final exam: chapter 31 (perioperative nursing care) Flashcards
nursing pt safety goals include (1) __ surgery is done (2) __ operative site (3) __ before surgery to make sure a mistake is not made
correct; mark; time out
surgery classification based on urgency includes: (1) __ (2) __ and (3) __
elective - pre planned; urgent - w/in short time period; emergency - now
surgery classification based on risk is divided into __ and __
major - any urgency (remove/repair body part, restore, function, improve or maintain health); minor - primarily elective (teeth extraction, arthroscopy, etc.)
surgery classification based on purpose includes: __ (daprtc)
diagnostic | ablative | palliative | reconstructive | transplantation | constructive
informed consent is NOT legal if pt is (1)__ (2)__ (3)__ or (4)__
confused; sedated; mentally incompetent; minor
advanced directives can either be given through __ or __
living will; durable power of attorney for health care
outpt/same day surgery is conducted in __ care settings
ambulatory
outpt/same day surgery __ length of hospital stay & __ costs
reduces; cuts
outpt/same day surgery pts receive __ sedation
moderate
older adults, chronically ill pts, and ppl who do not have support at home may require __ teaching or home health care
additional
are these all of the outcomes for the surgical pt?
- receive respectful and culturally and age-appropriate care
- be free from injury and adverse effects
- be free from infection and DVT
- maintain fluid and electrolyte balance; skin integrity, normal temperature
- have pain managed
- demonstrate understanding of physiologic and psychological responses to surgery
- participate in rehabilitation process
yes
pre-op nursing care includes:
acip
assessment | client teaching | informed consent | prep for or
hlth hx & physical assessment, identifying risk factors & allergies, identifying meds, determining teaching & psychosocial needs, and determining post-surgical support & referral needs are part of the __ part of pre-op care
assessment
deep breathing
coughing
incentive spirometry
leg exercises
turning in bed
early ambulation
are all part of __
client teaching
surgery can cause absence of peristalsis for __ to __ hours
24; 48
standard npo is
8 hours
can be on clear liquid diet up to __ hours before surgery
2
respiratory status includes airway __ and __ for immediate pacu nursing care
patency; oxygenation
the endotracheal tube/airway __ (is/is not) removed until gag reflex returns
is not
some interventions to take are: (1) assess every __ to __ mins (2) admin humidified O2, __, and suctioning
10; 15; deep breaths
compare cardiovascular to __
pre-op baseline
typical post-op orders include:
- vs frequency
- IVF – type and rate
- meds
- need to be reordered post-op
- diet and po status (may be NPO)
- activity level
- positioning considerations
- I & O
- labs
- special orders (e.g. dressings, drains, therapy)
typical post-op orders include:
- vs frequency
- IVF – type and rate
- meds
- need to be reordered post-op
- diet and po status (may be NPO)
- activity level
- positioning considerations
- I & O
- labs
- special orders (e.g. dressings, drains, therapy)
__: restlessness, anxiety, hypotension, tachycardia, cool extremities, decrease urine output
shock
