Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Periop > Exam 1 Week 1 (Intro to Periop) > Flashcards

Exam 1 Week 1 (Intro to Periop) Flashcards

1
Q

A periop nurse provides pt ____, ____, ____, and ____ the care of pts undergoing operative or other invasive procedures.

Perioperative nurse is also a term used to describe nursing function in the _____ surgical experience (3)

A

Care, teaches, manages, studies

Total (Preop, Intraop, Postop)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What Does a Perioperative Nurse do?

1) Provide specialized care to pts ___, ___, and ____ surgery.
2) Helps ____, ____, ____ tx of pt (nursing process)
3) Acts as pt _____*
4) Works closely with ___ members of surgical team.

A

1) before, during, after
2) plan, implement, evaluate
3) ADVOCATE*
4) all

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

One Continuous Goal of Periop Nursing =

Periop nursing is ____* oriented, must be geared to meet the clients needs (2)

A

= to provide a standard of excellence in the care of the client before, during, and after surgery

CLIENT*
immediate physical and psychosocial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

3 phases of periop nursing

A

1) Preoperative (Pre-Surgical Testing)
2) Intraoperative (Circulator, Scrub)
3) Postoperative (PACU)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Preoperative Nursing takes place from when to when?

A

From when client is scheduled for surgery -> transfer to the surgical suite

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Nursing Process in Preop phase (4)

A
  • DATA
  • ASSESSMENT
  • DIAGNOSIS
  • PLAN of care
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What stage is the PRIMARY FOCUS of periop nursing?

A

Intraoperative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Intraoperative Nursing takes place from when to when?

A

From time pt is received into operating room -> admitted to recovery room

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Nursing Process in Intraop phase (4)

A
  • IMPLEMENT plan of care
  • DOCUMENT care delivered
  • INTERVENTION
  • EVALUATE nursing interventions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Postoperative Nursing takes place from when to when?

A

From when pt enters PACU -> lasts through some degree of convalescence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Nursing Process in Postop phase (4)

A
  • EVALUATE interventions and any modifications of nursing plan that occured during procedure
  • IDENTIFY possible complications from procedure
  • COMMUNICATE care given
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Preop Teaching

1) What to expect? (4)
2) Early exercises (5)
3) Early ____, _ _ _
4) _____ physicians explanations/instructions
5) ____ management
6) Discuss ____ coping strategies* (2)

A

1) post-op procedures, drains, tubes, vascular access
2) breathing exercises, incentive spirometry, coughing, splinting, leg exercises
3) Ambulation, ROM
4) Reinforce
5) Pain
6) Cognitive (IMAGERY, DISTRACTION*)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Nursing Interventions to relieve anxiety* (4)

A
  • ATTENTIVE LISTENING*
  • EMOTIONAL SUPPORT and REASSURANCE*
  • SOLICITATION of pt’s EXPRESSION OF ANXIETY OR FEAR*
  • provision of INFO AS NEEDED (providing info pt does not wish can increase anxiety)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Preop Check List

1) Consent (3)*
2) ____ verification
3) ____ results, ____ abnormal labs
4) __/__ present and signed
5) Current ___ ___
6) ____ needs

A

1) Surgery, Anesthesia, Blood*
2) Site
3) Lab, report
4) History and Physical
5) Vital Signs
6) Special

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

First part of the nursing process =

A

Assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Preop Nursing Assessment

1) ____ hx, m___, a____
2) relates:
3) establishes:
4) post op ____ management
5) _____ healing
6) post op r____/r____
7) m____ management

A

1) med/surge hx, current meds, allergies
2) relates info to planned surgical intervention
3) establishes rapport w pt and family
4) pain
5) wound
6) rehab/rehabilitation
7) medication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

During preop nursing assessment, provide family with what info? (3)

A
  • info about procedure
  • preop course of events
  • answer questions -> to help pt/family understand decision making
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Main assessments in the Preop phase (4)*

A
  • BLOOD*
  • URINE* (to see if pregnant)
  • CHEST X-RAY* (to see respiratory compromise)
  • EKG*
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Planning in the Preop Phase

  • ____ of ____ lab values - Blood d____, Blood__ surgery
  • N____
  • _____ management
  • Surgery ____
  • _____ planning
A
  • correction, abnormal
  • donation, bloodless
  • Nutrition
  • Pain
  • classes
  • Discharge
20
Q

Implementation in the Preop Phase

  • Explain ____ of planned procedure
  • Asking ____
  • Adhering to ____ status*
  • Stating ____ of preop ___
  • Demonstrates correct use of exercises/techniques to prevent ____
A
  • purpose
  • questions
  • NPO*
  • understanding procedures
  • complications
21
Q

Main Interventions in the Intraop Phase (4)**

A
  • SAFETY**
  • ADVOCACY**
  • SITE VERIFICATION **
  • COUNTING INSTRUMENTS, SPONGES, NEEDLES**
22
Q

Evaluation in the Intraop Phase

  • Ex___/Un___
  • Do___
  • ____ client and family in ___ room
  • ongoing ____ by OR ___
A
  • Expected/Unexpected
  • Documented
  • Inform, waiting
  • updates, team
23
Q

Main Diagnosis during the Intraop Phase?

