RN VATI Adult Medical Surgical Report
preoperative phase - question and answerProcedures or teaching completed prior to
surgical procedure reduce potential complications and postoperative discomfort, relieve
anxiety and inxrwase oarticpation if care
Anticoagulants (warfarin and aspirin) - question and answerWhich kind of medications
should be held 7-10 days prior to surgery ? Give 2 examples
post op care - question and answerVerify gag reflex
Cough and deep breathing
LOC
reflexes
Tissue perfusion
I and os
Urinary output
Vowel sounds
Abdominal distention
Skin color
Semi Fowler's
Pain mngt
NPO - question and answerMaintain __ __ __ until client is alert and gag reflexes return
Cough or strain - question and answerFor wound dehiscence instruct client not to
Increased BP, tachy, tachypnea, confusion - question and answerHypoxia vitials
Tachy, low BP, no or decreased urinary output, WEAK PULSE - question and
answerHypovolemic Shock vital signs
Vasopressors - question and answerFor shock give
Yes to decompress stomach.... ambulate them - question and answerFor decreased
peristalsis/paralytic Ileus can you administer NG tube ?
, Swelling, edema, high BP, tachy, BOUNDING pulse - question and answerFluid
overload VS
Yes - question and answerFor delayed wound healing .... should client splint incision
Aseptic - question and answerDressing CHANGE - sterile or aseptic technique
sterile technique - question and answerWhen applying new dressing - sterile or aseptic
technique
Low fat diet - question and answerDiet for cholelithiasis
Murphy's sign, sharp right upper quadrant, epigastric pain - question and
answercholelithiasis/cholecystis sign
1,000ml/day - question and answerCholecystectomy May have T tube 1-2 weeks post
op.... monitor drainage and report to HCP if drainage is greater than
Also never irrigate
acid fast bacilli smear and culture (3 positive- obtain early AM) - question and
answerWhat test confirms TB
Mantoux
Sputum culture and smear for AFB
chest x ray - question and answerDx for TB (3)
Sputum culture - question and answerObtain __________culture before administering
medications for TB
Tyramine foods - question and answerAvoid what kinds of foods when taking INH for TB
6-12 months - question and answerHow long are you on meds if postive TB
10mm and 5mm - question and answerWhat's the diameter that indicates postive TB
skin test
And
What diameter for immunosuppressrd
Developed and immune response to TB, NOT confirm.... there's another test - question
and answerA positive Mantoux test indicates the client has
No - question and answerTB in home needs airborne precautions ?
preoperative phase - question and answerProcedures or teaching completed prior to
surgical procedure reduce potential complications and postoperative discomfort, relieve
anxiety and inxrwase oarticpation if care
Anticoagulants (warfarin and aspirin) - question and answerWhich kind of medications
should be held 7-10 days prior to surgery ? Give 2 examples
post op care - question and answerVerify gag reflex
Cough and deep breathing
LOC
reflexes
Tissue perfusion
I and os
Urinary output
Vowel sounds
Abdominal distention
Skin color
Semi Fowler's
Pain mngt
NPO - question and answerMaintain __ __ __ until client is alert and gag reflexes return
Cough or strain - question and answerFor wound dehiscence instruct client not to
Increased BP, tachy, tachypnea, confusion - question and answerHypoxia vitials
Tachy, low BP, no or decreased urinary output, WEAK PULSE - question and
answerHypovolemic Shock vital signs
Vasopressors - question and answerFor shock give
Yes to decompress stomach.... ambulate them - question and answerFor decreased
peristalsis/paralytic Ileus can you administer NG tube ?
, Swelling, edema, high BP, tachy, BOUNDING pulse - question and answerFluid
overload VS
Yes - question and answerFor delayed wound healing .... should client splint incision
Aseptic - question and answerDressing CHANGE - sterile or aseptic technique
sterile technique - question and answerWhen applying new dressing - sterile or aseptic
technique
Low fat diet - question and answerDiet for cholelithiasis
Murphy's sign, sharp right upper quadrant, epigastric pain - question and
answercholelithiasis/cholecystis sign
1,000ml/day - question and answerCholecystectomy May have T tube 1-2 weeks post
op.... monitor drainage and report to HCP if drainage is greater than
Also never irrigate
acid fast bacilli smear and culture (3 positive- obtain early AM) - question and
answerWhat test confirms TB
Mantoux
Sputum culture and smear for AFB
chest x ray - question and answerDx for TB (3)
Sputum culture - question and answerObtain __________culture before administering
medications for TB
Tyramine foods - question and answerAvoid what kinds of foods when taking INH for TB
6-12 months - question and answerHow long are you on meds if postive TB
10mm and 5mm - question and answerWhat's the diameter that indicates postive TB
skin test
And
What diameter for immunosuppressrd
Developed and immune response to TB, NOT confirm.... there's another test - question
and answerA positive Mantoux test indicates the client has
No - question and answerTB in home needs airborne precautions ?
