MANUAL 2026
◉ What are the key aspects of managing a client with impaired
ventilation/oxygenation post-op? Answer: Monitor airway,
breathing, and circulation; act quickly with fluids, oxygen, and notify
the provider.
◉ What pre-operative assessments should be conducted regarding
ulcers? Answer: Assess for history of ulcers, NSAID use, and stress
level.
◉ What signs should be monitored for post-operative GI bleeding?
Answer: Look for dark emesis, increased heart rate, and decreased
blood pressure.
◉ What should be confirmed about NG tubes if placed post-
operatively? Answer: Ensure they are functioning and properly
secured.
◉ What education should be provided to patients regarding NSAIDs?
Answer: Warn about the risks of NSAIDs, alcohol, and stress;
reinforce medication adherence and follow-up for ulcers.
,◉ What changes should be recognized as potential signs of a post-
operative bleed? Answer: A sudden drop in hemoglobin/hematocrit
or change in level of consciousness.
◉ What is essential to prevent complications in post-operative care?
Answer: Administer medications on time, monitor stress, and
frequently assess GI function.
◉ What opioid side effects should be monitored post-operatively?
Answer: Respiratory depression, oversedation, and nausea.
◉ Why is temperature maintenance crucial after surgery? Answer:
To avoid hypo/hyperthermia that delays wound healing.
◉ What should be monitored regarding ventilation/oxygenation
after surgery? Answer: Watch oxygen levels, provide oxygen,
reposition, or suction as needed.
◉ What pre-operative education should be provided to patients?
Answer: Teach what to expect in the post-anesthesia care unit
(PACU) and after discharge.
◉ What post-operative care should be provided regarding vital
signs? Answer: Frequent monitoring of vital signs, pain control,
infection monitoring, and airway protection.
, ◉ What should be monitored for devices used for drainage post-
operatively? Answer: Check for output, signs of infection, and
patency; teach clients how to care for drains.
◉ What key points should be emphasized in pre/post-operative
education? Answer: Signs of infection, mobility, wound care, and
pain control.
◉ What changes in elderly patients should not be dismissed post-
operatively? Answer: Confusion, which may indicate hypoxia,
infection, or medication effects.
◉ What complications should be prevented through early
mobilization post-operatively? Answer: DVT, pneumonia, and
aspiration.
◉ What medication interactions should be evaluated pre-
operatively? Answer: Check for interactions with opioids and blood
thinners.
◉ What is the purpose of pre-warming patients before surgery?
Answer: To prevent intra-operative hypothermia.