A

RISK FOR INJURY R/T POSITIONING*

24
Q

Other areas of risk during intraop nursing

  • Risk for ___ rt invasive procedure and exposure to ____
  • Risk for ___ rt foreign objects inadvertently ___ in wound
  • Risk ____ rt hazards (3)
  • Risk for impaired ___ ___
  • Risk for __/__ imbalance rt to abnormal ___ loss/___ status
A
  • infection
  • injury, left
  • injury, chemical, physical, electrical
  • tissue integrity
  • F/E blood less/NPO
25
Q

Main diagnosis during Postop Nursing*

A

RISK FOR INEFFECTIVE AIRWAY CLEARANCE*

26
Q

Other Areas of Risk during Postoperative Nursing

  • Risk for ineffective b____ p____
  • Risk for as____
  • Risk for ____ CO
  • Risk for fluid volume ____
  • Risk for se___/pe___ alterations
  • Risk for ____ and for ____ processes
A
  • breathing pattern
  • aspiration
  • low
  • deficit
  • sensory/perceptual
  • injury, thought
27
Q

1 ND in all 3 phases**

A

ANXIETY RT THREAT OF CHANGE IN HEALTH STATUS or FEAR OF UNKNOWN**

28
Q

Other general ND’s in Periop Nursing

  • Deficient ____ r/t lack of ____
  • Disturbed __ patterns r/t internal s___ alteration (illness, anxiety)
  • Ineffective ____ r/t impending surgery
  • Disturbed ____ __ r/t anticipated changes
  • Disturbed ____ coping r/t temp family disorganization/role changes
  • Power_____ r/t health care env., loss of independence, and control over body
  • Risk for inf___, ineff __ ___, impaired t___ p____, acute ____
A
  • knowledge, exposure
  • sleep, sensory
  • coping
  • body image
  • family
  • powerlessness
  • infection, airway clearance, tissue perfusion, pain
29
Q

Immediate Post-Anesthesia Care =

A

AIRWAY*
BREATHING*
CIRCULATION*

30
Q

Postop respiratory assessment

Impaired (2)
Risks (2)

A

Impaired airway clearance
Impaired gas exchange

Risk for pneumonia, atelectasis

31
Q

Interventions postop

1) T____ and P_____
2) Deep ____ and ____
3) I___ ____
4) In-bed _____
5) A______

A

1) Turning and Positioning
2) breathe, cough
3) Incentive Spirometry
4) Exercises
5) Ambulation

32
Q

The periop nurse utilizes the nursing process to determine pt preop _____ and to monitor ____ responses

A

baseline

physiologic

33
Q

Physiologic Parameters to Assess Preop

  • Tissue and Wound ____
  • ____ thermia
  • __/___ balances
  • (3) statuses
A
  • perfusion
  • normothermia
  • F/E
  • respiratory, cardiac, neurological
34
Q

The periop nurse demonstrates knowledge about the p____, s____, and s____ needs of the pt.

A
  • psychosocial, sociological, spiritual
35
Q

Behavioral Responses (2)

A

Psychosocial

Spiritual

36
Q

Goal of Patient Outcomes = *

Reduction of ____*
_____ of _____*

A

Re-establishment of physiological, psychological equilibrium

Pain*
Prevent Complications*

37
Q

Surgical Team Members

A
  • Surgeon
  • Anesthesiologist, Nurse Anesthetist
  • Registered Nurse
  • Scrub Person (RN/ST)
  • Surgical First Assistant (MD, PA, RNFA)
38
Q

Surgical Team Members (behind the scenes)

A 
- Environmental services team 
Ancillary Personnel 
- UAP
- Sterile Processing department 
- critical care techs 
- anesthesia techs 
- clerical staff
- radiology technologist 
- nurse tech 
- transport team
39
Q

Multidisciplinary Periop Team includes (7)

A
  • Materials management
  • Central sterile processing
  • Pharmacy
  • Laboratory
  • Radiology
  • Pathology
  • Health Care Industry Representative
40
Q

Roles of the Periop Nurse (8)

A
  • Scrub/Circulatory Nurse
  • RNFA
  • Periop educator, OR manager/director, patient or clinical educator, management consultant
  • informatics, infection control, researcher
  • medical industry (sales) professional
41
Q

Sterile Members*

A

Surgeon
First Assistant
Scrub Person

42
Q

First Assistant =

3

A

= directly assists surgeon, control’s pts bleeding, provides wound exposure and suturing, involved in care before, during, and after surgery (requires additional education)

MD, PA, RN

43
Q

Scrub Nurse =

2

A

= prepares and maintains integrity, safety, and efficiency of the sterile field throughout the operation

RN, Surgical Technologist

44
Q

Non-Sterile Members

A

Anesthesiologist (Anesthesiologist/CRNA)

Circulating Nurse

45
Q

Circulating Nurse =

A

= Manages the individual operating room and care of the patient in the OR, creates and maintains comfortable, safe environment, helps all members work together

46
Q

Other Perioperative Practice Settings (not OR) include

A
  • Acute Care Hospital
  • Interventional Radiology
  • Cardiac Catheterization Lab
  • Endoscopy Suite
  • Procedure Rooms
  • Ambulatory Surgery Center
  • Office-Based Surgery Center

Periop (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions