*NURSING > QUESTIONS & ANSWERS > NR324 324 POST OPERATIVE HEMORRHAGE | {SOLVED} | 100% Verified (All)
NR324 324 POST OPERATIVE HEMORRHAGE | {SOLVED} | 100% Verified
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NR324 324 POST OPERATIVE HEMORRHAGE | {SOLVED} | 100% Verified POST OPERATIVE HEMORRHAGE (Week 4) Preparation Questions 1. Describe the initial postoperative management of the nephrecto... my patient and discuss collaborative management designed to prevent complications. • Assess pain levels and give pain medication • Frequently asses characteristic of urine output o Color, amount and characteristics o Watch for hematuria • Note drainage placement 2. What is the purpose of a bulb-type surgical drain? How does it work? • Jackson Pratt drain is used to remove any excess fluid buildup after surgery • One end is inside, and the other end is where the bulb is connected • Bulb is squeezed flat and tube creates a suction and expands as fluid is collected 3. Discuss the expected drainage amount and characteristics in a surgical drain immediately postoperatively. • Expected amount is 30mL or less • Drainage post-surgery is dark red 4. What are the hemodynamic changes associated with hemorrhage? • Low BP • Decreased cardiac output • Hypovolemia • Tachycardic • Increased respiration • Altered blood gas • Decreased arterial pressure 5. Identify and discuss alternatives to blood transfusions when the patient refuses blood products. • Iron and folic acid • Cardiopulmonary bypass • Hemoglobin/platelets substitutes • Minor blood fractions • Erythropoietin • Albumin 6. What is the nurse’s role in preparing a patient to return to the OR in an emergency? • Make sure patient is NPO as soon as knowing he will undergo surgery • Check vital signs, ABCs, monitor for fever • Preoxygenate • Cardiac monitor • Make Doctor aware if patient is jehova’s witness 7. How would the nurse address a patient’s anxiety in an emergency situation? What are the nurse’s responsibilities to the family? • Ask patient to explain what he is feeling and that he would not be alone • Be sensitive while explaining situation • Deep breathing exercises • Include family about surgery and explain the process, offer them to grab coffee and will grab them when surgery done [Show More]
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