Dale Gordon has been a patient in the ICU for 6 days after developing complications after open heart surgery. He is an 82-year-old African American who is disoriented to place and time. He lives with his daughter Claudia in her home. Claudia and her two brothers visit Mr. Gordon daily since he has been hospitalized. Mr. Gordon has not been eating well since the surgery and has lost 3 pounds. Mr. Gordon has type 2 diabetes and is on oral antihyperglycemic medication. Before he came to the hospital, Mr. Gordon was able to only ambulate for short distances. He has orders to get up in a chair twice a day. Joan, a student nurse, is caring for Mr. Gordon this morning. She has reviewed his medical ...view middle of the document...
Lori Rhodes, a 22-year-old student nurse, is assigned to care for Mr. Baker. She is in her last year of nursing school. After surgery, Mr. Baker is taken to a room on the medical-surgical floor. He has an IV infusing at 125 ml/hr, a PCA pump, and a nasogastric tube connected to low suction. He is receiving oxygen through a nasal cannula.
Lori is going over Mr. Baker’s preoperative checklist. The informed consent form has been signed by Mr. Baker. Lori knows that it is the responsibility of the _____ to tell the patient about the surgery, including risks, benefits, expected outcomes, and alternatives.
A. Preoperative nurse
D. Circulating nurse
As part of Lori’s assignment, she is observing Mr. Baker’s surgery. She is to follow the circulating nurse. What will Lori learn is the role of the circulating nurse during the surgery?
After the surgery, Mr. Baker is taken to the PACU, the endotracheal tube is removed, and Mr. Baker responds to his name. During the time in the PACU, Lori monitors respiratory status closely due to what factors? Select all that apply.
A. Anesthesia can have a depressing effect on respirations.
B. Mr. Baker has a history of smoking.
C. Mr. Baker has an abdominal incision.
D. All of the above.
Lori is developing Mr. Baker’s care plan and adds the nursing diagnosis potential for infection. Why would Mr. Baker be at high risk for developing an infection?
Mr. Baker’s nurse asks Lori to apply a thromboembolic device (TED) hose and a sequential compression device (SCD) on him. What is the purpose of each device?
A. To prevent thrombus and emboli
B. To promote respirations
C. To promote pain relief
D. To promote wound healing
E. All of the above
The nurse is precepting a student nurse and explains that perioperative nursing care occurs
A. Before, during, and after surgery.
B. In preadmission testing.
C. During the surgical procedure.
D. In the postanesthesia care unit.
The nurse is caring for a patient who is scheduled to undergo a surgical procedure. The nurse is completing an assessment and reviews the patient’s laboratory tests and allergies. In which perioperative nursing phase would this work be completed?
The nurse is caring for a patient in the postanesthesia care unit. The patient has developed profuse bleeding from the surgical site, and the surgeon has determined the need to return to the operative area. This procedure would be classified as
The nurse is caring for a patient in preadmission testing. The patient has been assigned a physical status classification by the American Society of Anesthesiologist of P3. Which of the following assessments would support this classification?
A. Denial of any major illnesses or conditions