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what is a universal protocol that must be completed before every surgery
time out
what is the best way to prevent atelectasis in a post-op patient ?
incentive spirometry/early ambulation
what do you call the amount of stimulus a patient is willing to accept ?
pain tolerance
medications used to treat nociceptive pain can also be used to treat neuropathic pain
false
a nurse is conducting a pre-op assessment. the patient states that they frequently use chewing tobacco. the nurse knows that the patient is at risk for which complication(s)?
all of the above
a nurse in PACU have just received a patient. upon assessment, the patient develops shortness of breath, hypoxia, and a blue discoloration around the lips. what is the possible post-op complication ?
pulmonary embolism
every client has the right to pain management as a basic human right
true
if a patient is going to have a painful procedure, when should you offer pain medication ?
about 30-40 minutes before the procedure
what condition is a patient more at risk for if a family member has suffered from the same complication ?
malignant hyperthermia
the nurse has just recieved a patient from the PCU after the patient received 2L of fluid. the nurse assesses the following: crackles, JVD, and pitting edema in the legs. which complication does the patient have ?
hypervolemia
how often should the nurse educate a post-op patient to use the incentive spirometer ?
10 times per hour or every commercial break
a nurse is assessing a patient who has just arrived to the PACU. the nurse assesses the following: dry mucus membranes, tachycardia, and a BP of 73/49. the patient has which complication ?
hypovolemia
pain is associated with actual or potential ______________ ?
tissue damage
which are examples of non-pharmacological interventions for pain. select all that apply
1.positioning
2.heat/cold therapy
3.opioids
4.spliting post-op incisions
5.PCA pumps
1, 2, 4
the FLACC is used with children ages 2 months to 7 years, and clients who are cognitively disabled. what does FLACC stand for ?
face, legs, activity, cry, consolability
what are s/s that might alert the nurse that a patient has developed ileus ?
distended abdomen and hypoactive/no bowel sounds
a nurse knows that a patient with a hx of smoking is at a higher risk for which complications ?
all of the above