(exam #2) possible questions and answers 2025
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1 of 63
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What should you assess for in gastrointestinal complications?
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Auscultate abdomen in all four quadrants for presence, frequency, and
characteristics of bowel sounds. can be absent or diminished in immediate
, postoperative period. return of bowel motility accompanied by flatus.
restlessness/agitation the LOC. pallor, cool, clammy skin, rapid, weak, thready
pulse, rapid breathing, low blood pressure. thirst, may be N/V. concentrated
urine. narrowing pulse pressure. cyanosis of the lips, gums.
evaluate respiratory function because hypoxemia is the most common cause of
post-op agitation. reorient, hydration, reassess doses of meds, exclude all
other causes of confusion.
measures temperature every 4 hrs for first 48hrs postoperatively. asepsis with
wound and IV sites. encourage airway clearance. chest x-rays and cultures if
infection suspected. antipyretics and body-cooling >103F.
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2 of 63
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what does evisceration mean?
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evidence of bowel increased heart rate, low blood
through incision. increase pressure, and confusion.
pain level
fluid accumulation in the abdomen,
swelling around the incision site,
leading to distention and
increased redness, and warmth.
discomfort.
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what are potential alterations in gastrointestinal function?
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Increased appetite and regular digestion without any issues.
Normal gastrointestinal function with no complications expected post-surgery.
N/V, constipation-no bowel movement within 48hrs, paralytic ileus-
decrease in or absence of intestinal peristalsis that may occur
after abdominal surgery.
Frequent bowel movements and no signs of nausea or vomiting.
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4 of 63
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What are types of shock?
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hypertensive: excessive blood volume leading to increased pressure in the
arteries.
psychogenic: shock caused by emotional distress and psychological factors.
chronic: long-term health issues leading to gradual decline in cardiovascular
function.
hypovolemic: loss of intravascular fluid volume, absolute, hemorrhage, GI
loss, diuresis, relative, third spacing ex. sepsis, burns. cardiogenic,
neurogenic, anaphylactic, septic.
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what are nursing interventions for neurologic complications?
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encourage physical activity and mobility as soon as possible post-op.
monitor heart rate and blood pressure as primary indicators of recovery.