Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Medsurg Exam 1 > Operative Care > Flashcards

Operative Care Flashcards

1
Q

diagnostic surgical procedures

A

biopsy
exploratory lap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

curative surgical procedures

A

excision of a tumor or inflamed appendix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

reparative surgical procedures

A

multiple wound repair

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

cosmetic surgical procedures

A

mammoplasty or facelift

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

palliative surgical procedures

A

to relieve pain or correct a problem (gastrostomy tube)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

who obtains consent

A

provider

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

nurses responsibility pre-op

A

Ensure the patient has all the information needed to make an informed decision about the procedure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

components of informed consent

A

Name, type, and reason for the surgery
Name of the surgeon to perform the surgery
Reason that intervention will benefit the patient
All alternative options to surgery
Potential outcomes if surgery is not performed
Consent for anesthesia
Consent to administer blood products

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

time-out or “pause for cause” starts when:

A

patient enters surgical facility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

components of time-out

A

Patient receives a wristband containing identifying information upon admission
Patient confirms that all the information is correct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

second time-out performed when and by who:

A

By circulating nurse upon transfer to surgical suite
Immediately preceding incision by the entire team

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

components of pre-op patient assessment

A

Medical history
Surgical and anesthesia history
Age
Allergies
Medications
Last oral intake
Alcohol, smoking and drug use
Special considerations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

how long to be NPO before surgery

A

6-8 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

BP medications not to stop cold turkey before a surgery

A

beta blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Defines a patient’s wishes if deemed incompetent to express their wishes in a medical emergency

A

Patient Self-Determination Act of 1991

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Directive covering IV abx use, parenteral feedings, additional preferences

A

NC Medical Orders for Scope of Treatment (MOST) form

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

for advanced directives, let patients express desires related to:

A

organ donation
end of life issues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

pre-op physical assessment includes:

A

height and weight
vital signs
systems assessment
pain!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

systems assessment

A

Cardiovascular assessment
Respiratory assessment
Neurological assessment
Liver/renal assessment
Integumentary assessment
Gastrointestinal assessment
Genitourinary assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

nurse checklist when preparing a pt for a surgical procedure:

A

lab assessment
radiological assessment
pt teaching
physical preparations
transfer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what is assessed in pre-op lab assessment

A

type and screen to determine blood type and presence of antibodies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

physical preparations for surgery

A

Intravenous line (at least 2)
Bowel and bladder preparation
Skin preparation
Medications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

final responsibility of preoperative nurse

A

preparing pt for OR transfer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

surgical settings

A

inpatient
ambulatory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

surgical categories

A

Elective surgery - could be helpful - not detramental
Urgent surgery - within 24-30 hours - possibly a week
Emergency surgery - without delay - threat of life or limb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

sterile team members

A

surgeon
surgical assistants
scrub nurse
surgical technologist
OR technician

27
Q

nonsterile team members

A

Anesthesia provider
Circulating RN
Unlicensed assistive personnel
OR Director/Coordinator/Manager

28
Q

preoperative assessment

A

Patient’s knowledge of surgery, complications, and interventions
Validate and confirm informed consent was obtained
Patient’s level of anxiety to manage preoperative fears and postoperative concerns

29
Q

Verify important information prior to procedure

A

the surgical pause

30
Q

prevent surgical site infections
follow hand hygiene procedures

A

surgical scrub

31
Q

unrestricted zone of surgical area allows what attire

A

street clothes

32
Q

semirestricted zone of surgical area includes what attire

A

scrubs and caps

33
Q

restricted zone of surgical area includes what attire

A

scrub clothes
shoe covers
caps
masks

34
Q

goals of anesthesia

A

Amnesia
Analgesia
Depression of reflexes
Muscle relaxation
Manipulation of physiological systems/functions

35
Q

4 types of anesthesia

A

General anesthesia
Regional anesthesia
Local anesthetics
Monitored anesthesia care (MAC) or conscious sedation

36
Q

-not arousable, not even to painful stimuli
-lose the ability to maintain ventilatory function
-require assistance in maintaining a patent airway
-Cardiovascular function may be impaired as well

A

general anesthesia

37
Q

4 stages of general anesthesia

A

stage 1 - beginning anesthesia
stage 2 - excitement
stage 3 - surgical anesthesia
stage 4 - medullary depression

38
Q

used to block nerves in the peripheral nervous system and CNS

A

local anesthesia

39
Q

form of local anesthesia in which an anesthetic agent is injected around nerves, so that the area supplied by these nerves is anesthetized.

