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NSG 120 > Perioperative Nursing > Flashcards

Perioperative Nursing Flashcards

1
Q

caused by faulty systems, processes, and conditions that lead people to make mistakes or fail to prevent them…

A

medical errors, IOM

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2
Q

2017 National Patient Safety Goals

A
  1. prevent infection after surgery
  2. Right surgery, right patient, right site
  3. Surgical site marking
  4. Pause before surgery
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3
Q

Process of passing patient information from one caregiver to another for the purpose of ensuring the continuity and safety of the patient

A

hand-off communication

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4
Q

SBAR

A

situation, background, assessment, recommendations

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5
Q

need to be admitted and watched

A

inpatient

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6
Q

one day surgery center

A

ambulatory

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7
Q

surgery that needs to be immediately to ensure survival

A

emergency

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8
Q

choosing to have a surgery completed that is not necessary

A

elective

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9
Q

surgery that needs to be completed but not immediately

A

urgent

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10
Q

minor vs major

A 
minor = wisdom teeth removal
major = open heart surgery on bypass
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11
Q

surgery classifications

A 
diagnostic
curative
restorative
palliative
cosmetic
transplant
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12
Q

from when the patient and physician decide surgery is necessary until patient is transferred to OR bed

A

preoperative

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13
Q

OB red until transfer to PACU

A

intraoperative

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14
Q

PACU admission until the last followup physical appointmet

A

postoperative

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15
Q 
assess
health hx
physical assessment (VS, CXR, EKG, blood type and screen,, CBC, CMP, electrolytes, coagulation studies, urinaylsis)
outcome identification
education
physical preparation
care plan evaluation
A

preoperative care

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16
Q

when a patient autonomously and cognitively grants permission to a provider to perform a surgery procedure after considering all alternatives, benefits, and risks of the procedure

A

informed consent

17
Q

Description
underlying disease process and course
name and qualifications of surgeon
explanation of risks and expected outcome
right to refuse or withdraw consent
must be 18 or an emancipated minor to sign consent
parents sign for dependent children as legally responsible

A

needed for informed consent

18
Q

clarity information provided by physician
ensure consent prior to administering mood affecting drugs
witness to signature

A

nursing responsibilities for informed consent

19
Q

preoperative mediations

A 
sedatives
anticholinergies
neuroleptanalgesics
narcotics
H2 receptor blockers
20
Q 
accurate patient ID
last known oral intake
safe transport with 4 side rails up
IV infusing at prescribed rate
preoperative medications taken or sent with patient
OR checklist and easily accessible
A

Immediate pre op responsbilities of the nurse

21
Q 
maintenance of sterile technique
contrinuous pt monitoring
fire safety
instrument and sponge count
breaks for personnel - use SBAR!
positioning - monitor pressure points
A

intraoperative safety

22
Q 
genetic condition; familial; anesthesia triggers a lot of overactive muscle movements
earliest sign = unexplained tachycardia
then = ventricular dysrhythmia
hypotension
hyperthermia
decreased CO
Oliguria
cardiac arrest
A

malignant hyperthermia

23
Q

loss of consciousness
relaxation of skeletal muscles
reduce reflex action

A

correct uses of general anesthesia

24
Q

being put to sleep

inhalation of IV

A

general anesthesia

25
Q

rapid induction, longer-lasting

A

inhaled general anesthesia

26
Q

pleasant onset, less post op N/V, brief duration

A

IV general anesthesia

27
Q

injected around nerves to area

pt. alert and awake

A

regional anesthesia

28
Q

types of regional anesthesia

A

epidural

spinal (C-section)

29
Q

conscious state sedation/monitored
midazolam (Versed) = preferred agent
excellent amnesia, short-acting

A

moderate anesthesia

30
Q

conduction block; reversible nerve block

injection into peripheral nerves

A

local anesthesia

31
Q

beginning anesthesia

A

stage I

32
Q

excitement

A

stage II

33
Q

surgical anesthesia

A

stage III

34
Q

medullary depression; irreversible brain death

A

stage IV

35
Q 
pain
hypervolemic shock
N/V
thrombophlebitis-DVT
pulmonary embolus
fluid overload
atelectasis
pneumonia
airway obstruction
surgical site infection (SSI)
A

post op complications

36
Q

prevent respiratory complications
prevent cardiovascular complications
monitor and prevent SSI
maintaining glycemic control

A

post-op safety

NSG 120 (2 decks)

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