Week 1 Pain Managment

Question 1

Removal and study of tissue to Mae an accurate diagnosis

Answer 1

Diagnostic

Question 2

Removes diseased tissue or to correct defects

Answer 2

Curative

Question 3

Relieves symptoms or improves function with out correct the basic problem

Answer 3

Palliative

Question 4

Done to change a physical feature or to correct serious defects that effect appearance

Answer 4

Cosmetic

Question 5

Classification of surgery

Major or minor is called

Answer 5

Seriousness

Question 6

Classification of surgery

Elective ,urgent, emergency, optional, required

Answer 6

Urgency

Question 7

Classification of surgery

Diagnostic, ablative ,palliative, reconstructive, restorative, recurement, cosmetic

Answer 7

Purpose

Question 8

Three phases of surgery

Begins when the patient is scheduled for surgery and ends at time of transfer to the surgical unit

Answer 8

Preoperative

Question 9

Three phases of surgery

Begins with entry to the OR suites and ends opun arrival in PACU or recovery room

Answer 9

Intraoperative

Question 10

Three phases of surgery
Period starts at the completion of surgery and transfer of patient to the PACU same, day surgery unit and continues well after discharge from agency

Answer 10

Postoperative

Question 11

Who explains informed consent and who signs them

Answer 11

Medical doctors are the one who fully explains to the pt
But witnessed by the nurse
Nurse may sign as a witness
Signed after full explanation while in normal state in mind

Question 12

Who invented proper identification.

Answer 12

JCAHO

Question 13

What act allows the pt wishes to be followed

But surgery does not provide an exception to an advance directive

Answer 13

Patient self determination act

Question 14

PT teaching is done during which stage

Answer 14

Preoperative

Question 15

SCD ( sequential compression devise) does what

Answer 15

Promotes venous return and prevent deep vein thrombosis

Question 16

What is the Preoperative checklist

Answer 16

NPO after midnight or 8h before surgery
Bowl preps with GI surgeries
Skin prep ( shower special solution, surrounded area shave
Nothing on but clean gown no make up nail polish no jewelry
Oral care done 
I'd allergy badge on 
Verification of site
Preoperative meds given

Question 17

Types of anesthesia
Loss do sensation reflexes and consciousness
Four stages
Endotrachea, tude

Answer 17

General anesthesia

Question 18

Types of anesthesia
Loss of sensation and decreased mobility to specific anesthetized area
Risk for injury and burns

Answer 18

Regional anesthesia

Question 19

Types of anesthesia
Conscious sedation
Side effects :respiratory depression antagonist

Answer 19

Procedural sedation anesthesia

Question 20

What are the three designated zones in the operating room

Answer 20

Unrestricted zone
Semi restricted zone
Restricted zone

Question 21

What involves with primary intention skin healing

Answer 21

Wound is clean w/ cleaning edging
Edges can be approximated w/ sutures staples or tape
Healing is rapid
Scar is thin

Question 22

What involves with secondary intention skin healing

Answer 22

Wound is large and irregular
Tissue lose,pressure ulcer, deep abrasion
Healing involves inflammation
Scar is large

Question 23

What involve with tertiary intention skin healing

Answer 23

Wound is left open because of contamination of debris
Healing involves increase inflammation risk of infection
Edges are approximated with possible sutures
Scar varies with wound

Question 24

What are the signs and symptoms of wound infection

Answer 24

Increase tenderness
Redness
Fever or no fever
Edema
Purulent drainage - s/s report

Question 25

Hypo ventilation and excessive retained secretions may lead to lung tissue collapse

Answer 25

Atelectasis

Question 26

Occurs when edema or bleeding increases pressure within a muscle compartment to the point of impeding ambulatory

Answer 26

Compartment syndrome

Question 27

Atelectosis provides a medium for bacterial growth

Answer 27

Pneumonia

Question 28

May occur as bone marrow release fat into the veins occurs 24-48 after injury

Answer 28

Fat embolism

Question 29

Can occur when 15-20% of blood lost during surgery , lack of fluid intake , burns are higher risk for this

Answer 29

Hypovolemia

Question 30

Obstruction of the pulmonary arterial bed

S/s of pink frothy sputum

Answer 30

Pulmonary embolism

Question 31

Is a side of effect of anesthetic agent , narcotic, dehydration,

Answer 31

Constipation

Question 32

More extensive procedure than a biopsy usually requires opening a body cavity to diagnose and know extent of disease

Answer 32

Exploratory