Chpt. 35:The person and having surgery Flashcards

1
Q

gen. anesthesisa

A

loss of consciousness and all feeling or sensation

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2
Q

elective surgery

A

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

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3
Q

thrombus

A

blood clot

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4
Q

Anesthesia

A

loss of feeling or sensation produced by a drug

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5
Q

embolus

A

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

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6
Q

preoperative

A

before surgery

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7
Q

urgent surgery

A

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

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8
Q

regional anesthesia

A

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

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9
Q

emerg. surg.

A

done immediately to save life or function

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10
Q

sedation

A

state of quiet, calmness, sleep produced by a drug

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11
Q

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

A

every 1-2 hrs when the person is awake

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12
Q

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

A

type and crossmatch

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13
Q

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

A

vomitting and aspiration after the surgery

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14
Q

cleansing enemas may be ordered during and after surgery to…

A

prevent contamination of ab. cavity during surg.

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15
Q

when does the patient need to void before surgery

A

before the nurse gives the pre. op drugs

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16
Q

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

A

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

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17
Q

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

A

ANY LOOSE TEETH

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18
Q

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

A

secure it w/ gauze and tape

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19
Q

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

A

not to cut,scratch, nick the skin

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20
Q

who is the surgery consent signed by

A

the person and sometimes nearest relative

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21
Q

when are pre op meds given

A

before person is transported to op. room

22
Q

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

A

b4 nurse fives pre-op drugs

23
Q

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

A

person can respond and call for help

24
Q

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

A

raised for a transfer from a stretcher

25
Q

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

A

every 15 min. until person is stable

26
Q

post op. the person is allowed to be positioned…

A

to allow for easy and comfortable breathing

27
Q

why are deep-breathing and coughing exercises done after surgery

A

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

28
Q

when are leg exercises done

A

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

29
Q

elastic stockings are used to…

A

prevent venous blood return to the heart and prevent blood clots

30
Q

when applying elastic stockings, you should have the person

A

lie in a supine position

31
Q

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

A

the bp and pulse rate

32
Q

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

A

frequent oral hygiene

33
Q

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

A

w/in 8hrs after surgery

34
Q

AE

A

anti-embolism/embolic

35
Q

CBC

A

complete blood count

36
Q

ECG/EKG

A

electrocardiogram

37
Q

ID

A

identification

38
Q

IV

A

intravenous

39
Q

NG

A

naso-gastric

40
Q

NPO

A

nothing by mouth

41
Q

PACU

A

post anesthesia care unit

42
Q

SCD

A

sequential compression device

43
Q

TED

A

thrombo-embolic disease

44
Q

why are baths given preoperatively

A

reduce # of microbes, reduce risk of wound infection

special soap/cleanser, may be used

45
Q

when delegated to do a skin prep whats reported and recorded

A

area prepped

cuts,nicks,scratches,bleeding,sites of non-intact skin

46
Q

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

A

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

47
Q

when a person returns, how often are their vitals checked

A
  • every 15 min, till stables
  • every 30. min for 1-2hrs
  • every hour for 4 hrs
  • every 4 hours
48
Q

what post op operations should be reported and recorded

A
increase/decrese in body temp
pulse higher than 100 or lower than 60
weak.irregular pulse
respirations:
shallow,slow,rapid,gasping,dyspnea, SOB,
49
Q

how many times are exercises done

A

5

50
Q

ambulation prevents..

A
thrombi
pneumonia
atcelectasis
constipation
UTI
51
Q

WHATS THE VITAL SIGN FREQUENCY

A

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

52
Q

what are your vital signs

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