periop complications practice Flashcards
(40 cards)
1
Q
- The most common cause of post-op hypoxia is:
A. Pulmonary embolism
B. Atelectasis
C. Pneumonia
D. Bronchospasm
A
B
2
Q
- Which is a sign of pulmonary embolism?
A. Hypertension
B. Sudden chest pain and dyspnea
C. Decreased temperature
D. Bradycardia
A
B
3
Q
- (SATA) Risk factors for post-op pneumonia include:
A. Smoking history
B. Immobility
C. Use of incentive spirometer
D. Advanced age
A
A, B, D
4
Q
- The earliest sign of hemorrhage is:
A. Hypotension
B. Tachycardia
C. Decreased urine output
D. Cyanosis
A
B
5
Q
- To prevent DVT, the nurse should prioritize:
A. Encourage deep breathing
B. Early ambulation
C. Restrict fluids
D. Apply cold compress
A
B
6
Q
- A sign of wound dehiscence is:
A. Wound edges opening
B. Purulent drainage
C. Fever > 100.4°F
D. Redness around wound
A
A
7
Q
- Evisceration requires immediate:
A. Ice pack
B. Sterile saline dressing
C. Pressure dressing
D. Re-suturing at bedside
A
B
8
Q
- (SATA) Signs of systemic infection include:
A. Fever
B. Elevated WBCs
C. Warm, dry skin
D. Tachycardia
A
A, B, D
9
Q
- The best way to confirm a DVT is:
A. Chest X-ray
B. Doppler ultrasound
C. Arterial blood gas
D. Complete blood count
A
B
10
Q
- An intervention to prevent urinary retention post-op:
A. Keep Foley catheter long-term
B. Encourage early ambulation
C. Decrease fluid intake
D. Monitor potassium levels
A
B
11
Q
- Which lab value indicates infection?
A. WBC 4,000/mm³
B. WBC 18,000/mm³
C. WBC 7,000/mm³
D. WBC 10,000/mm³
A
B
12
Q
- (SATA) Malignant hyperthermia symptoms include:
A. High fever
B. Muscle rigidity
C. Bradycardia
D. Tachycardia
A
A, B, D
13
Q
- Immediate treatment for malignant hyperthermia is:
A. Epinephrine
B. Dantrolene
C. Naloxone
D. Furosemide
A
B
14
Q
- Hypothermia post-op increases risk of:
A. Delayed wound healing
B. Hypertension
C. Tachypnea
D. Hypoglycemia
A
A
15
Q
- Wound evisceration most often occurs:
A. Immediately post-op
B. 5–10 days after surgery
C. 1 month after surgery
D. Before anesthesia wears off
A
B
16
Q
- (SATA) Preventive measures for wound dehiscence include:
A. Using abdominal binders
B. Splinting with pillows
C. Early heavy lifting
D. Managing blood glucose levels
A
A, B, D
17
Q
- Risk factors for post-op infection include:
A. Hypothermia
B. Diabetes mellitus
C. Hypertension
D. Controlled asthma
A
B
18
Q
- Post-op ileus results in:
A. Severe diarrhea
B. Absent bowel sounds
C. Fever and rash
D. Hypokalemia
A
B
19
Q
- An intervention for post-op nausea/vomiting (PONV) is:
A. Early solid food intake
B. Antiemetic administration
C. Deep breathing exercises
D. Lower HOB flat
A
B
20
Q
- Which electrolyte imbalance is common after vomiting?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hyponatremia
A
B
21
Q
- (SATA) Risk factors for delayed wound healing:
A. Smoking
B. Malnutrition
C. Hypertension
D. Obesity
A
A, B, D
22
Q
- Priority action if dehiscence occurs:
A. Apply sterile moist dressing
B. Irrigate wound with peroxide
C. Apply dry gauze
D. Push wound edges together
A
A
23
Q
- A sign of compartment syndrome is:
A. Decreased pain
B. Severe pain unrelieved by medication
C. Swelling without pain
D. Loss of bowel control
A
B
24
Q
- To prevent pneumonia post-op, encourage:
A. Bedrest
B. Use of incentive spirometer
C. Fluid restriction
D. Steroid therapy
A
B
25
25. In hypovolemic shock, what finding is expected?
A. Warm extremities
B. Bounding pulses
C. Decreased blood pressure
D. Increased urine output
C
26
26. (SATA) Signs of wound infection include:
A. Redness
B. Pain
C. Purulent drainage
D. Low-grade fever
A, B, C, D
27
27. An early intervention for suspected DVT is:
A. Massage the calf
B. Apply warm compresses
C. Ambulate frequently
D. Keep leg elevated
D
28
28. The highest risk period for pulmonary embolism post-op is:
A. Immediately post-op
B. 5–7 days post-op
C. 2 weeks post-op
D. 1 month post-op
B
29
29. A hallmark of paralytic ileus is:
A. Hyperactive bowel sounds
B. Absent bowel sounds
C. Diarrhea
D. Hypernatremia
B
30
30. First action if wound evisceration is seen:
A. Call the surgeon
B. Push organs back
C. Cover with sterile saline dressing
D. Encourage coughing
C
31
31. (SATA) Signs of hypovolemic shock include:
A. Tachycardia
B. Hypotension
C. Cool, clammy skin
D. Increased urine output
A, B, C
32
32. One way to prevent malignant hyperthermia in high-risk patients is:
A. Administer dantrolene pre-op
B. Use non-triggering anesthesia agents
C. Give beta-blockers
D. Delay surgery
B
33
33. Which type of wound drainage suggests infection?
A. Serosanguineous
B. Sanguineous
C. Purulent
D. Clear
C
34
34. What is the priority if a patient shows signs of malignant hyperthermia?
A. Call for dantrolene
B. Apply warm blankets
C. Administer diuretics
D. Provide oxygen by mask only
A
35
35. If a post-op patient has absent breath sounds in one lung, suspect:
A. Atelectasis
B. Pneumothorax
C. Bronchitis
D. Pneumonia
A
36
36. Most important assessment after epidural anesthesia:
A. Pain level
B. Blood pressure
C. Sensation and movement in lower extremities
D. Pulse oximetry
C
37
37. After surgery, a patient's SpO₂ drops to 88%. Priority action?
A. Increase IV fluids
B. Apply oxygen
C. Notify surgeon
D. Administer bronchodilator
B
38
38. (SATA) Post-op interventions to prevent ileus:
A. Early ambulation
B. Clear liquids diet initially
C. Narcotic pain control only
D. Encourage gas passage
A, B, D
39
39. Best way to reduce surgical site infection risk:
A. Daily wound inspection
B. Broad spectrum antibiotics post-op only
C. Hand hygiene
D. Decrease ambulation
C
40
40. A post-op patient suddenly develops confusion and low oxygen saturation. Suspect:
A. Stroke
B. Pulmonary embolism
C. Atelectasis
D. Fluid overload
B
