Ch 18 and 19 (intraopertive & postoperative)
A patient undergoes induction for general anesthesia at 8:30 a.m. and is being assessed continuously for the development of malignant hyperthermia. At which time would the patient be most likely to exhibit manifestations of this condition?
8:40 to 8:50 a.m.
Which of the following positions would the nurse expect the client to be positioned on the operating table for renal surgery?
Sims position
A nurse suspects malignant hyperthermia in a patient who underwent surgery approximately 18 hours ago. Which of the following would the nurse identify as a early, ominous sign?
Tachycardia and muscle rigidity
The patient asks the nurse how long the local infiltration anesthetic will last. What is the nurse's best response?
The anesthetic may last for 3 hours."
dorsal recumbent
lying on back with legs bent and feet flat
lithotomy position
lying on back with legs raised and feet in stirrups
supine
lying on the back
Monitored anesthesia care differs from moderate sedation in that monitored anesthesia care:
may result in the administration of general anesthesia.
Dehiscence
partial or total separation of wound layers
First intention healing
reparative process in which wound edges are directly next to each other
Third intention healing
reparative process when a wound is widely separated and later brought together with some type of closure material
hypovolemic shock
shock resulting from blood or fluid loss
Second intention healing
the wound edges are widely separated
A client develops a hemorrhage one hour post surgery. The nurse knows this is most likely an intermediary hemorrhage from a vein because it occurred:
within the first few hours, and has darkly colored blood that flows quickly.
Nursing assessment findings reveal urinary output < 30 ml/hr, tachycardia, tachypnea, decreased hemoglobin, and acute confusion. The findings are indicative of which nursing diagnosis?
Decreased cardiac output
How often do you check temp after surgery
Every 4 hrs for 12 hrs
Which of the following is a duty of the registered nurse first assistant? Select all that apply.
Handling tissue Suturing Maintaining hemostasis Providing exposure at the operative field
On postoperative day 2, a client requires care for a surgical wound using second-intention healing. What type of dressing change should the nurse anticipate doing?
Packing the wound bed with sterile saline-soaked dressing and covering it with a dry dressing
patient who has received general anesthesia has reached stage II. Which of the following would the nurse expect the patient to exhibit?
Pupillary dilation and rapid pulse
A nurse suspects malignant hyperthermia in a patient who underwent surgery approximately 18 hours ago. Which of the following would the nurse identify as a late, ominous sign?
Rapid rise in body temperature
Sims position
a side-lying position with the lowermost arm behind the body and the uppermost leg flexed
After surgery, how often must you check vitals?
every 15 minutes- for an hr 30 mins for 2 hrs
Evisceration
wound separation with protrusion of organs
