Unit 2 Kozier Flashcards

0
Q

Unit 2 Kozier Reading

A

37
50 (1403-1419)
52 (1501-1507)

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1
Q

Unit 2 Kee Reading

A

21 (301-306)
26 (366-374)
45
47 (697-702)

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2
Q

Unit 2 Pillateri Reading

A

20 (531-532)
35 (1026-1028)
40 (1153-1157)
45 (1341-1344)

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3
Q

Atelectasis

A

Collapse of Alveoli sacs

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4
Q

Circulating Nurse

A

Responsible for Client safety, asepsis, and surgical environment including temp, humidity, and lighting. Also Responsible of surgical supply count

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5
Q

Closed Wound Drainage System

A

A pressurized drain or a drain attached to suctioning used to keep wounds/areas dry and reduce likelihood of infection (JP drain or hemovac)

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6
Q

Conscious Sedation

A

Minimal sedation level where PT can move and respond to stimuli (Valium, morphine, nitrous)

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7
Q

Elective Surgery

A

Preferred surgical treatment with a condition that is not immediately life threatening

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8
Q

Emboli

A

Blood clot that has traveled and causes an obstruction

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9
Q

Emergency Surgery

A

Surgery performed immediately to preserve life or function of a client

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10
Q

Epidural Anesthesia

A

Anesthesia in the epidural space

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11
Q

General Anesthesia

A

Induced loss of all sensation, consciousness, and reflexes

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12
Q

Intraoperative Care

A

Begins as client is transferred to the OR and ends when client is transferred to the PACU

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13
Q

Local Anesthesia

A

Anesthesia used for minor surgical procedures injected into a small and specific area

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14
Q

Major Surgery

A

Surgery that is high risk, may be complicated, prolonged, involve extensive hemorrhaging, or involves major organs

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15
Q

Minor Surgery

A

Surgery likely to be performed at an outpatient facility with a very low likelihood of complications

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16
Q

Nerve Block

A

Chemical interruption of nerve pathways by injecting a local anesthetic

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17
Q

Penrose Drain

A

Flat, thin, rubber tube inserted into a wound that allows drainage to flow onto a dressing

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18
Q

Peridural Anesthesia

A

Another name for an epidural

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19
Q

Perioperative Period

A

The entire surgical period including Pre, Intra, and PostOp phases

20
Q

Postoperative Period

A

Begins at PACU admission and ends when healing is complete

21
Q

Preoperative Period

A

Begins when the decision of surgery has been made and ends when the client enters the OR

22
Q

Regional Anesthesia

A

Interruption of the transmission of nerve impulses to and from a specific area or region of the body and client remains conscious

23
Q

Scrub Person

A

UA, LPN, or RN that drapes the client and assists in handling sterile supplies and performing instrument count

24
Q

Spinal Anesthesia

Subarachnoid block

A

Anesthesia Injected into the subarachnoid space

25
Q

Surface Anesthesia

Topical Anesthesia

A

Applied directly to the skin to decrease sensation

26
Q

Suture

A

Thread used to sew tissue together

27
Q

Thrombophlebitis

A

Inflammation of a vein followed by a blood clot

28
Q

Thrombus

A

A stationary clot

29
Q

Preop nursing responsibilities

A

Assess, Plan, Teach family and PT, Advocate,

30
Q

Intraop Nursing Responsibilities

A

Provide safe environment, Assist the surgery, and gather equipment

31
Q

Postop Nursing Responsibilities

A

Assess client, Perform interventions to promote healing and comfort, teach, support,

32
Q

5 parts of informed consent

A
Reason for the surgery
All available options
Risks and Outcomes
Surgeon's name and qualifications
Right to refuse
33
Q

3 main Preop Teaching points for PT

A

Anticipated sensations and experience
Social support and their roles
Intervention skills training (ie deep breathing)

34
Q

Preop Pt eating/drinking guidelines

A

Clear liquids until 2 hours before
Light meal until 6 hours
Heavier meal until 8 hours before

35
Q

Postop PT tasks before inpatient is discharged

A

BM, Urinate, Bowel sounds, steady vitals, Movement, Breathing TX

36
Q

Defining traits for postop complications

1) Pneumonia
2) Atelectasis
3) Pulmonary Embolism
4) Thrombus

A

1) Fever and cough
2) Dull breath sounds decreased O2
3) Sudden chest pain and cyanosis
4) Pain, pallor, decreased pulse of extremity

37
Q

Trache care

A
Assess O2/lung sounds
Fowler/Semifowler
Hypervent or hyperox
Clean inner cannula
Clean surrounding skin
replace dressing
Replace cath
38
Q

Drainage system patient assessment responsibilities

A
Reposition Q2
Vitals
Observe site Q4
Pain
Deep breathing
39
Q

Drainage system equipment assessment responsibilities

A

Patent

Tube lower than site and secure

40
Q

Hypernatremia symptoms (FRIED)

A
Fever
Restless
Increased retention
Edema
Decreased Output
41
Q

Hyponatremia (TAGS)

A

Tachycardia
Apprehension and confusion
Gi pain
Seizures

42
Q

Hyperkalemia (MURDER)

A
Muscle twitch
Urine decrease
Resp distress
Dysrythmia
EKG change
Reflexes irregular
43
Q

Hypokalemia (WAR LAIR)

A
Weak
Alkolosis
Resp distress
Lethargy
Arrythmia
Irritable
Really sick
44
Q

Hypercalcemia (PEG)

A

Pain
EKG change
GI problems

45
Q

Hypocalcemia (CATS)

A

Convulsion
Arrythmia
Tetany
Spasms

46
Q

Hypermagnesemia (RED)

A

Reduced Vitals
Excessive sweating
Decreased DTR

47
Q

Hypomagnesemia (MEDIC)

A
Muscle Tremors
EKG
DTR
Irritable
Confused