Adult Med Surg- VATI Post
Assessment Assignment
1a A nurse is reviewing a consumer history consisting of preoperative lab work. Which of the
following lab effects could the nurse report to anesthesia and the health care professional, and
why? (Select all that practice.)
Serum Sodium 2.Eight
INR four.Zero
WBC five,000
Hct 17
BUN 30 - ANS-Serum Sodium 2.Eight
INR 4.Zero
BUN 30
-VATI's solution= Serum Sodium is low, indicative of electrolyte imbalance, can lead to cardiac
arrhythmias. INR extended, bleeding danger. BUN is accelerated,
indicator of renal characteristic and ability of the body to rid itself of drug metabolites.
1b A nurse is getting ready a teaching plan for a preoperative client who's having a complete
abdominal hysterectomy. What teaching have to the nurse consist of in the purchaser's plan of
care? - ANS-Preoperative teaching plan. Setting priorities. Continuity of care. Goals and
consequences. Client is able to verbalize significance of postoperative sporting events. Client
verbalizes prevention of lung congestion and pneumonia as reasons for deep respiration,
coughing, and use of incentive spirometer.
-VATI's answer=
Reasons for preoperative commands and physical activities.
Time of surgical treatment.
Explanation of in which the postoperative unit and place of the family can be during surgical
procedure and recovery.
Postoperative monitory & remedies.
Surgical procedure and postoperative remedies.
Postoperative activity resumption.
Pain relief measures
2a Prior to a health practitioner closing a surgical wound, a circulating nurse a scrub nurse
begin to remember sponges, towels, and equipment inside the running room. Both nurses
, discover that one pair of surgical scissors is lacking. What should the circulating nurse plan to
do? - ANS-Report locating to the surgeon.
-VATI's answer= If the count became wrong, then repeat the rely. If on the second depend it's
miles still incorrect, the medical professional desires to be notified at once!
Measures right now ought to be taken to ensure that the pair of surgical scissors changed into
no longer left in the patron. All counts of gadget, towels, and sponges need to be documented
on the patron's surgical file pre operatively and put up operatively.
2b A circulating nurse is working in a surgical treatment that has prolonged into its fourth hour.
The nurse notes the health care professional appears to be distracted and he contaminates the
case. Which of the subsequent is the concern action for the nurse to take? - ANS-Bring the
contamination to the instant attention of the general practitioner.
-VATI's answer= It is the duty of the nurse to inform the health care provider without delay of the
error. At this factor a decision might be made by the health care professional concerning if the
integrity of the case has been compromised completely or if measures may be taken to re-set
up the sterility of the case.
3a A nurse is worrying for an older person patron following a hip fracture. The fracture became
repaired by way of open discount/internal fixation (ORIF). What postoperative headaches must
the nurse anticipate? How can these be avoided? - ANS-Following ORIF, capability side results
can encompass post-operative contamination, malunion, nonunion, knee pain, malrotation,
compartment syndrome, and nerve harm.
Maintain your dressing or splint till seventy two hours after surgical treatment. For the firs 3
days, you may cover the dressing or splint when taking a shower the usage of saran wrap or a
large plastic bag and tape. After that, you may shower the knee but you can nevertheless use
the shower with it wet.
Nursing take care of a affected person after internal fixation involves monitoring neurovascular
kingdom, giving medicines, handling the patient's pain, stopping infection, and assisting the
patient with ambulation and exercises.
Keep the wound dry and clean after surgical procedure. In order to well deal with wounds, the
dressing have to be eliminated.
-VATI's answer= Following an ORIF manner, the patron might be at danger for a number of
complications along with atelectasis, pneumonia, deep vein thrombosis,
and wound infection.
To prevent those headaches, the nurse must encourage the purchaser to show, cough and deep
breathe. Use of incentive spirometry is likewise fairly effective in prevention of atelectasis and
pneumonia. Use of thromboemoblic stockings and leg pumps should be enforced to save you
DVT and the nurse need to use strict aseptic wound care to save you contamination.
