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NUR 110/111 > Caring For Surgical Patients, C43; WB, P-LQ > Flashcards

Caring For Surgical Patients, C43; WB, P-LQ Flashcards

Week/Module 6

1
Q

Anesthesia

A

prevents pain (during surgery); accomplished through medication

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2
Q

General Anesthesia

A

causes consciousness loss

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3
Q

__________ Anesthesia can numb from the waist down (for birth).

A

Regional

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4
Q

________ Anesthesia is used for eye surgeries, breast biopsies, & hernia repairs.

A

Local/Topical

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5
Q

Hernia repair surgery can be performed with _____ Anesthesia.

A

Local/Topical

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6
Q

___________ involves treating diseases/disorders by physically changing organs/tissues.

A

Surgery

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7
Q

Exploratory/Diagnostic Surgery

A

performed when person has significant medical problem & doctors don’t know how bad the problem is or what’s causing the problem

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8
Q

Definitive Surgery

A

done when medical problem is known & surgery is the best way to address it

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9
Q

_____________ Surgery can treat appendicitis, hernias, & fractures (since medical problem is known & surgery is best way to address problem).

A

Definitive

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10
Q

Elective Surgeries

A

planned for & scheduled ahead of time

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11
Q

A face-lift surgery is an ___________ Surgery.

A

Elective

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12
Q

Urgent Surgery

A

planned for & scheduled asap so person doesn’t worsen

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13
Q

An ____________ Surgery needs to happen soon (but not immediately).

A

Urgent

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14
Q

Emergent/Emergency Surgery

A

performed immediately to prevent death/disability

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15
Q

Perioperative Period

A

made of:
Preoperative
Intraoperative
Postoperative

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16
Q

Preoperative Phase

A

Patient prepared for surgery

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17
Q

Preoperative Phase begins when person is _________ about needing surgery & ends when person enters ________ room.

A

informed, operating

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18
Q

Intraoperative Phase

A

surgery performed

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19
Q

Postoperative Phase

A

preventing complications & helping person recover

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20
Q

NAs ______ allowed to obtain signed consent from Patient concerning understanding surgical procedure.

A

aren’t

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21
Q

NAs may need to assist surgical patients with 5 activities: HENAP

A

hygiene
elimination
nutrition
ambulation
positioning

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22
Q

RN explains P___________ procedures, medications’ & _____ purposes, & what happens ________/_______ surgery.

A

Preoperative, tests’, before/after

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23
Q

_________ obtains signed consent

A

Nurse

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24
Q

Nurse teaches surgical Patient __________-reducing excercises.

A

complication

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25
NAs assist Surgical Patients to bathe with _______________ soap.
antimicrobial
26
Immediately before surgery, Patient may be given _________ to reduce anxiety.
sedative
27
After person receives sedative drug, ____ _____ must remain up s/he must not get up without ____________.
side rails, assistance
28
_______ of surgery, Patient may bathe with antimicrobial soap.
Morning
29
In days leading up to surgery, Patient may undergo ____________ testing (to assess cardiovascular/respiratory functions).
diagnostic
30
__________ before surgery, Patient may be placed on NPO status.
Evening
31
Vomiting (especially while unconscious) can lead to ___________, which can cause _____________.
Aspiration, Pneumonia
32
Immediately after surgery, Patient goes to ____ (acronym).
PACU
33
PACU stands for . . .
. . . Postanesthesia Care Unit.
34
PACU is also called ________ Room.
Recovery
35
While in PACU, Patient usually receives supplemental ________.
oxygen
36
NA prepares ________ ___ for Postoperative Patient (so that it's ready when surgery is done).
surgical bed
37
Children may be in ______ or ____ positions after surgery to prevent Aspiration in case of vomiting.
lateral, Sims'
38
2 common Postoperative respiratory complications:
Pneumonia Atelectasis
39
In Atelectasis, alveoli ________.
collapse
40
In Pneumonia, _______ fills alveoli
fluid
41
Atelectasis & Pneumonia make oxygen passing ____ blood & carbon dioxide passing ___ __ blood difficult.
into, out of
42
2 common exercises to prevent Postoperative respiration complications:
deep breathing Incentive Spirometry
43
44
Incentive Spirometry
forcefully inhaling through incentive spirometer
45
When blood flow _____ & ______, Thrombus might form.
slows, pools
46
Thrombus
Thrombus
47
Thrombophlebitis
condition; Thrombus in leg veins causing inflammation & pain
48
Embolus
Thrombus that breaks loose & moves through bloodstream
49
Embolus can travel to ______, get stuck in a blood vessels, & cause a Stroke.
brain
50
NAs help patients prevent emboli after surgery by putting on ___ (acronym) stockings.
TED
51
Pulmonary Embolism
Embolism blocking pulmonary artery
52
_____________ & ___________ ____________ may be first signs of (often-fatal) Pulmonary Embolism.
Restlessness, breath shortness
53
IPCD stands for . . .
. . . Intermittent Pneumatic Compression Devices.
54
IPCD can help prevent _________ in lower legs by moving blood through pressure.
Embolism
55
If Patient had surgery involving digestive system, Nasogastric Tube is connected to suction to keep ___________ empty.
stomach
56
10 items NAs can place in Postoperative Patient's room before Patient arrives:
- VS-taking equipment - VS recording device - intravenous (IV) pole - towel/washcloth - emesis basin - bed protector - suction (to connect to drainage devices) - supplemental oxygen - pillows (positioning aids to elevate extremities) - warmed blankets
57
Postoperatively, VS are taken every - __ minutes for 1st ____ - __ minutes for next 1 to 2h - _ hour for next _h - _ hours as ordered
1st h: every 15m next 1 or 2h: every 30m next 4h: every h as ordered: every 4h
58
3 potential bad outcomes of Thrombus formation:
Stroke Pulmonary Embolism Thrombophlebitis
59
3 things to lower Thrombus formation risk:
IPCD Antiembolism Stockings leg exercises
60
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NUR 110/111 (46 decks)

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