is allergic to a drug, ask him or her to describe specifically the type if reaction.

True.

What is the preoperative considerations for garlic?

Potential for increasing bleeding.

What is the preoperative considerations for ginger?

Risk for prolonged clotting times. Discontinue before surgery.

What is the preoperative considerations for St. John wort.

Discontinue before surgery because of possible drug interactions.

Patient teaching before surgery help reduce:

The patient’s anxiety associated with the fear of the unknown. The amount of anesthesia needed. Postsurgical pain. Corticosteroid production.

What is a significant decrease in or absence of intestinal peristalses, that may occur after abdominal surgery etc?

Paralytic ileus.

True or False: A urinary output of 30mL/h is considered acceptable postoperatively.

True.

True or False: Objective pain factors are signs that the body is responding to “pain”.

True.

In the PACU, when should the patient’s temperature and vitals signs should be monitored?

Every 15 mins.

The responsibilities of the scrub nurse:

Observes progress of surgical procedure. Maintains count of equipment. Maintains neat and orderly sterile field.

The responsibilities of the circulating nurse:

Observes sterile field closely for any breaks in aspect if technique and reports accordingly. Counts the equipment before closure of wound begins.

What type of check list of then is used by facilities to ensure that all required care has been preformed and that the patients is prepared properly for the surgery.

Preoperative checklist.

What abnormal condition characterized by the collapse lung tissue?

Atelectasis.

List a following patient teaching for incentive spirometry:

Use is 10 breathe hourly during walking hours.

True or False: Urinary retention is a common postoperative complication.

True:

What do patients fear when they are in pain and on pain medications?

They fear that addiction to pain medication may occur.

List a preoperative patient teaching:

Encourage to void before receiving medication and must remain in bed after administration of the medication to prevent falls.

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