Author Question: A patient on the surgical unit is 1 day postoperative for surgery to remove stomach cancer. In ... (Read 89 times)

HCHenry · **on:** Jul 22, 2018

A patient on the surgical unit is 1 day postoperative for surgery to remove stomach cancer.

In addition to the physiological stress this patient has undergone, the nurse recognizes that this patient will have to deal with the psychological stress of finding out that the cancer has metastasized to the liver. Which physiological change would the nurse expect to see as a response to stress? a. Decreased heart rate
b. Increased hemoptysis output
c. Increased respiratory rate
d. Decreased cardiac output

Question 2

The preoperative nurse who is providing patient teaching to a 49-year-old patient who is scheduled to undergo a right-side inguinal surgery repair.

The nurse informs the patient that the American Society of Anesthesiologists recommend that patients undergoing surgery with a general anesthesia fast from meat and fried foods for how many hours before surgery? a. 2
b. 4
c. 6
d. 8

jointhecircus · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
A continuous state of stress increases the body's metabolic rate and the oxygen demand. The body responds to stress by an increased rate and depth of respiration and increased cardiac output. Hemoptysis, bloody sputum, does not occur in stress.

Answer to Question 2

D
The American Society of Anesthesiologists (ASA) provides recommendations on fluid and food intake before procedures requiring general anesthesia, regional anesthesia, or sedation/analgesia. The ASA recommendations include fasting from intake of clear liquids for 2 or more hours, and a light meal of toast and clear liquids for 6 hours. The patient also cannot have any meat or fried foods 8 hours before surgery, unless explicitly specified by the anesthesiologist or surgeon.