perioperative

Question 1

Concerning labs

Answer 1

HR<60, >100, O2 <94%, increased WBC, hypo/hyperkalemia, positive pregnancy test, increased PT/INR/aPTT

Question 2

airway, breathing, cardiovascular status, mental status, incision site, temp, IV fluids, other tubes

Answer 2

Perioperative nursing interventions

Question 3

Respiratory interventions

Answer 3

O2 95% or higher, assess lungs every 4 hrs., positioning, oxygen therapy, breathing exercises, movement

Question 4

Cardiovascular interventions

Answer 4

Report 15-20 BP difference, assess for pulse deficit, decreased pulse could be cardiac depression, pulse pressure could indicate fluid imbalance, abnormal heart sounds could be shock/hemorrhage/ or effects of drugs

Question 5

Neurologic interventions

Answer 5

assess awareness and orientation by calling name/touch/giving simple commands, assess LOC

Question 6

Neuromuscular interventions

Answer 6

Lightly prick skin w/monofilament and ask if they feel sharp or dull, ask them to move each extremity assess strength of each limb

Question 7

GI interventions

Answer 7

assess for nausea continuously, put in side-lying position, adequate hydration, promote mobility,

Question 8

Urinary interventions

Answer 8

catheter for urinary retention, output should be close to total intake for 24hr period, report output of less than 30mL/hr. or 240 in 8hr shift

Question 9

Integumentary interventions

Answer 9

assess tissue integrity at least every 8hrs, notify surgeon of serosanguinous drainage lasting more than 5 days, proper nutrition