pre, intra, & post operative care

Question 1

preoperative phase

Answer 1

decision to have surgery till OR table

baseline data, teaching, and transportation

Question 2

intraoperative phase

Answer 2

while in the OR

safety, monitoring, stay with conscious pt

Question 3

postoperative phase

Answer 3

PACU to follow-up visit

communication, assessment, intervention, teaching

Question 4

PACU

Answer 4

post-anesthesia care unit

Question 5

-ectomy

Answer 5

removal

appendectomy

Question 6

-lysis

Answer 6

destruction of tissue

electrolysis

Question 7

-orrhaphy

Answer 7

repair

herniorrhaphy

Question 8

-oscopy

Answer 8

view a structure

colonoscopy

Question 9

-ostomy

Answer 9

create an opening

ileostomy

Question 10

-otomy

Answer 10

cutting into
(osteotomy)

Question 11

-plasty

Answer 11

reconstruction

arthroplasty

Question 12

diagnostic surgery

Answer 12

biopsy

Question 13

curative/ablative surgery

Answer 13

remove tumor or organ

Question 14

reconstructive surgery

Answer 14

repair of wounds

Question 15

cosmetic surgery

Answer 15

improve appearance

Question 16

transplant surgery

Answer 16

take and replace organs

Question 17

constructive surgery

Answer 17

restores function

Question 18

prevention surgery

Answer 18

removal of moles

Question 19

exploratory surgery

Answer 19

laps

Question 20

palliative surgery

Answer 20

pain relief

Question 21

seriousness of surgery

classifications

Answer 21

minor: minimal physical damage with low risk
major: extensive

Question 22

urgency of surgery

classifications

Answer 22

elective: suggested, not essential
urgent: 1-2 days needed for health
emergency: now, life-saving

Question 23

physical status classification - what are P1-P6? which are in/outpatient?

Answer 23

P1 - healthy pt
P2 - pt w/ mild systemic disease
P3 - pt w/ severe systemic disease
P4 - pt w/ severe threatening systemic disease
P5 - moribund pt (won’t live w/o surgery)
P6 - brain dead pt undergoing organ harvesting
—P1-P3 outpatient; P4-P6 inpatient

Question 24

informed consent

Answer 24

legal doc that gives pts permission

includes full disclosure, risks/benefits, alternative treatments, consequences of refusal

Question 25

what does the nurse do to prepare pt for OR?

Answer 25

ID pt, gown, no hair clips or makeup, secure valuables, vitals, med sheet, start IV

Question 26

factors that increase surgical risk?

Answer 26

age, obesity, nutrition, dehydration, nicotine use, meds

Question 27

role of surgical assistant

Answer 27

expose site, retract tissue, suction, ligate bleeding vessels, suture

Question 28

role of anesthesiologist/CRNA

Answer 28

consistent eval of meds and pt condition, supervise recovery in PACU

Question 29

role of circulating nurse

Answer 29

oversee environment, move pt, skin prep, watch for sterile breaks, instrument and sponge counts, docs, meds

Question 30

role of scrub nurse

Answer 30

mechanical aspects, hand instruments, suture

Question 31

what do you do just before starting OR procedures?

Answer 31

take a surgical timeout: ask pt name, DOB, procedure location; verify info with ID bracelet and chart

Question 32

surgical scrub

Answer 32

5-10 minutes, circular motion, inner to outer, removes micro-organisms, decreases infection

Question 33

general anesthesia

Answer 33

IV, inhalation | induction, maintenance, emergence

Question 34

regional anesthesia

Answer 34

spinal, epidural, nerve block

Question 35

local anesthesia

Answer 35

for specific area only

Question 36

monitored anesthesia care (MAC)

Answer 36

constant; formally known as conscious sedation

Question 37

postoperative care

Answer 37

PACU/recovery room (monitoring) ACP gives verbal report to PACU nurse care goals (managing function and surgical site, pain and temp control)

Question 38

postoperative assessment priorities

Answer 38

airway, breathing, circulation, neurologic, urinary, surgical site, pain

Question 39

what type of problem is #1 after surgery?

Answer 39

oxygenation

Question 40

in order to be discharged, what must the pt do?

Answer 40

be mobile, be alert, have pain controlled, have a driver and someone at home to help, have teaching completed

Question 41

how are discharge instructions given?

Answer 41

verbally AND in writing