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
Q

NAs assist Surgical Patients to bathe with _______________ soap.

A

antimicrobial

26
Q

Immediately before surgery, Patient may be given _________ to reduce anxiety.

A

sedative

27
Q

After person receives sedative drug, ____ _____ must remain up s/he must not get up without ____________.

A

side rails, assistance

28
Q

_______ of surgery, Patient may bathe with antimicrobial soap.

A

Morning

29
Q

In days leading up to surgery, Patient may undergo ____________ testing (to assess cardiovascular/respiratory functions).

A

diagnostic

30
Q

__________ before surgery, Patient may be placed on NPO status.

A

Evening

31
Q

Vomiting (especially while unconscious) can lead to ___________, which can cause _____________.

A

Aspiration, Pneumonia

32
Q

Immediately after surgery, Patient goes to ____ (acronym).

A

PACU

33
Q

PACU stands for . . .

A

. . . Postanesthesia Care Unit.

34
Q

PACU is also called ________ Room.

A

Recovery

35
Q

While in PACU, Patient usually receives supplemental ________.

A

oxygen

36
Q

NA prepares ________ ___ for Postoperative Patient (so that it’s ready when surgery is done).

A

surgical bed

37
Q

Children may be in ______ or ____ positions after surgery to prevent Aspiration in case of vomiting.

A

lateral, Sims’

38
Q

2 common Postoperative respiratory complications:

A

Pneumonia
Atelectasis

39
Q

In Atelectasis, alveoli ________.

A

collapse

40
Q

In Pneumonia, _______ fills alveoli

A

fluid

41
Q

Atelectasis & Pneumonia make oxygen passing ____ blood & carbon dioxide passing ___ __ blood difficult.

A

into, out of

42
Q

2 common exercises to prevent Postoperative respiration complications:

A

deep breathing
Incentive Spirometry

43
Q
A
44
Q

Incentive Spirometry

A

forcefully inhaling through incentive spirometer

45
Q

When blood flow _____ & ______, Thrombus might form.

A

slows, pools

46
Q

Thrombus

A

Thrombus

47
Q

Thrombophlebitis

A

condition; Thrombus in leg veins causing inflammation & pain

48
Q

Embolus

A

Thrombus that breaks loose & moves through bloodstream

49
Q

Embolus can travel to ______, get stuck in a blood vessels, & cause a Stroke.

A

brain

50
Q

NAs help patients prevent emboli after surgery by putting on ___ (acronym) stockings.

A

TED

51
Q

Pulmonary Embolism

A

Embolism blocking pulmonary artery

52
Q

_____________ & ___________ ____________ may be first signs of (often-fatal) Pulmonary Embolism.

A

Restlessness, breath shortness

53
Q

IPCD stands for . . .

A

. . . Intermittent Pneumatic Compression Devices.

54
Q

IPCD can help prevent _________ in lower legs by moving blood through pressure.

A

Embolism

55
Q

If Patient had surgery involving digestive system, Nasogastric Tube is connected to suction to keep ___________ empty.

A

stomach

56
Q

10 items NAs can place in Postoperative Patient’s room before Patient arrives:

A
  • 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
Q

Postoperatively, VS are taken every
- __ minutes for 1st ____
- __ minutes for next 1 to 2h
- _ hour for next _h
- _ hours as ordered

A

1st h: every 15m
next 1 or 2h: every 30m
next 4h: every h
as ordered: every 4h

58
Q

3 potential bad outcomes of Thrombus formation:

A

Stroke
Pulmonary Embolism
Thrombophlebitis

59
Q

3 things to lower Thrombus formation risk:

A

IPCD
Antiembolism Stockings
leg exercises

60
Q
A
61
Q
A