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Medical Surgical Nursing - First Sem > OR Nursing > Flashcards

OR Nursing Flashcards

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1
Q

PRE-OP nursing responsibilities (5, FDITA)

A 
Verbalize feelings
Participate in decision making
Give necessary info
Health teaching
Administer pre-op meds as ordered
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2
Q

INTRA-OP nursing responsibilities (5, PARMC)

A 
Proper positioning
Asepsis
Restraints
Monitor responses
Comfortable
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3
Q

What is surgical conscience?

A

When you know you are unsterile, you have to admit it

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4
Q

Period when the px is in the OR up to when he/she is brought to recovery room

A

Intraoperative period

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5
Q

What are the two types of regional anesthesia?

A

Spinal and epidural anesthesia

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6
Q

Intact consciousness, loss of motor and sensory perception to a particular area

A

Regional anesthesia

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7
Q

Where is spinal anesthesia injected?

How does it work?

A

Subarachnoid space (CSF), L2-3 or L3-4

Stops signals from spinal cord = paralysis in LE

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8
Q

(T/F) The effect of spinal anesthesia is temporary

A

TRUE

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9
Q

Give the 3 possible complications of epidural anesthesia (HHR)

A

Hypotension
Spinal headache (brain is pulled down due to low buoyancy)
Respiratory depression

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10
Q

Nursing interventions for epidural anesthesia (VTRFHC)

A

VS

Reverse trendelenburg (respiratory depression)

Watch for return of sensation and motor function

Flat On Bed for at least 8 hrs until sure they returned

Hydration (loss of CSF)

Catheter (urinary retention)

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11
Q

In any Abdominal surgery, px are maintained on NPO until

A

You hear a flatus or fart indicating bowel movement

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12
Q

Unconsciousness, blocks motor and sensory pathway to major nerve

A

General anesthesia

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13
Q

What is the milk of amnesia

A

Propofol

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14
Q

General anesthesia comes in two forms:

A

IV injection and inhalation gas

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15
Q

Ability of the drug to reduce or make pain absent

A

anesthesia

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16
Q

What type of anesthesia is usually used for major surgeries?

A

General anesthesia

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17
Q

Nursing interventions for general anesthesia (RS)

A

Prepare resuscitative equip (CNS depression = cardiorespi arrest)

Avoid stimulating (confusion)

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18
Q

Match the stage of anesthesia to its definition

  1. Analgesic/analgesia
  2. Paradoxical
  3. Surgical
  4. Medullary

A. dangerous stage, affects brainstem = cardiorespi arrest
B. sleepy, absence of pain
C. fight or flight, will try to resist
D. not moving, muscles are relaxed, body is stable, px does not feel anything

A

1B
2C
3D
4A

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19
Q

Group the surgical team acc to sterile and nonsterile members:

  1. Surgeon and assistants
  2. Circulating nurse
  3. Scrub nurse
  4. Anesthesiologist
A
  1. STERILE
  2. NON-STERILE
  3. STERILE
  4. NON-STERILE
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20
Q

Who is like the captain of the ship, the one performing the surgery?

A

Surgeon

21
Q

Who is the one in charge for the equipment in the sterile area?

A

Scrub nurse

22
Q

Gives anesthetic and monitors vital status of px

A

Anesthesiologist

23
Q

In charge of OR suite and documentation

A

Circulating nurse

24
Q

Intraoperative nursing care

Positioning depends on:

Dorsal recumbent is for:

Reverse trendelenburg is for:

Lithotomy:

Lateral:

Surgical asepsis aka:

Equipment needs:

Wound closure is done by:

A

Need for visualization

Surgery on liver

To allow gravity to move organs

W/stirrups

Side-lying

Handwashing

Proper sterilization

Suturing

25
Q

The air in the OR is ___ and kept in ___ pressure at a temp of __ to __

A

Filtered
Positive
<70
Prevent growth of bacteria

26
Q

Device that uses heat and pressure to destroy microorganisms, also kills spores

A

Autoclave

27
Q

What equipment cannot be autoclaved? What do we do with them?

A

Catheter and scissors

Antiseptic solution

28
Q

Give the 5 possible intraoperative complications (IFIHM)

A 
infection
fluid deficit/overload
injury due to positioning
hypothermia
malignant hyperthermia
29
Q

Match the ff complications to its interventions

  1. infection
  2. fluid volume excess/deficit
  3. injury r/t positioning

A. monitor iv infusion rate, i&o, blood loss
B. count equipment before and after
C. proper sterilization

A

1C
2A
3B

30
Q

What tool can we use to help count blood loss?

A

sponge

31
Q

How and when does malignant hyperthermia occur?

A

Drug reaction to inhaled anesthetic (halothane) + muscle relaxant

Post-op

32
Q

(t/f) malignant hyperthermia is an idiosyncratic reaction = not all px experience

A

TRUE

33
Q

what are early s/sx of malignant hyperthermia

A

fever and seizures

34
Q

What do we immediately assess in the post anesthesia care unit (PACU)? 3, ACL

A

airway
circulation
LOC

35
Q

What should we monitor if patients are given morphine

A

RR

36
Q

Lung collapse is aka

A

Atelectasis

37
Q

Threee interventions for airway and breathing post op include:

A

Deep breathing/coughing exercises
Incentive spirometry
O2

38
Q

What is the problem with deep breathing exercises post op?

A

Px may be in pain = not cooperative = give analgesic first

39
Q

In incentive spirometry, the ball should be

A

floating and maintained at the marked area

40
Q

Fever longer than 24 hrs may be explained by ___

The intervention for this is _____

A

Pneumonia

antibiotics

41
Q

In the PH setting, who checks the wound and dressing?

A

doctors

42
Q

What are the 3 things we should assess in wounds (IID)

A

infected: inflammed + pus
integrity: wound dehiscence or evisceration (organ come out)
drainage

43
Q

What do we do in organ evisceration?

A

Cover with wet gauze to preserve organ and REFER

44
Q

(T/F) drains allow for good wound healing

A

TRUE

45
Q

(T/F) drain increases after 24 hrs

A

FALSE, it decreases

46
Q

Reddish fluid for the first 24 hrs

A

Serosanguinous fluid

47
Q

factors that increase risk for infection (AM)

A

aseptic technique

medical condition

48
Q

Match the form of wound healing to its definition:

  1. Primary
  2. Secondary
  3. Tertiary

A. sutured, thin hairline scar or no scar at all
B. sutured, got infected, opened, sutured again
C. sutured, ulcerations, let heal by itself

A

1A
2C
3B

Medical Surgical Nursing - First Sem (9 decks)

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