N212 Lect 14

Question 1

perioperative nursing care is provided before, during and after surgery

Question 2

major surgery - extensive reconstruction or alteration in body such as coronary artery bypass surgery

Question 3

minor surgery - minimal alteration in body parts such as cataract surgery

Question 4

elective surgery - patients choice for surgery such as bunionectomy

Question 5

urgent surgery - necessary for patients health but not an emergency such as gallbladder

Question 6

emergency surgery - must be done immediately such as repair of perforated appendix

Question 7

diagnostic surgery - surgical exploration to allow for diagnosis such as exploratory laparotomy

Question 8

ablative surgery - excision or removal of a diseased body part such as amputation or removal of an appendix

Question 9

palliative surgery - relieves or reduces intensity of disease symptoms but not a cure such as colostomy, debridement of necrotic tissue

Question 10

reconstructive/restorative surgery - restores function or appearance to traumatized or malfunctioning tissues such as internal fixation of a fracture, scar revision

Question 11

constructive surgery - restores function lost or reduced as result of congenital anomalies such as repair of cleft palate

Question 11

procurement for transplant surgery - removal or organs and or tissues from a person pronounced brain dead for transplantation into another person such as kidney, heart

Question 12

cosmetic surgery - performed to improve personal appearance such as rhinoplasty

Question 13

post operative nausea and vomiting (PON) affects 30% of patients in recovery rooms after surgery

Question 14

patient who vomits frequently after surgery runs the risk of pulling apart surgical sutures

Question 15

patients most at risk for developing Venous Thromboembolism ( VTE) are those who undergo surgical procedures with a total anesthetic and a surgical time of more than 90 min or 60 min if the surgery involves the pelvis or lower limb, acute surgical admissions with inflammatory or intraabdominal conditions

Question 16

patients at higher risk are those who are over 60 yrs old, critical care admission, dehydration, known clotting disorders and obesity

Question 17

hypothermia is core temp of <36 degrees celsius

Question 18

general anesthesia - patient loses all sensation, consciousness, and reflexes, including gag and blink reflexes

Question 19

regional anesthesia is results in loss of sensation in an are of the body by anesthetizing sensory pathways

Question 20

local anesthesia is loss of sensation at the desired site by inhibiting peripheral nerve conduction

Question 21

local anesthesia can be used in addition to general or regional anesthesia

Question 22

circulating nurse will monitor and record I and O specimens obtained, medications an irrigations, type of dressings packing, and other treatments