Intraoperative care begins when the client reaches the operating room. The surgical team there is responsible for the client. As the nurse on this team, you have several responsibilities
One of the most important is preventing the possibility of complications.
a. What are some of the complications that the client is at risk for?
b. What is malignant hyperthermia?
c. What are some of the things you should monitor as the nurse in the OR on this client?
Students' answers should include the following:
a. Discussion should include injuries related to the position the client is placed in while in surgery, hypothermia, infection, fluid overload or fluid deficit, and malignant hyperthermia.
b. Discussion should include that malignant hyperthermia (MH) is an inherited disorder affecting muscle metabolism, body temperature, heat production, and the body's uncontrollable response to anesthesia.
Discussion can also go in depth about diagnostic testing to indicate if a person is at risk or susceptible to MH.
Signs and symptoms of MH can also be discussed as well as the mortality rate.
c. Some of the things included here should be vital signs, catheters and tubing, level of conscience, and any movement.
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The nurse is taking a health history from the family of a three-year-old child. Which statement or question by the nurse would be most likely to establish rapport and elicit an accurate response from the family?
1. "Tell me about the concerns that brought you to the clinic today." 2. "Does any member of your family have a history of asthma, heart disease, or diabetes?" 3. "Hello, I would like to talk with you and get some information about you and your child." 4. "You will need to fill out these forms; make sure that the information is as complete as possible."
Which issue is a deterrent to global interoperability?
a. Multiple terminologies used in describing and documenting healthcare b. The development of an international standard clinical terminology c. The development of clinical data models such as HL7 CDA documents d. The use of openEHR Archetypes
You enter F.N.'s room to take vital signs, and she says, "What if I come out of surgery and
I'm different? Or what if I die? My grandbabies will never know me. " You hear the concern in her voice and want to provide realistic reassurance about expected outcomes. Suggest several ways that F.N. can communicate with her loved ones in the event that her surgery is unsuccessful.
How does the Indian Health Service plan to raise the health of the American Indian people?
1. Partnering and assisting tribes in planning the best delivery of care 2. Allotting health resources based on population numbers 3. Having one master health guideline blueprint for consistency of care 4. Following prescribed federal guidelines and procedures