Pre-Op
verification of this is critical when client arrives to OR and before surgery begins
imaginary bonus points: What is this check called?
What is verification of the correct client and anatomical site for surgery?
What is Time Out for Surgery?
The client who is still unconscious post-op should be placed in this position until protective reflexes return and the client is alert enough to prevent aspiration.
What is side-lying?
the wound edges separate; signs include increased drainage, opened wound edges, and the appearance of underlying tissues through the wound
What is dehiscence?
Client is a smoker. The client should not smoke for at least __ hours before surgery
What is 24 hours?
If conscious sedation is used, the client is expected to be ....
What is sleepy but arousable for several hours after the procedure; when oral intake is allowed, the nurse must ensure that the client is awake and is positioned to prevent aspiration?
These are your priority assessments for any patient in post-anesthesia care
What is ABC: Airway, Breathing, Circulation
level of consciousness, vital signs
internal organs and tissues protrude through an opening in the wound edges; the client may report a popping sensation after coughing or turning.
What is evisceration?
These instructions should be provided to the client discharge following abdominal surgery. Name at least 3
What is instruct the client with an abdominal incision not to lift anything weighing 10 lb (4.5 kg) or more (or as prescribed by surgeon) & not to engage in activities that involve pushing or pulling. ; Instruct on use of meds: purpose, dosage, admin, & s/e. ; Instruct the client on diet & remind to drink 6-8 glasses of liquid a day, unless contraindicated. ; Tell client to resume normal activities gradually. ; Instruct client to avoid lifting for 6 weeks (or as prescribed by the surgeon) if a major surgical procedure has been performed ; Instruct on signs/symptoms of complications & explain when to call surgeon.
A client who is having abdominal surgery should always receive teaching on this in the pre-op stage.
What is how to splint an incision; how to turn and reposition oneself and get out of bed; coughing and deep breathing?
This nurse is directly involved in maintaining the sterile field, assisting with the surgical procedure, and handling sterile instruments. They also monitor patient safety related to sterile technique and help the surgical team with instruments.
What is a Scrub nurse?
This is a normal affect of anesthesia in the immediate post-op period but must still be addressed, which may result from anesthesia, a cool operating room, and exposure of the skin and internal organs during surgery.
What is hypothermia?
To prevent post-op complications of atelectasis or pneumonia, the client should be encouraged to...
What is Reposition the client every 1 to 2 hours; encourage deep breathing, coughing, and the use of the incentive spirometer. (Perform suctioning to clear secretions if client is unable to cough.)
Post-op pain management often consists of a combination of two or more of these classes of medication
What is NSAID, acetaminophen and opioid
If a client arrives for a scheduled surgery 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
This nurse is responsible for the overall environment of the operating room. They ensure that the sterile field is maintained, assist with documentation, manage supplies, and provide communication between the operating room and other areas of the hospital (such as the blood bank, laboratory, and family members).
What is the Circulating nurse?
These are applied to promote venous return, strengthen muscle tone, and prevent pooling of blood.
What is intermittent-pulsation compression device as prescribed or anti-embolism stockings?
To prevent constipation after surgery, the nurse should...(list at least 3 interventions)
What is fluid intake of as much as 3000 mL/day, unless contraindicated; early ambulation; the consumption of fiber-rich foods, unless contraindicated; & the use of stool softeners & laxatives, if prescribed. Be sure to provide privacy and adequate time for elimination.
aPTT should be 1.5 to 2.5 times normal when the client is undergoing when the client is receiving this medication
AND the nurse will implement this if the aPTT is prolonged (longer than 90 seconds)
What is Heparin?
What is implement bleeding precautions?
These are part of the pre-operative checklist - name at least 5
What is
Monitor the client for objective data related to pain, which include....
What are facial expressions, body gestures, increased pulse rate, increased blood pressure, increased respirations?
Cardiovascular complications of surgery include hemorrhage, shock, and pulmonary embolism. Select one of these and provide at least 3 S/S
What is hemorrhage & shock: bleeding, restlessness, weak & rapid pulse, hypotension, tachypnea, cool & clammy skin, & decreased UO.
Alterations in this electrolyte, both high and low, put a patient at risk for cardiac arrhythmias
Imaginary Bonus points: What is the normal range?
What is potassium?
What is 3.5 - 5