Preop
general surgery
Interop
PACU/Post op
random surgery
100
This may take place in a healthcare provider's office, hospital, anesthesia clinic or telephone.
What is preoperative assessment?
100
Three classifications of surgeries.
What is: Seriousness Urgency Purpose pg 1262
100
Intraoperative warming takes place to minimize occurrence of perioperative hypothermia. The nurse will perform nursing interventions tp prevent periop hypothermia.
What is apply warmed cotton blanket. forced air warmers. circulating water mattress. Forced air warmers are most effective. pg 1283
100
The information obtained from OR to PACU allows the PACU nurse to anticipate how quickly to expect a client to regain consciousness and what analgesic needs will be.
What is the handoff report? pg 1303
100
The healthcare provider must reorder what to continue after surgery.
What is medication. pg 1302
200
Pre op education increases: decreases:
What is Increases - client satisfaction client knowledge Decreases - client anxiety pg 1302
200
Surgical risks for clients that smoke.
What are increased periop complications including respiratory problems (pneumonia, atelectasis) Poor wound healing pg 1263
200
The nurse responsible for preventing harm to the client during surgery.
What is the circulating nurse? pg 1303
200
To reduce post op complication, the client must ambulate frequently and participate in self care. The nursing intervention used.
What is providing adequate pain control? pg 1303
200
An older adult is at an increased risk for respiratory complications after surgery. Name appropriate nursing interventions.
What is Encourage the client to turn, deep breathe and cough frequently and ensure adequate pain control. pg 1303
300
Informed consent must be obtained before surgery. The primary person responsible for informed is who?
What is the surgeon. pg 1302
300
Specific never event following knee or hip surgery.
What is deep vein thrombosis (DVT) pg 1265
300
The OR and PACU are high-risks environments for clients with latex There are safety interventions the nurse should implement. Name them.
What is: Screen clients that have food allergies know the have cross-reactivity with latex (bananas, avocados, chestnuts, apple, kiwi, tomato, melon, papaya. Have latex cart available at all times. Communicate with OR team as soon as 24 - 48 hours in advance of surgery List of products containing latex and substitutes pg 353 table 31-1 pg 1283
300
Possible operative complications.
What is impaired healing. effects of prolonged immobilization during surgery and convalescence. Influence of anesthesia and analgesics. pg 1303
300
Medications with special implications for the surgical client
What are: antibiotics antidysrhythmics anticoagulants antihypertensives corticosteroids Diuretics NSAIDS Herbal therapies pg 1270 Table 50-5
400
Reasons to have family present for pre op education.
What is coach and encourage the client after surgery?
400
A nurse is recovering a client who received conscious sedation for cosmetic surgery. The nurse recognizes advantages of conscious sedation. Name them.
What is reduction of fear and anxiety. Amnesia about the procedure. pg 1284, 1304
400
There are dangers when regional anesthesia is used. Nursing safety interventions used. Name them.
What is return of sensation return of movement protect limbs from injury until sensation returns. monitoring of BP Observe position of limbs Observe condition of skin
400
In the PACU a nurse notes that a client is having difficulty breathing and suspects an upper-airway obstruction. Name the nurse's priority intervention.
What is: Position the client on one side with the face down and the neck slightly extended so the tongue fall forward. pg 1303
400
Physiological factors that place the older adult at risk during surgery.
What are: Cardiovascular system integumentary system Pulmonary system GI system Renal System Neurological system Metabolic system pg 1264 What are specifics in each system? pg 1264 65 Table 50-3
500
The goal of preop testing is to identify what?
What is: normal pre op functioning & The presence of risks to recognize, prevent, and minimize possible post op complications?
500
Hand off communication occurs between PACU and the nursing unit. Which of the following are appropriate components of a safe and effective hand off. Select all that apply.
What is 1) VS, type of anesthesia provided, blood loss, and LOC. 2) Uninterrupted time to review the recent pertinent events and ask questions. 3) Verification of the patient using one identifier and the type of surgery performed. 4) Review of pertinent events occurring in the OR while at the nursing station. 5) Location of the client's family. pg 1304
500
Appropriate nursing diagnoses for the intraoperative period.
What is Ineffective clearance. Risk for deficient fluid volume. Risk for perioperative positioning injury. Impaired skin integrity Risk for thermal injury Risk for injury
500
The nurse is caring for a client after surgery. The client's prothrombin time (PT) is greater than normal. He has low blood pressure, thready pulse, tachycardia, cool, clammy, pale skin and he is restless. The nurse assesses the wound and finds the dressing saturated with blood. Name the nursing interventions that the nurse should use.
What is notify the surgeon Maintain IVF and prepare to give volume replacement. Monitor the client's vital signs every 15 minutes or more frequently until condition stabilizes.
500
You are assigned the following clients. Name your priority client. 1) A 75-year-old following hip replacement surgery who is complaining of moderate pain in the surgical site, heart rate of 92. 2) A 57-yr old following hip replacement 6 hours earlier who has a PCA, hx of sleep apnea, with a pulse oximeter reading of 85%. 3) A 36yr-old following bladder neck suspension who is 30 minutes late for post op antibiotics. 4) A 48-yr-old following knee replacement who needs help repositioning in bed.
What is What is A 57 year old following hip surgery with pulse ox reading of 85%
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