Preop
The nurse may serve as a witness to the client's signature on this after the physician has explained the procedure, risks, benefits, & complications, before sedation is given and before surgery is performed.
What is an informed consent
This member of the surgical team remains in sterile gown and gloves and monitors sterile procedure throughout the surgery
What is the scrub nurse
What is the most likely reason for a temp of 100.2 6 hours post-op?
atelectasis
Encourage TCDB and ICS use
What statement made by a patient undergoing surgery with general anesthesia at the ambulatory surgical center would require follow-up education by the nurse?
I want to create a will after surgery. I will drive myself home, etc.
Which surgical team member is responsible for:
Admitting, identifying, and assessing the patient.
Counting sponges, needles, and surgical instrument.
Assisting the ACP manage the patient during surgical case.
What is the circulating nurse
A patient who is having abdominal surgery should always receive teaching on this post op activity in the pre-op stage.
What is coughing and deep breathing
In this step, the patient's identification, surgical site marking, signed consent and procedure to be done are all verified
What is a time out for safety
An obese client is admitted for abdominal surgery. The nurse recognizes that this patient is more susceptible to what surgical complication post op?
Dehiscence (most likely to occur 1 week post op)
General anesthesia can be administered through two routes: ________ & ________. Which route is usually administered first?
Intravenous and inhalation.
IV first then gas (inhalation)
2 days post-op, the nurse notes that the dressing has sanguineous drainage. What is the initial intervention?
Secure the dressing.
This type of surgery is done to confirm or rule out a diagnosis. Examples include a biopsy and fine needle aspiration
What is diagnostic (exploratory) surgery
Name 2 clinical signs of malignant hyperthermia and treatment for this phenomenon
What is tachycardia, tachypnea, elevated temperature, muscle rigidity Dantrolene
In the pre-op area, the patient reports that she made two autologous blood donations prior to today's surgery. What is the nurse's best action?
Make sure the blood is physically available
Class of medications that are given to reduce oral, gastric, and pulmonary secretions and to prevent laryngospasm
What are anticholinergics
The nurse's primary responsibility for the care of a patient undergoing surgery is
(Safety) via Developing an individualized plan of nursing care for the patient
If a patient arrives for a scheduled surgery at 0900 with general anesthesia and says this " ", surgery will likely be cancelled (multiple options)
What is A. I don't have someone to drive me home B. I had a smoothie this morning C. I started antibiotics for a sinus infection yesterday D. I'm having a panic attack because I know I'm going to die today. I smoked meth in the parking lot.
State two actions by the surgical nurse that would contaminate a sterile field
Reaching across the sterile field, turning away from sterile field, placing items in sterile field that aren't sterile, leaving sterile field unattended, etc.
This type of anesthesia is applied directly to the skin and mucous membranes, producing loss of pain sensation at the desired site and can be used if the patient has recently eaten a meal.
What is topical anesthesia, a local anesthetic
Produces rapid unconsciousness and loss of sensation
What is general anesthesia
A 35 year old female who reports irregular menstrual periods must have this done before any surgery is performed
What is a pregnancy test
Why?
Which lab value must be reported to the surgeon prior to the procedure?
Blood urea nitrogen of 14
Platelet count of 200,000
Hgb of 10
Prothrombin time of 15 seconds
Prothrombin time of 15 seconds.
Normal is 11-12.5 seconds
Identify the rationale for the use of skeletal muscle relaxants during surgery and one nursing implication indicated in the care of the patient immediately postoperatively related to the drug
Produce deep muscle relaxation for intubation- monitor respiratory muscle movement, airway patency
Discharge teaching for the ambulatory surgery patient could include (List 3 items)
Pain Control, Signs of infection, Activity limitations, Follow-up appointments, Bathing instructions
Side effects of this type of anesthesia include hypotension, nausea, vomiting, urinary retention or a headache from leakage of CSF.
What is Epidural Anesthesia
Early ambulation helps reduce these three potential problems after surgery
What is atelectasis/pneumonia, deep vein thrombosis and constipation