1. A client has a total abdominal hysterectomy for stave IV ovarian cancer. What should the nurse do first
when on the second post op day, this client reports a pain at level 5 on a 0-10 scale?
a. Reposition the client
b. Offer a relaxing back rub
Nursing Care of the Client with Pain
One major reason people seek health care
Nurses have a central role in assessment and management.
Usually somebody doesnt come to the hospital because they know what they have (ex.
Lewis: Medical-Surgical Nursing, 9th Edition
Fluid, Electrolyte, and Acid-Base Imbalances
Body fluids and electrolytes play an important role in maintaining a stable
internal environment of the body.
A number of adapt
AVP 48 year old (yo) male is admitted to the hospital because of severe right upper abdominal pain. Pt is
pale and diaphoretic. History of alcohol abuse.
The nurse asks the patient whether he has nausea or has been vomiting. What i
Begins immediately after surgery
Nursing care focus:
o Protecting patient
o Preventing complications while the body is repaired
Postanesthesia Care Unit (PACU)
Anesthesia care provider (ACP) and PACU nurse are re
Nursing Care of the Client with Pain
Pain Treatment Principles
Follow the principles of pain assessment.
o Every patient has a right to a patient assessment and pain management
o Table 9-5 Core principles in pain management
Use a holistic
Nonsalicilate acetaminophen (nonopiod)
Rectal suppository and injectable form (OFIRMEV) available; sustained-release preparations
available, maximum daily dose of 3-4 g
Dose >4 g/day may cause hepatoxicity
Acute overdose; acute liver failure
Perioperative Nursing Care
Art and science of treating diseases, injuries, and deformities by operation and instrumentation
They refer to nursing as an art and science as well because we have research that shows us how we need
perform to have ou
Electrolyte and ABG Imbalances - Notes Organizer
Electrolyte or Gas Value
Key role in homeostasis and cellular function
Identify the problem
The clients comes to the clinic complaining of muscle cramping an pain in both legs
when walking for short periods of time, which medical term would the nurse documents
in the client medical record?
a. Peripheral vascular disease (PVD)
b. Intermittent cla
CONDITIONS,WPARTH 3, R N , C N E
CYNTHIA STEIN EDEL, P D
COMMON TYPES OF CASTS
and thermal injury,
Nursing Care of the Client with Inflammation
Replacement of lost cells and tissues with cells of the
Permanent cells such as neurons and skeletal and
cardiac muscle do not divide.
NUR 206: Arterial Versus Venous Insufficiency
Decreased or absent
Present, may be difficult to palpate
Absent unless leg constantly in
ACE Inhibitors (New Main Category)
Inhibit ACE decrease conversion of Angiotensin I to angiotensin II.
Aspirin and NSAIDs may reduce effectiveness
Side Effects: dizziness, orthostatic hypotension, GI distress, Cough, Headache, edema of
Acid-Base Balance and Arterial Blood Gases
Maintain a steady balance between acids and bases to achieve homeostasis.
o Homeostasis of hydrogen (H+) ion concentration in body fluids.
H+ response for making carbonic acid
The H ion is key
Fluid and Electrolytes
State of equilibrium in body
Naturally maintained by adaptive responses
Body fluids and electrolytes are maintained within narrow limits.
We need to look at homeostasis
With fluid and electrolyteour goal is equi
Nursing Care of the Client with Hypertesion , Part I
Cynthia Steinwedel, PhD, RN, CNE
This is not graded, but it shows where you need to be headed for this unit on
Which would be considered Stage 2 hypertension?
1. BP of 155/
Care of the Client with Hypertension, Part 2
Cynthia Steinwedel,PhD, RN, CNE
Quiz Time Before we Continue
1. What is the difference between primary and secondary hypertension?
o Secondary is sudden onset and it has an identifiable cause
2. Which of the fo