Exam 1 Chapter 5 Flashcards Preview

Nursing 130 Perioperative > Exam 1 Chapter 5 > Flashcards

Flashcards in Exam 1 Chapter 5 Deck (141)
Loading flashcards...
121

decrease H&H levels after surgery can indicate?

blood loss
dilution of circulating volume by IV fluids

122

"third space" associated with surgery fluid usually returns to the intravascular space by?

postop day(POD) 2 or 3

123

what can the RN do to stimulate circulation thereby preventing DVT?

leg exercises
frequent position changes to stimulate circulation

124

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

125

what should the RN be concerned about when a patient gets out of bed for the first time after surgery?

orthostatic hypotension
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.

126

what are the healing phases of surgical wound healing?

inflammatory
proliferative
maturation

127

why is nausea and vomiting after anesthesia common in obese people

fat cells at as reservoirs for the anesthetic.

128

nausea and vomiting after anesthesia are most common in

obese patient
women
patients who have undergone lengthy surgical procedures

129

what are some potential postoperative complications that occur in patients undergoing intestinal or abdominal surgery

paralytic ileus
intestinal obstruction

130

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

131

interventions to promote bowel elimination after surgery

early ambulation
dietary intake
hydration
stool softener (if prescribed)

132

when are patients expected to void after surgery

8 hours

133

what types of surgeries place a patient at risk for urinal retention

hip
abdominal
pelvic

134

why are straight intermittent catheterization preferred over indwelling?

risk of infection is higher with indwelling catheter

135

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.

136

how many mL of urine in residual volume is consider diagnostic urinary retention

100 mL

137

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

138

what are some S&S of postop myocardial ischemia/infarction (MI)

dyspnea
hypotension
atypical pain ( fatigue, sweating, lightheadedness, difficult breathing

139

signs of angina (heart attack)

pressure
squeezing pain in left section of the chest
radiates to left shoulder, arm, jaw and back.

140

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

141

what are some expected outcomes for urinary retention

voids at least 180 ml within 6 hr (depending of Dr order and policy)
clear yellow urine
normal urine odor
no urgency, frequency, dysuria
no S&S of distention
no fever, chills
no WBCs, bacteria in urine