Ch 15 Intraoperative Nursing Management

Question 1

Anesthesia

Answer 1

A state of narcosis or severe central nervous system, depression produced by pharmacologic agent

Question 2

Anesthesiologist

Answer 2

Physician trained to deliver anesthesia, and to monitor the patient’s condition during surgery

Question 3

Anesthetic agent

Answer 3

The substance, such as a chemical or gas, used to induce Anesthesia 

Question 4

Certified registered nurse anesthesiologist CRNA

Answer 4

Advanced practice registered nurse, who delivers anesthesia care under the direction of an anesthesiologist

Question 5

Circulating nurse

Answer 5

Registered nurse who coordinates and documents patient care in the operating room

Question 6

Laparoscope

Answer 6

A thin endoscope inserted through a small incision into a cavity or joint, using fiber optic technology to project, live images of structures onto a video monitor; other small incisions allow additional instruments to be inserted to facilitate laparoscopic surgery

Question 7

Malignant Hyperthermia

Answer 7

A rare, life-threatening condition, triggered by exposure to most anesthetic agent, inducing a drastic and uncontrolled increase and skeletal muscle oxidative metabolism that can overwhelm the bodies capacity to supply oxygen, remove carbon dioxide, and regulate body temperature, eventually leading to a circulatory collapse, and death, if untreated; often inherited as an autosomal dominant disorder

Question 8

Moderate sedation

Answer 8

Previously referred to, as conscious sedation, involves the use of sedation to depress the level of consciousness, without altering the patient’s ability to maintain a patent airway, and to respond to physical stimuli and verbal commands

Question 9

Monitored anesthesia care

Answer 9

Moderate sedation given by an anesthesiologist or CRNA

Question 10

Multimodal anesthesia

Answer 10

The intentional practice of using a combination of non-opiate pharmaceuticals and regional anesthesia techniques

Question 11

Registered nurse first assistant

Answer 11

A member of the operating room team, whose responsibilities may include handling tissue, providing exposure at the operative field, suturing, and maintaining homeostasis

Question 12

Restricted zone

Answer 12

Area in the operating room, where scrub attire and surgical masks are required; includes operating room and sterile, core areas

Question 13

Scrub role

Answer 13

Registered nurse, licensed, practical, nurse, or surgical technologist, who scrubs and dons, sterile, surgical attire, prepares instruments, and supplies, and hands instruments to the surgeon during the procedure

Question 14

Semi restricted zone

Answer 14

Area in the operating room where scrub attire is required; may include Areas where surgical instruments are processed

Question 15

Sterile technique

Answer 15

Measures taken to maintain an area, free from living microorganisms, including all spores

Question 16

Surgical asepsis

Answer 16

Absence of microorganisms in the surgical environment, to reduce the risk of infection

Question 17

Unrestricted zone

Answer 17

Area in the operating room that interfaces with other departments; includes patient reception area and holding area