PREP QUESTIONS
Simulation: 481: Post Op Complications
Post-Operative Complications
Read & Review:
Harding, M. M., Kwong, J., Roberts, D., Hagler, D., Reinisch, C. (2020). Lewis’s medical-surgical nursing: Assessment and management of clinical problems (11th ed.). St. Louis, MO: Elsevier.
Mathers, D. (2014). Lower respiratory problems. In Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L. (Eds.), Medical-surgical nursing: Assessment and management of clinical problems (9th ed., pp. 551-557). St. Louis, MO: Elsevier.
OR
Hoch, C. (2017). Postoperative care. In Lewis, S. L., Bucher, L., Heitkemper, M. M., & Harding, M. M. (Eds.), Medical-surgical nursing: Assessment and management of clinical problems (10th ed., pp. 330-346). St. Louis, MO: Elsevier.
Mondor, E. (2017). Lower respiratory problems. In Lewis, S. L., Bucher, L., Heitkemper, M. M., & Harding, M. M. (Eds.), Medical-surgical nursing: Assessment and management of clinical problems (10th ed., pp. 529-534). St. Louis, MO: Elsevier.
PREP QUESTIONS
Describe the common respiratory problems for postoperative patients in the clinical unit.
Respiratory Problem
Description
Atelectasis
Mucous Plugs
Surfactant
Bronchial Secretions
Discuss nursing interventions aimed at preventing/treating respiratory problems for postoperative patients in the clinical unit.
Respiratory Intervention
Description
Rationale
Deep Breathing
Incentive Spirometer
Effective Coughing
Position Change
Describe the common cardiovascular problems for postoperative patients in the clinical unit.
Cardiovascular Problem
Description
Fluid Retention
Fluid Overload
Hypokalemia
VTE/PE
Syncope
Discuss postoperative ileus including definition, risk factors, clinical manifestations, and prevention/treatment interventions.
Definition –
Risk Factors –
Clinical Manifestations-
Interventions-
Describe the focused assessment for a patient with a surgical wound and expected findings for healing wound, dehiscence, and wound infection.
Compare and contrast superficial vein thrombosis and deep vein thrombosis.
Superficial Vein Thrombosis
Deep Vein Thrombosis
Compare and contrast deep vein thrombosis (DVT) and venous thromboembolism (VTE) in the post-operative patient.
Disease
Deep Vein Thrombosis (DVT)
Pulmonary Embolism (PE)
Etiology
Pathophysiology
Clinical Manifestations
Complications
Discuss the priority interventions the nurse would implement for DVT and PE.
DVT Interventions
PE Interventions
Medications to have prepared on medication cards:
Cefazolin
Furosemide
Metoprolol
Insulin- Regular
Insulin- Glargine
Hydrocodone/Acetaminophen
Morphine
Heparin
Diltiazem
S:\Simulation\STUDENT PREP 2017/481L PREP_PostOpComp012318.docx
Rev LNO 06/18