ATI Med-surg: Perioperative Nursing

ATI Med-surg: Perioperative Nursing What should the nurse do before witnessing the client signing an informed consent who has expressed fears of the surgery? - Ask the surgeon to speak to the client for clarification Medication history: which medicine puts the client at risk for complications with anesthetic? - captopril (ace inhibitor) Jehovah's witnesses are not allowed to accept - blood Surgical suites are kept at cool temps with low humidity because it helps reduce risk of ____ - risk for infection Bowel obstruction, 24 hour vomiting, pain: 8, hard distended abdomen and absent bowel sounds. Notify provider then? - insert an NG tube To maintain surgical asepsis; intervention is necessary when you notice: - the scrub nurse is wearing a watch under his scrubs Which medicine should be discontinued 48 hours prior to surgery? - warfarin Client's wound has eviscerated, after applying sterile, saline soaked dressing what should the nurse do next? - Obtain vital signs to assess for shock What is an unexpected finding for a post-op client? - urine output of 20 mL/hr Client receiving succinylcholine; what should you do if pt develops malignant hyperthermia? - administer Dantrolene Post-op pt; what intervention to prevent respiratory complications? - client splint incision when coughing and deep breathing Pt. with penrose drain; intervention: - use sterile technique when performing dressing changes Client with a Jackson-Pratt (JP) drain? - empty and compress the reservoir as needed Client receives versed and fentanyl for moderate sedation: Rep rate goes from 16 to 6 O2 sat: 92-85%; what do you do? - administer reversal agents NG tube on continuous low suction. What finding do you report? - gastric distention ...............