Chpt. 35:The person and having surgery

Question 1

gen. anesthesisa

Answer 1

loss of consciousness and all feeling or sensation

Question 2

elective surgery

Answer 2

surgery donw by choice to improve person’s life/well-being

Question 3

thrombus

Answer 3

blood clot

Question 4

Anesthesia

Answer 4

loss of feeling or sensation produced by a drug

Question 5

embolus

Answer 5

blood clot that travels through vascular system until it lodges in a blood vessel

Question 6

preoperative

Answer 6

before surgery

Question 7

urgent surgery

Answer 7

surgery needed for the person’s health, done soon to prevent further damage

Question 8

regional anesthesia

Answer 8

loss of felling or sensation in a large area of the body

Question 9

emerg. surg.

Answer 9

done immediately to save life or function

Question 10

sedation

Answer 10

state of quiet, calmness, sleep produced by a drug

Question 11

the nurse will tell the patient that deep-breathing and coughing exercises will be done when?

Answer 11

every 1-2 hrs when the person is awake

Question 12

if blood lost is expected during the surgery, what test is done preoperatively?

Answer 12

type and crossmatch

Question 13

a person NPO for 6-8 before the surgery to reduce…

Answer 13

vomitting and aspiration after the surgery

Question 14

cleansing enemas may be ordered during and after surgery to…

Answer 14

prevent contamination of ab. cavity during surg.

Question 15

when does the patient need to void before surgery

Answer 15

before the nurse gives the pre. op drugs

Question 16

make-up nail polish and fake nails are removed before surgery b/c…

Answer 16

the skin, lips, nail beds, are observed for color during and after surgery

Question 17

when child is having surgery, what is especially important to report

Answer 17

ANY LOOSE TEETH

Question 18

if a person is allowed to wear a wedding ring during surgery, what should you do

Answer 18

secure it w/ gauze and tape

Question 19

if assigned to do a skin prep w/ a razor preoperatively, you should be careful

Answer 19

not to cut,scratch, nick the skin

Question 20

who is the surgery consent signed by

Answer 20

the person and sometimes nearest relative

Question 21

when are pre op meds given

Answer 21

before person is transported to op. room

Question 22

when delegated to assist w. pre op checklist, when must it be completed?

Answer 22

b4 nurse fives pre-op drugs

Question 23

a person stays in PACU for 1-2hrs after surgery until when

Answer 23

person can respond and call for help

Question 24

when you prepare a room for surgery what position is the bed

Answer 24

raised for a transfer from a stretcher

Question 25

you may be assigned to take vitals after surgery. How often are they usually measured

Answer 25

every 15 min. until person is stable

Question 26

post op. the person is allowed to be positioned...

Answer 26

to allow for easy and comfortable breathing

Question 27

why are deep-breathing and coughing exercises done after surgery

Answer 27

prevent complications like pneumonia and atelectasis(Complete or partial collapse of a lung or a section (lobe) of a lung.)

Question 28

when are leg exercises done

Answer 28

@least every 1-2hrs while the person is awake

Question 29

elastic stockings are used to...

Answer 29

prevent venous blood return to the heart and prevent blood clots

Question 30

when applying elastic stockings, you should have the person

Answer 30

lie in a supine position

Question 31

when you assist a perosn to walk after surgery you first measure what...

Answer 31

the bp and pulse rate

Question 32

if a person is NPO after surgery, important personal hygiene is what....

Answer 32

frequent oral hygiene

Question 33

it's important to report the time and amount of first void after the surgery b/c the person must void

Answer 33

w/in 8hrs after surgery

Question 34

AE

Answer 34

anti-embolism/embolic

Question 35

CBC

Answer 35

complete blood count

Question 36

ECG/EKG

Answer 36

electrocardiogram

Question 37

ID

Answer 37

identification

Question 38

IV

Answer 38

intravenous

Question 39

NG

Answer 39

naso-gastric

Question 40

NPO

Answer 40

nothing by mouth

Question 41

PACU

Answer 41

post anesthesia care unit

Question 42

SCD

Answer 42

sequential compression device

Question 43

TED

Answer 43

thrombo-embolic disease

Question 44

why are baths given preoperatively

Answer 44

reduce # of microbes, reduce risk of wound infection | special soap/cleanser, may be used

Question 45

when delegated to do a skin prep whats reported and recorded

Answer 45

area prepped | cuts,nicks,scratches,bleeding,sites of non-intact skin

Question 46

after pre op drugs are given what is the person allowed to do

Answer 46

THE PERSON ISNT ALLOWED TO GET OUT OF BED AFTER PRE OP DRUGS ARE GIVEN

Question 47

when a person returns, how often are their vitals checked

Answer 47

- every 15 min, till stables - every 30. min for 1-2hrs - every hour for 4 hrs - every 4 hours

Question 48

what post op operations should be reported and recorded

Answer 48

``` increase/decrese in body temp pulse higher than 100 or lower than 60 weak.irregular pulse respirations: shallow,slow,rapid,gasping,dyspnea, SOB, ```

Question 49

how many times are exercises done

Answer 49

5

Question 50

ambulation prevents..

Answer 50

``` thrombi pneumonia atcelectasis constipation UTI ```

Question 51

WHATS THE VITAL SIGN FREQUENCY

Answer 51

Q 15min (x4) Q30min (x1/x2) Q 1h (x 4h) Q 4hrs

Question 52

what are your vital signs

Answer 52

``` BP Rx Pulse Temp (Pain is considered the 5th vital sign) ```