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NU 310 > NU 310 Exam 1 > Flashcards

NU 310 Exam 1 Flashcards

1
Q

What are the 5 surgical classifications?

A
  1. Emergent, 2. Urgent, 3. Required, 4. Elective 5. Optional… (Every Urge Requires Erectile Operation)
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2
Q

What is a nurses responsibilities in the preop process?

A

Assessment, Teaching (WITH FAMILY), verify diagnostic testing, pt. understanding.

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3
Q

What does a preop nursing assessment encompass?

A

Nutrition, Dentition, Drugs, Alcohol, Respiratory/smoking habits, Cardiovascular Status, Hepatic, Renal, Endocrine, Immune function, Allergies, Medications, psychosocial, and spiritual factors.

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4
Q

Which preop nursing assessment looks at the ability to be under anesthesia and intubation?

A

Dentition

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5
Q

Which preop nursing assessment deals with 02 sat, V/S and HTN?

A

Cardiovascular

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6
Q

Glucose, steroids and thyroid function are all a part of what preop assessment?

A

Endocrine

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7
Q

What type of medications do people often leave out when asked?

A

OTC and Herbal

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8
Q

Hydration, electrolyte balances and bowel movements are all a part of what preop assessment?

A

Nutrition

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9
Q

When should post op teaching begin?

A

ASAP, during the preop process if able

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10
Q

Nurses do not get but make sure this is done prior to surgery.

A

Informed consent

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11
Q

I was just shot what class of surgery and time frame will I be placed?

A

Emergent (ASAP)

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12
Q

How soon should an Urgent surgery be done?

A

within 24 hrs.

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13
Q

What surgery class allows for 1-2 weeks before the surgery needs to be done?

A

Required

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14
Q

The choice for setting a surgery date is given to what surgery class?

A

elective

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15
Q

What is the most common optional surgery?

A

Cosmetic

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16
Q

What are the 3 most common preop tests?

A

Urine Analysis, Chest Xray and CBC

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17
Q

What other preop tests may a surgeon ask for?

A

Urine culture, EKG, ABG, Type and Screen, Pregnancy tests, Drug levels, HbA1c

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18
Q

When should informed consent be taken?

A

Prior to preop medications.

19
Q

What should be focused on during post op teaching

A

Respiratory therapy, mobility (DVT), Pain management, Nutrition, Cognitive measures.

20
Q

What are some common preop medications given?

A

Tranquilizers, Sedatives, Analgesics, Anticholinergics, H2 receptor antagonists.

21
Q

What should a pt NEVER do after pre-op meds are administered?

A

move out of bed

22
Q

What is a “Time Out”?

A

During the intraoperative process the surgical team stops to identify the Right pt, right side, equiptment counts, blood typing and allergy documentation.

23
Q

What extra risks do Geriatric pt’s have in an OR.

A

Coexisting conditions, Aging organs, decreased homeostatic mechanisms, response to drugs, OTC meds

24
Q

Different types of Anesthesia

A

General, Regional, Moderate Sedation and Local Anesthesia

25
Q

What Anesthesias can be given IV

A

General and Moderate

26
Q

Which anesthesia is given by epidural, spinal or local block

A

Regional

27
Q

General Anesthesia can be given how many ways?

A

2 IV and inhaled

28
Q

Surgical Complications

A

Hypothermia, Malignant hyperthermia, DIC, infection, anesthesia awareness, nausea, vomiting, anaphylaxis, hypoxia

29
Q

What is malignant hyperthermia?

A

A rare condition that is usually paternal in nature. Altered calcium function leading to tachycardia, high temp and muscle rigidity.

30
Q

Anesthesia and surgery side effects

A

Allergic reactions, cardiac dysrhythmias, CNS changes, Trauma, Hypotension and Thrombosis

31
Q

What is focused on during the Post Op process

A

Physiologic stability, pain management, preventing complications and education

32
Q

A PACU nurses responsibilities

A

Baseline assessment, Airway, Cardio, Surgical site, CNS and IV assessments. VS q15 min and prepare for transfer.

33
Q

What must a patient show prior to discharge from PACU.

A

urine output >30mL per hour

34
Q

Care of a postop pt

A

Low hematocrit, hemodynamically stable, nutrition, assessments, pain management, self care, discharge planning.

35
Q

The 5 W’s of post op compications

A

WInd, Water, Wound, Walking, Wonder-drugs

36
Q

pneumonia, atelectasis during the first 24-48 hours

A

wind

37
Q

UTI after day 3 postop

A

water

38
Q

wound infection after day 5

A

wound

39
Q

Reducing DVT and PE post op

A

walking

40
Q

Anesthesia (post op comp name)

A

wonder drugs

41
Q

RAT and BED

A

Early and late signs of hypoxia RAT (restless, anxiety, tach) BED (bradycardic, extreme restlessness, dyspnea)

42
Q

Surgeon changes the first

A

dressing

43
Q

Nurses should assess dressing for?

A

bleeding

NU 310 (1 decks)

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