PNU 120 Exam 2 With
Complete Solution
What does the nurse teach the patient about in PRE op teaching? - ANSWER
Exercises (eg breathing, incentive spirometer)
Pain management (eg splinting, meds, non pharm)
Inform they will speak with CRNA
Preparations (eg NPO, meds)
Review PreOp checklist
If the patient wants to know more about the surgery, the nurse should. -
ANSWER notify the MD/surgeon
What is included in the nurse's actions while the patient is in the PACU? -
ANSWER frequent vital signs & assessments
dressing/drain,tubing
IV lines
Pain meds/comfort measures
Family notification
Sensations
Airway/O2/O2 Sat
, What are surgical risk factors for complications? - ANSWER age
obesity
smoking
preexisting diseases
How long can post op delirium last? - ANSWER days to weeks after surgery
What are indications of post op complications? - ANSWER nausea/vomiting
VT/DVT
fluid imbalance
atelectasis
surgical wound problems
ileus
oliguria/acute kidney injury
What is dehiscence? - ANSWER separation of a wound incision
What is evisceration? - ANSWER protrusion of organs from a surgical wound
opening
What is an ileus? - ANSWER loss of peristalsis
oliguria- ANSWER low or decreased urine output
What is nurses priority in PACU? - ANSWER ABC's, ventilation, vitals, O2 sat,
LOC
What are the benefits using the incentive spirometer? - ANSWER decreases
risk for atelectasis
Complete Solution
What does the nurse teach the patient about in PRE op teaching? - ANSWER
Exercises (eg breathing, incentive spirometer)
Pain management (eg splinting, meds, non pharm)
Inform they will speak with CRNA
Preparations (eg NPO, meds)
Review PreOp checklist
If the patient wants to know more about the surgery, the nurse should. -
ANSWER notify the MD/surgeon
What is included in the nurse's actions while the patient is in the PACU? -
ANSWER frequent vital signs & assessments
dressing/drain,tubing
IV lines
Pain meds/comfort measures
Family notification
Sensations
Airway/O2/O2 Sat
, What are surgical risk factors for complications? - ANSWER age
obesity
smoking
preexisting diseases
How long can post op delirium last? - ANSWER days to weeks after surgery
What are indications of post op complications? - ANSWER nausea/vomiting
VT/DVT
fluid imbalance
atelectasis
surgical wound problems
ileus
oliguria/acute kidney injury
What is dehiscence? - ANSWER separation of a wound incision
What is evisceration? - ANSWER protrusion of organs from a surgical wound
opening
What is an ileus? - ANSWER loss of peristalsis
oliguria- ANSWER low or decreased urine output
What is nurses priority in PACU? - ANSWER ABC's, ventilation, vitals, O2 sat,
LOC
What are the benefits using the incentive spirometer? - ANSWER decreases
risk for atelectasis
