Healthstream Exam: Surgeries and procedures Questions & Answers 100% Correct

Pulmonary Lobectomy Positioning - ANSWER-Per OR; after surgery, position operative side down or supine Pulmonary Lobectomy What Happens - ANSWER-Performed using a thoracotomy followed by additional incisions, vessel ligations, and lung resection; patient will have one or more chest tubes inserted Pulmonary Lobectomy Nsg Duties After - ANSWER-ECG, pulse ox, encourage cough/deep breathing/incentive spirometry with splinting Pulmonary Lobectomy Watch For - ANSWER-Infection/empyema, tension pneumothorax hemorrhage, chest pain, cyanosis, bronchopulmonary fistulas Transesophageal Echocardiogram (TEE) used for - ANSWER-Ultrasound visualization of the heart's structures (especially posterior structures), thoracic structures, and the aorta via endoscopy Transesophageal Echocardiogram (TEE) Nsg duties prior - ANSWER-Assess for contraindications, ensure NPO status at least 6 hrs or more, notify practitioner of any loose pt teeth, remove dentures, provide pre-procedure teaching, ensure outpatients have a ride home, place IV access Transesophageal Echocardiogram (TEE) Positioning - ANSWER-Left-side lying; attach BP, HR, and SpO2 monitors Transesophageal Echocardiogram (TEE) What happens - ANSWER-Conscious sedation initiated, topical anesthetic applied to back of throat, bite block inserted, endoscope inserted in the esophagus to level desired (up to 18") and U/S images obtained