HESI Med-Surg V2/Latest 2022/ Questions & Answers/ A+ Guide

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HESI Med-Surg II risk factors for surgery (ANS- -age: old & young -nutrition: obese & malnourished -fluid & electrolyte status: dehydration & hypovolemia -general health: infections or pathol... ogy what general health condition would be a reason to delay surgery? (ANS- current upper respiratory infection what medications can increase surgical risks? (ANS- -anticoagulants -tranquilizers (hypotension) -heroin (CNS depression) -antibiotics -diuretics -steroids -OTC/herbs -Vitamin E what post operative plans should a nurse include in her pre-operative teaching? (ANS- -respiratory care: ventilator? incentive spirometer? -activity: ROM? early ambulation? -pain control: PCA? IM meds? -dietary restrictions -ICU or PACU orientation when is it appropriate for the nurse to mark the operative site on the patient? (ANS- -right or left distinctions -multiple structures: fingers/toes -levels: spinal procedures what assessments are made immediately of the patient arrival in the PACU? (ANS- -vitals -level of consciousness -skin color & condition -dressing location & condition -IV fluids -drainage tubes -position -o2 sat levels when is a client moved from the PACU to the floor/unit? (ANS- when the client is stabilized what should be monitored in the immediate post-operative period? (ANS - monitor for signs of shock & hemorrhage -hypotension -narrow pulse pressure -rapid weak pulse -cold moist skin -increased capillary filling time what are some post-operative nursing interventions? (ANS- -position client on side to prevent aspiration -keep warm - heated blanket -anti-emetics & NG suctioning for N/V -analgesics for pain post-op complications: urinary retention (ANS- -occurs 8-12 hrs post op -monitor hydration status -encourage oral intake -offer bedpan or assist to commode post-op complications: pulmonary probs (ANS- -atelectasis, pneumonia, embolus -occurs 1-2 days post op -assist pt to TCDB -keep hydrated -enable early ambulation -provide incentive spirometer post-op complications: wound healing probs (ANS- -occurs 5-6 days post op -splint incision when coughing -monitor for s/s of infection, malnutrition, dehydration -provide high protein diet wound dehiscence (ANS- the separation of the wound edges that is more likely to occur with vertical incisions wound evisceration (ANS- the protrusion of intestinal contents more likely to occur in older, diabetic, obese, malnourished, or prolonged paralytic ileus pts post-op complications: UTI's (ANS- -occurs 5-8 days post op [Show More]

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