Chap 17 - Preop Nursing Management Flashcards

1
Q

ambulatory surgery

A

includes outpatient, same-day or short-stay surgery that does not require an overnight hospital stay

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2
Q

bariatrics

A

having to do with patients who are obese

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3
Q

informed consent

A

the patient’s autonomous decision about whether to undergo a surgical procedure, based on the nature of the condition, the treatment options and the risks and benefits

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4
Q

laparoscopy

A

visual examination of a body cavity or joint by means of an endoscope

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5
Q

minimally invasive surgery

A

surgical procedures that use specialized instruments inserted into the body either through natural orifices or through small incisions

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6
Q

perioperative phase

A

period of time that constitutes the surgical experience; includes the preoperative phases of nursing care

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7
Q

postoperative phase

A

period of time that begins with the admission of the patient to the postanesthesia care unit and ends after follow-up evaluation in the clinical setting or home

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8
Q

preadmission testing

A

diagnostic testing performed before admission to the hospital

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9
Q

preoperative phase

A

period of time from when the decision for surgical intervention is made to when the patient is transferred to the operating room table

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10
Q

PACU stands for

A

post anesthesia care unit

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11
Q

perioperative nursing spans the entire surgical experience consisting of what three phases?

A
  • preoperative phase
  • intraoperative phase
  • postoperative phase
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12
Q

The preoperative phase begins and ends with what?

A
  • begins with decision for surgical intervention

- ends with transfer to OR

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13
Q

The intraoperative phase begins and ends with what?

A
  • begins with transfer to OR

- ends with admission to the PACU

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14
Q

The postoperative phase begins and ends with what?

A
  • begins with the admission to the PACU

- ends with the follow-up evaluation in the clinical setting or home

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15
Q

An emergent surgery is…

A
  • pt needs immediate attention
  • without delay
  • ex. severe bleeding, fractured skull, gunshot or stab wounds, extensive burns, bladder or intestinal obstructions
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16
Q

An urgent surgery is…

A
  • pt requires prompt attention
  • within 24-36 hrs
  • ex. acute gallbladder infection, kidney or ureteral stones
17
Q

An elective surgery is…

A
  • pt should have surgery
  • not having surgery is not catastrophic
  • ex. repair of scars, simple hernia, vaginal repair
18
Q

An optional surgery is…

A
  • pts decision
  • personal preference
  • cosmetic surgery
19
Q

Purposes for surgery include…

A
  • Preventive
  • Diagnostic
  • Exploratory
  • Curative
  • Palliative
  • Reconstructive
  • Aesthetic
20
Q

Nurses are responsible for what in the preoperative stage

A
  • Assessment and Data Collection
  • Education/Explanations/Instructions
  • Provide Emotional/Psychological Support
  • Initiate and implement plan of care
21
Q

General factors that influence surgical outcomes include

A
  • Emotional Responses/Previous Experience
  • Age
  • Hydration/Nutrition
  • Smoking and Alcohol
  • Concurrent diseases