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