Flashcards in Exam 1 Chapter 5 Deck (141)
decrease H&H levels after surgery can indicate?
dilution of circulating volume by IV fluids
"third space" associated with surgery fluid usually returns to the intravascular space by?
postop day(POD) 2 or 3
what can the RN do to stimulate circulation thereby preventing DVT?
frequent position changes to stimulate circulation
Patient teaching to prevent DVT
avoid positions that compromise venous return
raising the bed's knee gatch
placing a pillow under the knees
sitting for long periods
dangling the legs with pressure at the back of the knees
what should the RN be concerned about when a patient gets out of bed for the first time after surgery?
when patient change from supine to a standing position.
changes in circulating blood volume and bed rest
S&S: increase in HR with 15 mm Hg in decrease in systolic pressure or 10 mm Hg in diastolic pressure.
weakness, dizziness, leg buckling, visual blurring.
what are the healing phases of surgical wound healing?
why is nausea and vomiting after anesthesia common in obese people
fat cells at as reservoirs for the anesthetic.
nausea and vomiting after anesthesia are most common in
patients who have undergone lengthy surgical procedures
what are some potential postoperative complications that occur in patients undergoing intestinal or abdominal surgery
if the abdomen is not distended and bowel sounds are normal and patient does not have a bowel movement postop day 2 or 3 what should the nurse do?
notify the Dr. for laxative to be given that evening
interventions to promote bowel elimination after surgery
stool softener (if prescribed)
when are patients expected to void after surgery
what types of surgeries place a patient at risk for urinal retention
why are straight intermittent catheterization preferred over indwelling?
risk of infection is higher with indwelling catheter
what should be done when a patient is unable to void 8 hours postop and bladder scan verifies distention
straight catheterization which is removed after the bladder is emptied.
how many mL of urine in residual volume is consider diagnostic urinary retention
what other tools can the RN use to assess residual urine when a bladder scan is not available.
palpating the suprapubic area for distention or tenderness after the patient urinates
what are some S&S of postop myocardial ischemia/infarction (MI)
atypical pain ( fatigue, sweating, lightheadedness, difficult breathing
signs of angina (heart attack)
squeezing pain in left section of the chest
radiates to left shoulder, arm, jaw and back.
Nursing assessment for urinary retention
examined for quantity and quality
note color, amount, consistency and order
assess indwelling catheters for patency
urine output should be at least 0.5 ml/kg/hr