Care of Surgical Pt & Wound Care and Pressure Inj. 37 & 38

Question 1

Joining of two parts, ducts. pr blood vessels

Answer 1

Anastomosis

Question 2

Furnishing with a mouth or an outlet (colostomy)
-__

Answer 2

-ostomy

Question 3

Higher incidence of infection in the sugrical wounds of pt’s with d___. L___ and k___ disease make it more difficult to metabolize and eliminate anesthesia and waste products

Answer 3

diabetes, liver, kidney

Question 4

S___ causes increased lung secretions from anesthesia and predisposes the pt to atelectasis and pneumonia post-op, also more prone to thrombus formation

Answer 4

smoking

Question 5

F__ stimulates the sympathetic nervous system and causes the release of hormones causing swings in the body’s chemistry and vital signs. Increased muscle tension makes surgery more difficult. Physical manifestations of f__ can interfere with achieving the desired state of anesthesia

Answer 5

excessive fear

Question 6

Enhancements to surgical technique: L__, F__ (endoscope), R__

Answer 6

Laser, fiberoptic, robotic

Question 7

4 types of anesthesia: G__ (IV), R__ (epidural, spinal, caudal, or peripheral nerve area), P__, L__ (tissue biopsy, surface cyst excision, pacemaker insertion, vascular devices insertion

Answer 7

general, regional, procedural (moderate) sedation, local

Question 8

Universal safety protocol set by Joint Commission: P__, M__, P__

Answer 8

pre-procedure verification process, marking procedure site, performing a time-out before procedures

Question 9

Under what anesthesia would pt need to be admitted to PACU
Pt needs to score _ or __ to be ready to transfer out of the PACU

Answer 9

general or spinal, 9 or 10

Question 10

Pt coming out of anesthesia needs to remain on their side, or with the head turned to prevent a___ until alert and has s__ reflex itact

Answer 10

aspiration, swallowing

Question 11

When can pt eat after surgery, due to risk of p__ i__

Answer 11

when bowel sounds return, paralytic ileus

Question 12

Types of wounds: c__, o__

Answer 12

closed, open

Question 13

Types of closed wounds: c__, h__, s__

Answer 13

contusion, hematoma, sprain

Question 14

Types of open wounds: u__, c__, l__, a__, a__, p__, p__, p__, i__

Answer 14

ulceration, crush, laceration, avulsion, abrasion, puncture, penetration, perforation, incision

Question 15

This type of thickness wound heals more quickly due to new skin cells produced by the epithelial cells remaining in the dermal layer of the skin. Fibrin clot that forms after an injury acts as the framework, and regrowth occurs across the open wound area

Answer 15

partial

Question 16

This type of thickness of the dermal layer is no longer present except at the wound margins. To heal, all dead (necrotic) tissue must be removed so granulated tissue can gradually fill in the defect. This wound heals by secondary intention

Answer 16

full

Question 17

When a wound occurs two methods of healing take place: r__ and r__

Answer 17

replacement (fibrous connective tissue form that does not have the same functional characteristics as the lost tissue) and regeneration (skin, mucous membranes, bone marrow, muscle, bone, liver, kidney, and lung)

Question 18

Phases of wound healing and how long in each: i__, immediately after injury - 3/4 days, includes platelet aggregation, fibrin formation (process of hemostasis- blood clotting) ; p__, 3/4 day - 2-3 weeks, phagocytosis continue, collagen is synthesized; m__, remodeling phase, 3 weeks after injury

Answer 18

inflammation, proliferation, maturation