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
A patient with an avocado allergy might also be allergic to?
What is latex
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)
Events such as *surgery on the wrong body part *surgery on the wrong patient *foreign body left in a patient after surgery *surgical site infections after certain elective procedures *wrong surgery on patient would be considered?
Never or sentinel events
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, Dantrolene
These types of medications can increase the risk for cardiac dysrhythmias, interfere with metabolism of anesthetics because of their effects on the liver, increase potential for excessive bleeding, decrease cerebral blood flow, cause HTN, increase the effects of opioids and sympathetic nervous system stimulants
What are herbal and alternative medications
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?
3 reasons why the elderly are greater surgical risks than adults and children
Decreased thirst, decreased body water in body, decreased kidney/liver/cardiac function, more likely to have chronic illness, decreased sensory function, difficult to extubate
Identify the rationale for the use of vecuronium 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