Shared Flashcard Set

Details

ADV CONCEPTS: PERIOPERATIVE CARE
HESI HINTS
10
Nursing
Not Applicable
08/14/2009

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Cards

Term
List five variable that increase surgical risk
Definition
Age: very young and very old; obesity and malnutrition, pre-op dehydration/hypovolemia; pre-op infection use of anticoagualants (aspirin) pre-op
Term
why is a client with liver disease at increased risk for operative complications
Definition
Impairs ability to detoxify med used during surgery; impairs ability to produce prothrombin to reduce hemorrhage
Term
Preoperative teaching should include demonstration adn explanation of expected post-op client activites. What activities should be included?
Definition
Respiratory activites: Coughing, breathing, use of spirometerl exercises: range of motion, leg execrises, turning; Pain management: meds, splinting, dietary restrictions: NPO evolving to progressive diet; dressing and drains; orienation to recovery room enviroment
Term
What items shoudl the nurse assist the client in removing before surgery?
Definition
Contact lenses, glasses, dentures, partial plates, wigs, jewelry, prostheses, makeup and nail polish
Term
how is the client positioned in the immediate post-op pd and why?
Definition
Usually on the side or with head to side in order to prevent aspiration of any emesis
Term
List three nursing actions that prevent post-op wound dehiscence and evisceration.
Definition
Teaching client to splint incision when coughing; encouraging C&DB in early post-op od when sutures are strong; monitoring for s/s of infection, malnutrition, and dehydration; encouraging a high protein diet
Term
Identify three nursing interventions that prevent post-op urinary tract infections.
Definition
Avoiding post-op cath, increasing oral fld intake; emptying bladder Q4H to 6hr; early ambulation
Term
Identify nursing/medical interventions that prevent post-op paralytic ileus
Definition
Early ambulation, limiting use of narcotic analgesicsl NG tube decompression
Term
List four nursing interventions that prevent post-op thrombophlebitis.
Definition
Teaching performance of in bed leg exercises; encouraging early ambulation; applying antiembolus stockings; teaching avoidance of positions and pressures that obstruct venous flow
Term
During the intraoperative pd, what activites should the operating room nurse do to ensure safety during the surgery?
Definition
Ascertain correct sponge, needle and instrument count; position client to avoid injury; apply ground during electroacutery use; apply strict use of surgical aspepsis
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