Your patient has a foley catheter in post operative lap hernia repair. When can it be removed?

Your patient has a triple lumen CVAD--you are proceeding the go and do your morning check. How do you flush a CVAD?

Your post-op appendectomy patient has a J pratt drain in place. Explain the process of how to drain the fluid from the drain.

You received a patient back from Aberdeen who is post-op left hip replacement. They describe to you a pain in the right leg, and you note it to be warm and edematous. What is the possible post-op complication?

Your patient is being prepared for the OR with the appropriate skin prep. Name 2 reasons skin prep should not be used.

You go to assess your patient and note that he has a port-o cath in place and accessed. The port was accessed on his admission 2 days ago and you note there is a sterile eye gauze pad under the dressing. When does this CVAD dressing get changed?

You have surgical patient that is ordered strict ins/outs but has a history of incontinence. Describe a method of how you can properly measure output on this patient.

You are doing some post-op teaching with your patient with the incentive spirometer. You note that the patient is SOB and when you palpate the pulse it is tachy. They state they are really finding it hard to breath. What is the possible post op complication?

Your patient is diabetic. What level should the patients glucose be optimally pre-operatively?

Your patient has a triple lumen CVAD, You are doing your morning assessment and note you can not get blood return from the distal port but it flushes. You try moving the patient around and removing the cap to see if you can get blood return to no avail. What is the next step?

Your post op patient is being discharged home and needs to have their JP drain removed. Explain the process.

You have patient today that had an anastomosis and correction of an ostomy. On assessment today the patient is complaining of nausea and pain in the abdomen. Bowel sounds are hypoactive in 2 quadrants and you cannot hear in the other. What is the possible post -op complication?

A patient is returning to you post operatively. You take there vitals---you expect their temperature to be above what?

Your patient requires labs this am and has a CVAD. It has been determined that the patient is a candidate for labs to be drawn from a CVAD. Patient has IV Ringers Lactate with KCL running. How long does the line have to be shut off for before labs can be drawn?

Your patient has an NG in place and the order reads for NG losses greater than 500ml in 12 hrs to be replaced with R/L 1:1 over 8 hrs. Your patient has a loss of 1200ml---at what rate will you run the IV fluids?

You admiited an 89 year old patient for surgery today. She has consented for a colostomy. You note that her medications at home include metoprolol, HCTZ and ramipril. On return from the OR the staff state she had a total of 2 L of fluid. During her routine assessments you note that nearing the end of your shift she has had only 300ml of urine out, she had an additional 1 litre of fluid in for you, and her SP02 is 90% so you apply 2 l via NP. She is wheezy and SOB. What is the possible post -op complication?

For patients going to the OR, who is responsible for completing the surgical safety checklist?

Your patient has a PICC line in place and the doctors are suspecting a line infection. You are to do a blood culture. Explain the process.

A patient has a chest tube present for a pneumothorax in the R side. It is connected to suction at -20. Describe your respiratory assessment.

Your patient is 3 days post-op appendectomy. She states she is not feeling well again--nausea, vomitting--dizzy and lethargic. You do a set of vitals--her BP is 80/40, p 133. RR 26 and T39.5. What is the possible complication.