Brainscape's Knowledge GenomeTM

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


See full index

Surgical and Anaesthesia nursing > Surgical nursing > Flashcards

Surgical nursing Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Pharmacology flashcards NCLEX-RN® flashcards Nursing Mental Health flashcards Nursing Fundamentals flashcards Nursing Safety & Infection flashcards Nursing Adult Health flashcards NCLEX-PN® flashcards Nursing Management of Care flashcards Nursing Pediatrics flashcards Nursing Maternity flashcards
1
Q

What post-operative care is required for a GDV patient?

A
  • Maintain on IV fluids
  • Monitor potassium levels as can be low
  • Metroclopramide to stimulate gut motility
  • Patient education (feeding routines)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the function of the drill bits?

A

Glide hole - drilled using a drill bit that has the same EXTERNAL DIAMETER as the screw being placed
Pilot hole - drilled using drill bit that has same diameter as CORE of screw

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

What is the function of the drill sleeve?

A

Prevent drill bits collecting debris from surrounding tissue

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

What is the function of the countersink?

A

Cuts an indent to allow the head of the screw to be flush with the surface of the bone

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

What is the function of the depth gauge?

A

Measure depth of drilled hole and determine length of screw placed

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

What is the function of the tap?

A

Tap the thread in a drilled hole before screw is place

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

What is the function of the screwdriver?

A

Place & tighten screws

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

What is the functions of the following pins:

  1. Steinmanns pins
  2. Arthrodesis wire
  3. Kirschner wire
  4. Rush pins
A
  1. Similar function as K-wire (pin bones) but larger in diameter
  2. Hold together small pieces of bone too small to be fixed with wire
  3. Pin bones
  4. Pin bones
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Discuss how to prepare a patient of opthalmic surgery (7 marks)

A
  1. Wear non-sterile gloves
  2. Apply barrier gel in the eye to protect from clipping
  3. Clip area (roughly 2cm diameter)
  4. Remove clipped hair
  5. Scrub using povidine-iodine (not scrub as can irritate cornea)
  6. Clean surrounding skin with 1:10 dilution of iodine and water for minimum 5 minutes
  7. Flush the eye in sterile saline and iodine 1:50 dilution ensuring all barrier gel removed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Name a non-absorbable suture material that has mono & mulitifilament options?

A

Supramid

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

Outline the wicking effect and risks

A

Occurs when fluid is drawn into the suture material from the environment and surrounding tissues. It is likely to contain bacteria and may cause surgical site infection therefore delaying wound healing

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

What are the conversions between imperial and metric suture sizes?

A

2 metric = 3-0

3 metric = 2-0

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

What are the 3 types of needles and their uses?

A
  1. Round-bodied = Separate tissue fibres, used in friable tissue such as internal organs
  2. Taper point = Gradually broadens from the tip for greater separation of tissues
  3. Cutting = Cutting through tissue, used for dense tissue eg skin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the 2 types of cutting needes?

A 
Conventional = cutting edge on inside edge
Reverse = cutting edge on outside edge
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Identify 2 absorbable and 2 non-absorbable suture material

A 
Absorbable:
-Dexon
(-Catgut)
-PDS
-Vicryl
-Monocyrl

Non absorbable:

  • Nylon
  • Mersilk
  • Prolene
  • Ethilon
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Disinfection

A

Process of destroying microorganisms but not always spores

17
Q

Asepsis

A

Absense of pathogens and their toxins

18
Q

Antisepsis

A

Process of eliminating microorganisms using an antiseptic

19
Q

Sterilisation

A

Destruction of microorganisms & their spores

20
Q

Compare aqueous scrubs to alcohol rubs

A 
AQUEOUS SCRUBS:
-5 min scrub recommended
Chlorhexidine Gluconate:
-Significant residual effect
-Can cause skin irritation 
Iodine:
-Little/no residual effect
-Reduces chance of skin iirritation
-Causes discolouration of skin
ALCOHOL RUBS:
-90 second contact time (for Sterillium)
STERILLIUM:
-Quick & effective
-Requires pre-scrub
-Significant residual effect
21
Q

Antiseptic

A

Chemical NORMALLY used on living tissues to destroy microorganisms (not specific to pathogenic)

22
Q

What are the 2 types of catgut available?

A

Plain and Chromic

23
Q

What are the tensile strengths of the 2 types of catgut?

A 
Plain = 10-14 days
Chromic = 21-28 days
24
Q

Identify 3 other properties of catgut?

A
  • Natural
  • Moderate to high tissue reaction
  • Digested by enzymes

Surgical and Anaesthesia nursing (3 decks)

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