Exam 7 Pre Op

Question 0

Barbiturates

Answer 0

sedation without cardiopulmonary depression
Pentobarbital (nembutal)
Phenobarbital (luminal)

Question 1

Types of urgency

Answer 1

Elective
Urgent
Emergent

Question 2

Type of Extent of Surgery required

Answer 2

Simple
Modified
Radical

Question 3

Preop teaching

Answer 3

Determine learning level
give correct info
teach post op exercises
have pt demo back
include family if pt permits
answer any questions

Question 4

Purpose of Surgery

Answer 4

Ablative
Diagnostic
Palliative
Reconstructive
Cosmetic
Transplant

Question 5

H2 Receptor Antagonists

Answer 5

reduce gastric acidity
Tagamet (cimetidine)
zantac (ranitidine)

Question 6

informed consent

Answer 6

legal duty of md
a brief complete explanation of procedure or treatment
has right to refuse at last min
knows risks & alternatives

Question 7

Nursing planning

Answer 7

Pre op teaching plan
goals & outcomes
setting priorities
continuing care

Question 8

Post-op bedside unit

Answer 8

Prep when leaves for surgery
Surgical bed
VS equipment
Clean gown
Emesis
IV pole
Suction/O2
Extra pillows/bed pads
Wash cloth/towels/tissues

Question 9

Degree of Risk

Answer 9

Minor

Major

Question 10

Stages of Preop Phase

Answer 10

Admission
Assessment
Diagnostic procedures
Pre op Ed
Consent
Physical prep
Transport

Question 11

Post op exercises

Answer 11

Diaphragmatic breathing
spirometry
controlled coughing
Splinting
turning
leg exercises

Question 12

Anxiolytics

Answer 12

control anxiety
Diazepam (valium)
Lorazepam (ativan)

Question 13

pre op check list

Answer 13

Consent signed
ID band
No clothing/jewelry/dentures/hearing aid/wigs/nail polish/prosthetics
Diagnostic
Allergies
NPO status/empty bladder/VS
Valuables accounted for
Appropriate signatures
Mode of travel
Pre op meds given

Question 14

Neuroleptics

Answer 14

Sedation, antiemetic, & anticonvulsant
Neurotin (gabapentin)
Halopraridol (butyrophenones)

Question 15

Surgical Settings

Answer 15

Inpatient

Outpatient

Question 16

Hypnotics

Answer 16

Sedation and increase duration of sleep
Chloral hydrate (aquachloral)
zolpidem (ambien)

Question 17

Antihistamines

Answer 17

sedation & antiemetic (helps with nausea) effects.
Cetirizine (zyrtec)
chlorpheiramine (chlor-trimeton)

Question 18

Diagnostic Pre op tests

Answer 18

CBC
WBC
Electrolytes
Coagulation
Creatinine
BUN
Blood type
hepatic
glucose

Question 19

Opioids

Answer 19

Pain relief, sedation, induction of anaesthesia
Meperidine (demerol)
Morphine

Serious if you don’t know what this is, we need to talk….j/k….funny for you.

Question 20

How Procedures are Categorized

Answer 20

Reason
Urgency
Degree of Risk
Anatomic location
Extent of surgery required

Question 21

anticholinergics

Answer 21

reduction of oral secretions

Ex; Atropine & Benztropine (cogentin)

Question 22

Opioids

Answer 22

Pain relief, sedation, induction of anaesthesia
Meperidine (demerol)
Morphine

Serious if you don’t know what this is, we need to talk….j/k….funny for you.

Question 23

Post op exercises

Answer 23

Diaphragmatic breathing
spirometry
controlled coughing
Splinting
turning
leg exercises

Question 24

Purpose of Surgery

Answer 24

``` Ablative Diagnostic Palliative Reconstructive Cosmetic Transplant ```

Question 25

Post-op bedside unit

Answer 25

``` Prep when leaves for surgery Surgical bed VS equipment Clean gown Emesis IV pole Suction/O2 Extra pillows/bed pads Wash cloth/towels/tissues ```

Question 26

Type of Extent of Surgery required

Answer 26

Simple Modified Radical

Question 27

Surgical Settings

Answer 27

Inpatient | Outpatient

Question 28

Hypnotics

Answer 28

Sedation and increase duration of sleep Chloral hydrate (aquachloral) zolpidem (ambien)

Question 29

Barbiturates

Answer 29

sedation without cardiopulmonary depression Pentobarbital (nembutal) Phenobarbital (luminal)

Question 30

Types of urgency

Answer 30

Elective Urgent Emergent

Question 31

Nursing planning

Answer 31

Pre op teaching plan goals & outcomes setting priorities continuing care

Question 32

Neuroleptics

Answer 32

Sedation, antiemetic, & anticonvulsant Neurotin (gabapentin) Halopraridol (butyrophenones)

Question 33

How Procedures are Categorized

Answer 33

``` Reason Urgency Degree of Risk Anatomic location Extent of surgery required ```

Question 34

Antihistamines

Answer 34

sedation & antiemetic (helps with nausea) effects. Cetirizine (zyrtec) chlorpheiramine (chlor-trimeton)

Question 35

H2 Receptor Antagonists

Answer 35

reduce gastric acidity Tagamet (cimetidine) zantac (ranitidine)

Question 36

informed consent

Answer 36

legal duty of md a brief complete explanation of procedure or treatment has right to refuse at last min knows risks & alternatives

Question 37

anticholinergics

Answer 37

reduction of oral secretions | Ex; Atropine & Benztropine (cogentin)

Question 38

Diagnostic Pre op tests

Answer 38

``` CBC WBC Electrolytes Coagulation Creatinine BUN Blood type hepatic glucose ```

Question 39

Preop teaching

Answer 39

``` Determine learning level give correct info teach post op exercises have pt demo back include family if pt permits answer any questions ```

Question 40

Anxiolytics

Answer 40

control anxiety Diazepam (valium) Lorazepam (ativan)

Question 41

Degree of Risk

Answer 41

Minor | Major

Question 42

Stages of Preop Phase

Answer 42

``` Admission Assessment Diagnostic procedures Pre op Ed Consent Physical prep Transport ```

Question 43

pre op check list

Answer 43

``` Consent signed ID band No clothing/jewelry/dentures/hearing aid/wigs/nail polish/prosthetics Diagnostic Allergies NPO status/empty bladder/VS Valuables accounted for Appropriate signatures Mode of travel Pre op meds given ```