NUR 324 (Ch. 19)

15 mins

After the initial assessment, vital signs are monitored and the patient's general physical status is assessed and documented at least?

partial or complete separation of wound edges

What is dehiscence?

protrusion of organs through the surgical incision

What is evisceration?

area designated for care of surgical patients immediately after surgery and for patients whose condition warrants close monitoring

What is phase I PACU?

area designated for care of surgical patients who have been transferred from a phase I PACU because their condition no longer requires the close monitoring provided in a phase I PACU

What is phase II PACU?

setting in which the patient is cared for in the immediate postoperative period and then prepared for discharge from the facility

What is phase III PACU?

Phase I PACU

Which phase is immediate recovery, usually 1:1 nurse to patient assignment?

Phase III PACU

Which phase prepares for discharge home?

Phase II PACU

Which phase prepares for transfer to inpatient unit?

Anesthesiologist or Nurse Anesthetist

Who usually does the transfer to PACU?

hemorrhage

______ is an uncommon yet serious complication of surgery that can result in hypovolemic shock and death

Dysrhythmias

_______ are associated with electrolyte imbalance, altered respiratory function, pain, hypothermia, stress, and anesthetic agents.

Hypertension

________ is common in the immediate postoperative period secondary to sympathetic nervous system stimulation from pain, hypoxia, or bladder distention

shock

________, which is one of the most serious postoperative complications, can result from hypovolemia and decreased intravascular volume

hypotension

______________ can result from blood loss, hypoventilation, position changes, pooling of blood in the extremities, or side effects of medications and anesthetics.

Arthritis

______________ is a common condition among older patients, and it affects mobility, creating difficulty turning from one side to the other or ambulating without discomfort.

The Alderete score

_______________ is used to determine the patient's general condition and readiness for transfer from the PACU

respiratory function relief of pain optimal cardiovascular function increased activity tolerance unimpaired wound healing maintenance of body temperature maintenance of nutritional balance

The major goals for the patient include optimal?

-Patient orientation -Vital signs -No evidence of hemmorhage and complications

The nursing management objectives for the patient in the PACU are to provide what type of care?

True

The primary cardiovascular complications seen in the PACU include hypotension and shock, hemorrhage, hypertension, and dysrhythmias T/F

third-intention healing

it is a method of healing in which surgical approximation of wound edges is delayed and integumentary continuity is restored by opposing areas of granulation

second-intention healing

it is a method of healing in which wound edges are not surgically approximated and integumentary continuity is restored by the process known as granulation?

first-intention healing

it is a method of healing in which wound edges are surgically approximated and integumentary continuity is restored without granulation?

PACU

it is an area where postoperative patients are monitored as they recover from anesthesia; formerly referred to as the recovery room or postanesthesia recovery room?

rate and depth ease of respirations oxygen saturation breath sounds.

the nurse assesses respiratory what? name 4