A

regional

40
Q

forms of anesthesia that involve the IV administration of sedatives and/or analgesic medications to reduce patient anxiety and control pain during diagnostic or therapeutic procedures.

A

Monitored anesthesia care (MAC) or conscious sedation

41
Q

4 standard positions for surgical procedures

A

Supine/dorsal recumbent (Trendelenburg, reverse Trendelenburg, and Fowler’s are modifications
Prone (jackknife is a modification)
Lateral
Lithotomy

42
Q

high risk positioning demographics

A

Geriatric patients
Pediatric patients
Extremely thin patients
Obese patients
Paralyzed patients
Diabetic patients

43
Q

high risk positioning circumstances

A

Prosthetic/arthritic joints
Patients with edema and circulatory limitations
Patients with medical conditions
Patients with infections
Trauma

44
Q

situations putting pts at high risk

A

long surgical procedures
vascular surgery
demineralizing bone conditions
excessive sustained pressure on body

45
Q

reason for risk in vascular surgery

A

blood perfusion may already be compromised
iodine
contrast - kidneys
metformin - diabetic

46
Q

demineralizing bone conditions

A

malignant metastasis
osteoporosis

47
Q

immediate recovery phase - intensive nursing care provided

A

phase 1 PACU

48
Q

pt prepared for self-care or care in the hospital
recliners instead of beds

A

phase 2 PACU

49
Q

Post-anesthesia care provided in which settings

A

Inpatient PACU
Intensive care unit (ICU)
Outpatient PACU
Procedure areas

50
Q

postoperative nursing management

A

-Assessment and monitoring of the patient’s response to surgery and anesthesia
-Timely interventions to resolve problems
-Evaluation of interventions including effects or adverse effects of medications
-Reassessment of patient’s condition
-Evaluation of achievement of discharge criteria

51
Q

priority nurse post-op assessment

A

Vital signs
Pain level/comfort level
Neurological function
Temperature and color of skin
Condition of dressings and of visible incisions
Presence and patency of IV catheters and drains
Hydration status and fluid therapy

52
Q

post-op handoff of care

A

Patient identification using two identifiers
Surgical procedure
Team members’ names and contact information
Fluid intake and estimated blood loss
Placement of IV lines and drains
Important home medications
Medications administered and to be administered
Discussion of actual and/or potential clinical issues
Nonclinical information
Plan of care

53
Q

primary hemorrhage

A

occurs at the time of surgery

54
Q

intermediary hemorrhage

A

occurs during the first few hours after surgery when the rise of blood pressure to its normal level dislodges insecure clots from untied vessels.

55
Q

secondary hemorrhage

A

may occur some time after surgery if a suture slips because a blood vessel was not tied securely, became infected, or was eroded by a drainage tube.

56
Q

capillary vessel hemorrhage

A

slow, general ooze

57
Q

venous vessel hemorrhage

A

darkly colored blood - bubbles out quickly

58
Q

arterial vessel hemorrhage

A

blood is bright red and appears in spurts with each heartbeat

59
Q

discharge criteria post-op

A

Stable vital signs
Return to baseline LOC
Uncompromised pulmonary function and adequate airway
Pulse oximetry readings indicating adequate blood oxygen saturation
Intake and output
Nausea and vomiting absent or under control
Pain level
Sensory and motor function
Condition of surgical site

60
Q

things to ask pt when dealing with post-op pain management

A

Patient’s pain location and intensity
Fears about pain medication
Chronic or past use of opioid medications
Methods patient uses to reduce anxiety and improve comfort
Is having family at bedside helpful or prefer to be alone

61
Q

it is believed that family visits

A

Decrease anxiety for both the patient and loved ones
Improve family satisfaction
Encourage family support

62
Q

prior to family visiting, the nurse ensures pt:

A

Is awake and pain is well controlled
Sets expectations regarding intended length of visit
Explains environment to the family member

63
Q

potential post-op complications

A

Respiratory depression from anesthesia and pain medication
Bleeding from the surgical procedure itself

64
Q

post-op nursing assessment

A

ABCs
Pain
Surgical wound

Medsurg Exam 1 (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions