Aldrete - Guías de estudio, Notas de estudios & Resúmenes

When measuring the patient's response to external stimuli, the PACU nurse may use the _____________. A) Glasgow Coma Scale B) Aldrete scale - Answer Glasgow Coma Scale _______ from the PACU area is/are planned well in advance of surgery and includes patient education, transportation, and communication with the family. A) Treatments B) Discharge C) Operative reports D) Assessments - Answer Discharge ______ is needed to determine the need for further action, such as transfusio...

A 70-year-old client status post hip replacement is transferred to a rehabilitation facility. Which scale should the practical nurse (PN) identify as the best tool to predict the client's risk for developing skin breakdown? a. Braden Scale b. Morse Scale c. Aldrete Scale d. Wong-Baker Face Scale - a. Braden Scale The Braden Scale is made up of six subscales: sensory perception, moisture, activity, mobility, nutrition, and friction and shear. A hospitalized adult with a score 16 or be...

Phase 1 monitoring post CABAG - ANS Q15 vitals SVR, PVR, PAP, CI, CO, pain, RASS Drains LOC Outputs The temperature has to be above 96 degrees F Aldrete Score - ANS postanesthesia recovery score complete once when they get to the floor and again after extubation must be a score of 9 to stop Q15 vitals (phase 1) Demerol - ANS Narcotic, comes from pharmacy, used for shivering while weaning propofol Increased SVR with all other stable VS can mean the pt is s...

What is key way to not have adverse outcomes in the PACU ? correct answer: Prevention and Detection Immediate priority on arrival to PACU is ? correct answer: eval of Resp and Circulatory aduqaucy Aldrete Score: 1. ?-? represents low to highest level of functioning 2. Aggregated scores >? are required for stage II correct answer: 1. 0-2 2. 9 or greater What are the 5 biggest Pulmonary complications ? correct answer: 1. Obstruction 2. Hypoxemia 3. Atelectasis 4. Pulmonary Ed...

When measuring the patient's response to external stimuli, the PACU nurse may use the _____________. A) Glasgow Coma Scale B) Aldrete scale - Answer Glasgow Coma Scale _______ from the PACU area is/are planned well in advance of surgery and includes patient education, transportation, and communication with the family. A) Treatments B) Discharge C) Operative reports D) Assessments - Answer Discharge ______ is needed to determine the need for further action, such as transfusio...

when is moderate sedation indicated? - ANSWERS- diagnostic procedures - minor surgery at the bedside - potentionally painful procedures what are the objectives of moderate sedation? - ANSWERS- mood alteration - maintaining consciousness and cooperation - decrease pain - partial amnesia - prompt and SAFE return to baseline **ALL WHILE MAINTAINING PTS PROTECTIVE REFLEXES** what is a patients responsiveness during MS - ANSWERSpurposeful response to verbal or tactile stimulation what...

HESI EXIT EXAM TEST BANK 2024/2025 HESI EXIT EXAM TEST BANK 2024/2025 1. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 days. Which assessment finding requires immediate follow-up? 2. A 60-year-old female client with a positive family history of ovarian cancer has developed an abdominal mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results are negative. What information should the nurse ...

?MEDSURG HESI PN A+GRADE (QUESTIONS AND ANSWERS) A 70-year-old client status post hip replacement is transferred to a rehabilitation facility. Which scale should the practical nurse (PN) identify as the best tool to predict the client's risk for developing skin breakdown? a. Braden Scale b. Morse Scale c. Aldrete Scale d. Wong-Baker Face Scale - a. Braden Scale The Braden Scale is made up of six subscales: sensory perception, moisture, activity, mobility, nutrition, and friction a...

The nurse is providing teaching to a client who is scheduled to undergo surgery in 2 weeks. Which topics should the nurse include that will prepare the client to help reduce complications during the postoperative phase? Select all that apply. A) Maintaining a patent airway B) Deep breathing and coughing C) Caring for the surgical incision D) Managing constipation E) Managing pain B, C, D, E The nurse is providing teaching to a client who is about to undergo surgery. When discussing whom the cl...

Which of the following should be the PACU Nurse's immediate priorities postoperatively? (Select all that apply.) A. ABCs B. Monitor for bleeding C. Maslow's Hierarchy of Needs D. Pain E. VS/Temp A, B, D, E Of the following criteria, what should be present prior to discharge from the PACU? (Select all that apply.) A. Patient can maintain patent airway B. Patient awake C. VS baseline or stable D. No respiratory depression E. Oxygen saturation >90% F. Pain management G. No ...