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NS1882 Nursing Practice 2 > Week 5 Procedural and Peri-operative Care > Flashcards

Week 5 Procedural and Peri-operative Care Flashcards

1
Q

From when the decision to have surgery is made

A

Peri-op

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2
Q

From the time of anaesthetic to completion of the procedure

A

Intra-op

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3
Q

From the time of handover from OT staff to recovery staff to ward staff

A

Post-op

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4
Q

Surgery performed immediately to save a life or function of a person

A

Emergency surgery

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5
Q

Surgical intervention that is not imminently life threatening

A

Elective surgery

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6
Q

Confirms or establishes a diagnosis

A

Diagnostic surgery

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7
Q

Relieves or reduces pain or symptoms

A

Palliative surgery

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8
Q

Removal of a diseased body part

A

Ablative surgery

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9
Q

Restores function or appearance

A

Constructive surgery

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10
Q

Replaces malfunctioning structures

A

Transplant surgery

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11
Q

Form signed by the patient/carer that protects the patient from incorrect or unwanted procedures

A

Consent

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12
Q
A

NBM - nil by mouth

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13
Q

Surgical removal of all or part of a specified organ

A

Ectomy

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14
Q

Cutting into a part of the body

A

Otomy

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15
Q

Repair,restoration of part of a body

A

Plasty

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16
Q

Suture of a body part

A

Rrhapy

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17
Q

Discharge

A

Rrhea

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18
Q

Excessive flow

A

Rrhage

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19
Q

Observation or a visual examination

A

Scopy

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20
Q

Increase in pathological condition

A

Osis

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21
Q

Within or containing

A

Endo

22
Q

About or around

A

Peri

23
Q

Above or over

A

Supra

24
Q

Backward or located behind

A

Retro

25
Q

Inflammation

A

Itis

26
Q

Who is responsible to mark the intended surgical site?

A

The Surgeon performing the procedure

27
Q

‘Otomy’ is a suffix that refers to

A

Cutting or making an incision into part of the body

28
Q

Prophylactic antibiotics refers to antibiotics that are given:

A

To prevent an infection

29
Q

An important ALERT to document on the peri-operative patient record is

A

If they have had cytotoxic medications in the last 7 days

30
Q

One of the responsibilities of the Instrument nurse in the operating theatre team is to:

A

Prepare instruments and equipment needed for the procedure

31
Q

When preparing a person who wears contact lenses for a surgical procedure where they could or will have a general anaesthetic, their contact lenses:

A

Must be removed

32
Q

The nursing role in the operating theatre team who assists in the monitoring of the patient during surgery is the role of the ?

A

Anaesthetic nurse

33
Q

Under general anaesthetic or sedation, patients have a reduced level of consciousness and therefore they are at risk of pulmonary aspiration. To minimise this risk, the pre-operative preparation of a person usually includes:

A

Nil by mouth

34
Q

The nursing role in the operating theatre team who determines if the patient is ready to return to the ward is?

A

PACU nurse

35
Q

When preparing a person who has dentures for a surgical procedure where they could or will, have a general anaesthetic it is generally preferred to:

A

Leave them in the patients mouth

36
Q

How does age affect risk of post-operative complications?

A
37
Q

How does cardiovascular disease affect risk of post-operative complications?

A
38
Q

How does pulmonary disorders affect risk of post-operative complications?

A
39
Q

How you would help a person overcome fear of the unknown experienced in the pre-operative phase?

A
40
Q

How you would help a person overcome fear of post-operative pain experienced in the pre-operative phase?

A
41
Q

How you would help a person overcome fear of changes in self image experienced in the pre-operative phase?

A
42
Q

Why BMI may be indicated during the pre-operative period

A

Obesity is correlated with difficult intubation so further analysis is required prior to surgery.

43
Q

Why urinalysis may be indicated during the pre-operative period

A

To detect urinary tract infections, renal diseases and poorly controlled diabetes.

44
Q

Why chest x-ray may be indicated during the pre-operative period

A

To assess known chronic medical conditions or to detect previously undiagnosed diseases.
Eg COPD, TB, heart failure

45
Q

Why ECG may be indicated during the pre-operative period

A

Performed in individuals with a history of cardiovascular disease or for those undergoing major surgery.
Can indicate underlying cardiac pathology and provide a baseline for comparison if there are post-operative concerns for cardiac ischaemia.

46
Q

Why complete blood count may be indicated during the pre-operative period

A

To detect anaemia, bleeding disorders, inherited and acquired haematological disorders, and the effects of other systemic diseases

47
Q

Why blood group and cross matching may be indicated during the pre-operative period

A

Ensures blood availability for the date/time of surgery and reduces the risk of a canceled procedure.

48
Q

Why serum urea and electrolytes may be indicated during the pre-operative period

A

Essential information on renal function, principally in excretion and homoeostasis.
Creatinine levels are a major factor in determining the estimated glomerular filtration rate, which is the marker of kidney health.

49
Q

Why BGL may be indicated during the pre-operative period

A

Hyperglycemia in the peri-operative period is an independent marker of poor surgical outcomes of poor healing and increased infection rates

50
Q

Why pregnancy test may be indicated during the pre-operative period

A

To guard against any potential risks to the developing fetus
Allows patient to make informed decision as to whether to proceed or not

51
Q

Clinical signs and symptoms:
- Coughing up yellow or green phlegm (thick mucus)
- Coughing up blood
- Breathlessness or rapid and shallow breathing
- Wheezing
- Fever

A

Chest infection

52
Q

Clinical signs and symptoms:
- Pain in calf, foot, or leg
- Swelling of the leg or along a vein in the leg

A

DVT (Deep Vein Thrombosis)

NS1882 Nursing Practice 2 (9 decks)

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