KEY TERMS
An active, shared decision-making process between the HCP and recipients of care in which 3 specific conditions (adequate disclosure, understanding, and consent given voluntarily) must be met
INFORMED CONSENT
CHAPTER 17, PG. 307
This type of herb needs to be avoided because it can increase bleeding.
GARLIC
(also vitamin E, ginkgo, & fish oils)
Chapter 17, p. 302
This type of surgery is a carefully planned event.
Elective surgery
Chapter 17, p. 300
This member of the healthcare interdisciplinary team is ultimately responsible for obtaining the patient’s consent for surgical treatment.
The surgeon
Chapter 17, p. 307
The result of an increase in bronchial smooth muscle tone with resulting closure of small airways.
Bronchospasm
Chapter 19, pg. 332
A nurse who follows the designated surgical hand antisepsis and glove and gown sterile attire and prepares and manages the sterile field and instrumentation.
CHAPTER 18, PG. 315
Most agencies require this type of test for all women of childbearing age before surgery.
Pregnancy test
Chapter 17, p. 306
This type of surgery arises with an unexpected urgency.
Emergency surgery
Chapter 17, p. 300
This commonly used medication’s purpose is to prevent postoperative infection.
Cefazolin (Ancef) – Drug class: Antibiotic
Chapter 17, p. 309, Table 17.8
Deep breathing
Chapter 19, pg. 335
A nurse who remains in the unsterile field, facilitates the progress of the procedure, and keeps documentation.
CIRCULATING NURSE
CHAPTER 18, PG. 315
This is the first sense to return in an unconscious patient.
Hearing
(Therefore, explain all activities to the patient from the moment of admission to the PACU)
Chapter 19, p. 329
This occurs for patients who are going to be admitted to the hospital on the day of surgery.
Same-day admission
Chapter 17, p. 300
This element of the preoperative assessment provides information of past and present history, current health status, and potential for infection and other complications.
Chart review
Chapter 18, p. 316
This is the most common cause of hypotension in the PACU.
Fluid and blood loss
(can lead to hypovolemic shock)
Chapter 19, pg. 336
The location where the patient’s immediate recovery is managed and where there is ready access to anesthesia and OR staff.
Post-anesthesia care unit (PACU)
Chapter 19, p. 328
A nurse’s initial assessment on admission of the patient to the PACU should include an evaluation of this.
Patient’s ABCs (Airway, breathing, & circulation) status
Chapter 19, p. 329
This type of surgery is the method of the majority of surgical procedures, uses minimally invasive techniques, and is often preferred by patients and HCPs.
Ambulatory surgery
Chapter 17, p. 300
This is required of all sterile members of the surgical team (scrub nurse, surgeon, & assistant).
Surgical hand antisepsis
Chapter 18, p. 317
The most important aspect of a nurse's cardiovascular assessment in order to prevent cardiovascular complications.
Frequent vital sign monitoring
Chapter 19, pg. 336
A common complication in the PACU and is characterized by a decreased respiratory rate or effort, hypoxemia, and an increasing partial pressure of arterial carbon dioxide (PaCO2)
Hypoventilation
Chapter 19, pg. 332
This type of monitoring provides a noninvasive means of assessing oxygenation and can provide an early warning of hypoxemia.
Pulse oximetry
Chapter 19, p. 329
These procedures can be performed using general, regional, or local anesthetic and require less than a 24-hour stay postoperatively.
Ambulatory surgery
Chapter 17, p. 300
This occurs just before the procedure starts to verify patient identification, surgical procedure, and surgical site.
Surgical time-out
Chapter 18, p. 319
A postoperative patient should be positioned in this ____ position to keep the airway open and reduce risk of aspiration if vomiting occurs.
Lateral "recovery" position
Chapter 19, pg. 335