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