Preoperative
The surgical urgency of a nonthreatening condition
Elective
This team includes the surgeon, surgical assistants, and scrub nurses.
Sterile Team
Protrusion of internal organs through an incision
Evisceration
How to assess wounds for infection post-operatively?
warmth, reddness, swelling, and drainage
This learning domain involves storing and recalling information. It's the mental activity for processing information.
Cognitive domain
The combined effect of these two things can cause central nervous system depressed
Anesthesia and Alcohol
Anesthesia that produces rapid unconsciousness and loss of sensation
General Anesthesia
The nurse teaches splinting an area with a pillow while coughing after various surgeries (i.e. abdominal surgery) for these 2 reasons.
Provide support to the incision
Decrease discomfort associated with coughing
These 2 labs frequently required pro-operatively by most institutions.
CBC
UA
How do you determine learning needs?
assess what the client wants to know and what they already know
A parent or guardian of a patient may sign the informed consent when the patient is 1 of these 3.
Minor <18
Unconscious
Cognitively impaired
Time out, maintaining sterile field, monitoring I&O, Documentation
roles and responsibilities of the circulating nurse
SCDs, calf exercises, ambulation
DVT prevention methods
This classification of medications increase the risk of altering fluid and electrolyte balance.
Diuretics
What factors must you consider when developing a teaching plan for an older adult?
Allow extra time, introduce only a few topics at a time, stop occasionally for rest periods, assess for hearing/vision deficits and adapt style according to restrictions
Disease processes that can increase Surgical Risk
CV
-HTN, CHF, MI
Respiratory
-COPD, asthma, bronchitis
Coagulation Disorders
Liver disease
Diabetes
The patient may feel sleepy but is aware of his surroundings, can be easily aroused by touch or speech, and can talk with the surgical team
Concious Sedation
Post-operatively, this is the most important assessment
Airway
Mild temperature elevation is normal for how long after surgery?
24-48 hours
Give an example of a teaching strategy.
Lecture, group discussion, demonstration/return, one-to-one, digital/online sources, printed materials, role-modeling
Pre-operatively, the nurse instructs on these 2 methods to reduce the possibility of respiratory problems occurring.
Incentive Spirometer
Turn, Couch, and Deep Breathe
List an example of intra-operative complications
Malignant Hyperthermia, Risk for aspiration, fluid volume alterations, risk for positioning injuries, risk for bleeding
What is the priority nursing interventions for a patient with emergence delirium?
Safety
agents are infused through the catheter into the epidural space to produce loss of sensation space
Epidural Anesthesia
Knowing that little learning can occur without motivation, how can you motivate a learner?
Convey your interest in and respect for the learner, be enthusiastic, create an ideal learning environment, help the client identify a practical need, use rewards/incentives, help the client realize their health matters