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From Flashcardlet first semester > exam 7 pre-op Russell > Flashcards

exam 7 pre-op Russell Flashcards

0
Q

A purpose of surgery for when they go in and look around

A

Diagnostic

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1
Q

A purpose of surgery for when something is removed or cut out

A

Ablative

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2
Q

A purpose of surgery for when that reduce the symptoms but the pain is still their. This would be In a chronic or permanent situation

A

Palliative

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3
Q

A purpose for surgery when something is broken and and it needs to be fixed

A

Reconstructive

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4
Q

A purpose for surgery if its something you don’t like and would like to change.

A

Cosmetic

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5
Q

What are the seven ways procedures are categorized?

A 
Reason/purpose
Urgency
Degree of risk
Anatomical position 
Extent of surgery required
Inpatient
Outpatient
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6
Q

A type of urgency that you want to do

A

Elective

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7
Q

A surgery that needs to be done but doesn’t have to be done right now is classified as what type of urgency?

A

Urgent

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8
Q

A surgery that has to be done right now because the patients life depends on it is classified as what type of urgency?

A

Emergent

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9
Q

When a patient has surgery and is admitted to the hospital. It is known as what type of surgery

A

Inpatient surgery

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10
Q

When a patient is ambulatory and is not admitted into the hospital on the day of surgery it is known as

A

Outpatient surgery

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11
Q

The steps of the pre-op phase are

A 
Admission
Interview/assessment
Diagnostic procedures
Pre-op education
Consent
Physical preparation
Transport to surgery
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12
Q

During what stage of the pre-op phase does the nurse conduct the physical assessment, ask about past surgeries, and about medications

A

Interview/physical assessment

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13
Q

Lab test, ECG, radiology and any other tests the doctors need before surgery are known as

A

Diagnostic procedures

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14
Q

What is an important factor in teaching the client?

A

Make sure all teaching is done prior to surgery when they can still understand everything you are saying.

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15
Q

Who has to talk to the patient about the surgery and inform them about what is going to happen?

A

The surgeon or somebody from his team

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16
Q

If the nurse goes to get the consent signed and the patient has questions about his surgery. Can you get the consent signed?Can the nurse talk to him about the procedure? Why or why not?

A

No the consent cannot be signed unless the patient is free of questions.The nurse cannot answer questions about the procedure. If the patient doesn’t understand whoever is doing the surgery needs to come back and explain the procedure to the patient. Nurses are only allowed to get the consent form signed if the patients doesn’t have any questions.

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17
Q

To prepare somebody for surgery what would you do?

A

Make sure they’ve had a bath
Shave them
Make sure they have gone to the bathroom or clean them up if the diaper is dirty

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18
Q

During transportation to surgery how many side rails should be up?

A

All four should be up during transportation to ensure the safety of the patient.

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19
Q

When gathering medication history what information should be included?

A

All allergies. All natural/herbal medicines. And OTC and prescribed meds. Drug reactions should also be included

20
Q

Transportation to surgery is usually done on what?

A

A stretcher

21
Q

What all is assessed I’m the pre-op assessment

A 
Nursing history
Medical history 
Risk factors
Previous surgeries
Perceptions/understanding of surgery
Medication history 
Allergies
Smoking habits
Alcohol and substance and drug abuse
Family support
Occupation
Pre-op pain assessment
22
Q

Why is it important to know the patients smoking habits?

A

Smoking could cause the cilia not to work.

23
Q

People who smoke are urged to quit smoking how many weeks before surgery and why?

A

4-8 weeks. This is done to reduce pulmonary and wound healing complications

24
Q

Why is important to know I’d someone is an alcoholic or on drugs?

A

This is good to know after surgery just in case they go into DTs. If they are on drugs a higher dose of medication will have to be administered because the lower dose won’t affect their pain. The doctor will also try to prescribe a non addicting drug.

25
Q

Why is the Pre-op pain assessment done?

A

To give the nurses and doctors a baseline. This helps determine of the surgery helped the pain any?

26
Q

Why would a nurse assess the clients expectations?

A

To make sure the clients expectations are attainable.

27
Q

A complete blood count measures…

A

The WBC, platelet, and the RBC to see the oxygen in the blood

28
Q

Sodium, potassium,chloride, and bicarbonate levels are checked during what diagnostic screening test?

A

Seum electrolytes

29
Q

This electrolytes directly affects the CNS

A

Sodium

30
Q

This electrolyte affects cardiac issues

A

Potassium

31
Q

PT,PTT,INR,PLT test are coagulation test. Why are these done?

A

These are done to check the blood for clotting factors.

32
Q

The right side of the heart goes to what organ first

A

Lung

33
Q

The left side of the heart goes to what organ first

A

The renal system (kidney)

34
Q

The blood urea nitrogen (BUN) checks for what organ function?

A

Kidney

35
Q

This test is done to everyone who has surgery In order to have blood available If needed.

A

Blood type and cross match

36
Q

If you have an elective surgery can you donate your own blood beforehand just incase blood is needed while in your surgery?

A

Yes.

37
Q

Some people choose not to get blood because of religious reasons. What needs to be explained to them?

A

That their are risks to their decision and it could lead to death. Teach about alternate opportunities.

38
Q

If a person is having surgery and has a history of cardiovascular disease what tests would be performed prior to surgery?

A

BUN, CR, CBC, chest x-ray, ECG

A CXR is done to check for fluid in the cavities. ECG look for ischemia or dysthymia in heart.

39
Q

If a person is having surgery and has a history of pulmonary disease what tests would be performed prior to surgery?

A

CBC, CXR,ECG

40
Q

If a person is having surgery and has a history of CNS disease what tests would be performed prior to surgery?

A

WBC,lyres,BUN,CR,glucose, ECG

Fluid balance and acid base balance effect kidney function

41
Q

Surgery information, who will be doing it, if there will be an intern In there with him,possible complications, outcomes that the dr. Expects, alternatives to surgery, and what the consequences are of not having the surgery all have to be discussed before what

A

Before the informed consent is signed

42
Q

Who’s legal duty is it to obtain an informed consent

A

MD/health care provider

43
Q

Failure to obtain a consent unless in emergencys could result in what

A

A charge of battery

44
Q

Is known as a persons agreement to allow something to happen

A

Informed consent

45
Q

Patients have the right to refuse surgery if this happens what do you do next

A

Inform the patient that we will still take care of them and treat them

46
Q

When is the last time a person can change their mind about surgery and decide to refuse

A

They are allowed to refuse anytime before being out to sleep.

47
Q

Why is a spirometer used?

A

To help with lung expansion

48
Q

When is the post op bed unit prepared

A

When the patient leaves for surgery

From Flashcardlet first semester (43 decks)

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