3b A nurse is monitoring the status of a postoperative client. Which of the following findings may
want to suggest an evolving hardship? - ANS-Increasing restlessness
Assessment Assignment
1a A nurse is reviewing a consumer history consisting of preoperative lab work. Which of the
following lab effects could the nurse report to anesthesia and the health care professional, and
why? (Select all that practice.)
Serum Sodium 2.Eight
INR four.Zero
WBC five,000
Hct 17
BUN 30 - ANS-Serum Sodium 2.Eight
INR 4.Zero
BUN 30
-VATI's solution= Serum Sodium is low, indicative of electrolyte imbalance, can lead to cardiac
arrhythmias. INR extended, bleeding danger. BUN is accelerated,
indicator of renal characteristic and ability of the body to rid itself of drug metabolites.
1b A nurse is getting ready a teaching plan for a preoperative client who's having a complete
abdominal hysterectomy. What teaching have to the nurse consist of in the purchaser's plan of
care? - ANS-Preoperative teaching plan. Setting priorities. Continuity of care. Goals and
consequences. Client is able to verbalize significance of postoperative sporting events. Client
verbalizes prevention of lung congestion and pneumonia as reasons for deep respiration,
coughing, and use of incentive spirometer.
-VATI's answer=
Reasons for preoperative commands and physical activities.
Time of surgical treatment.
Explanation of in which the postoperative unit and place of the family can be during surgical
procedure and recovery.
Postoperative monitory & remedies.
Surgical procedure and postoperative remedies.
Postoperative activity resumption.
Pain relief measures
2a Prior to a health practitioner closing a surgical wound, a circulating nurse a scrub nurse
begin to remember sponges, towels, and equipment inside the running room. Both nurses
, discover that one pair of surgical scissors is lacking. What should the circulating nurse plan to
do? - ANS-Report locating to the surgeon.
-VATI's answer= If the count became wrong, then repeat the rely. If on the second depend it's
miles still incorrect, the medical professional desires to be notified at once!
Measures right now ought to be taken to ensure that the pair of surgical scissors changed into
no longer left in the patron. All counts of gadget, towels, and sponges need to be documented
on the patron's surgical file pre operatively and put up operatively.
2b A circulating nurse is working in a surgical treatment that has prolonged into its fourth hour.
The nurse notes the health care professional appears to be distracted and he contaminates the
case. Which of the subsequent is the concern action for the nurse to take? - ANS-Bring the
contamination to the instant attention of the general practitioner.
-VATI's answer= It is the duty of the nurse to inform the health care provider without delay of the
error. At this factor a decision might be made by the health care professional concerning if the
integrity of the case has been compromised completely or if measures may be taken to re-set
up the sterility of the case.
3a A nurse is worrying for an older person patron following a hip fracture. The fracture became
repaired by way of open discount/internal fixation (ORIF). What postoperative headaches must
the nurse anticipate? How can these be avoided? - ANS-Following ORIF, capability side results
can encompass post-operative contamination, malunion, nonunion, knee pain, malrotation,
compartment syndrome, and nerve harm.
Maintain your dressing or splint till seventy two hours after surgical treatment. For the firs 3
days, you may cover the dressing or splint when taking a shower the usage of saran wrap or a
large plastic bag and tape. After that, you may shower the knee but you can nevertheless use
the shower with it wet.
Nursing take care of a affected person after internal fixation involves monitoring neurovascular
kingdom, giving medicines, handling the patient's pain, stopping infection, and assisting the
patient with ambulation and exercises.
Keep the wound dry and clean after surgical procedure. In order to well deal with wounds, the
dressing have to be eliminated.
-VATI's answer= Following an ORIF manner, the patron might be at danger for a number of
complications along with atelectasis, pneumonia, deep vein thrombosis,
and wound infection.
To prevent those headaches, the nurse must encourage the purchaser to show, cough and deep
breathe. Use of incentive spirometry is likewise fairly effective in prevention of atelectasis and
pneumonia. Use of thromboemoblic stockings and leg pumps should be enforced to save you
DVT and the nurse need to use strict aseptic wound care to save you contamination.
3b A nurse is monitoring the status of a postoperative client. Which of the following findings may
want to suggest an evolving hardship? - ANS-Increasing restlessness
