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, p. 309
This type of herb needs to be avoided because it can increase bleeding
Garlic (also vitamin E, ginkgo, & fish oils)
Chapter 17, p. 304
This type of surgery is a carefully planned event
Elective surgery
Chapter 17, p. 301
This member of the healthcare interdisciplinary team is ultimately responsible for obtaining the patient’s consent for surgical treatment
The surgeon
Chapter 17, p. 310
This anesthesia technique requires advanced airway management
General anesthesia
Chapter 18, p. 323, Table 18-4
A nurse who follows the designated surgical hand antisepsis procedure, are gowned and gloved in sterile attire, and remain in the sterile field
A nurse who follows the designated surgical hand antisepsis procedure, are gowned and gloved in sterile attire, and remain in the sterile field
Chapter 18, p. 317
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. 301
This commonly used medication’s purpose is to prevent postoperative infection
Cefazolin (Ancef) – Drug class: Antibiotic
Chapter 17, p. 311, Table 17-8
This is the term used to describe drugs that are added to an inhalation anesthetic (other than an IV induction drug)
[i.e.: opioids, benzodiazepines, neuromuscular blocking agents, & antiemetics]
Adjuncts
Chapter 18, p 323
A nurse who remains in the unsterile field and is not gowned and gloved in sterile attire
Circulating Nurse
Chapter 18, p. 317
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. 332
This occurs for patients who are going to be admitted to the hospital on the day of surgery
Same-day admission
Chapter 17, p. 301
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. 319
When this type of adjunct is added to the anesthetic regimen a nurse must observe closely for airway patency and adequacy of respiratory muscle movement
Neuromuscular blocking agents
Chapter 18, slide # 8
The location where the patient’s immediate recovery is managed and where there is ready access to anesthesia and OR staff
ANSWER: Post-anesthesia care unit (PACU)
Chapter 19, p. 330
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. 331
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. 302
This is required of all sterile members of the surgical team (scrub nurse, surgeon, & assistant)
Surgical hand antisepsis
Chapter 18, p. 320
This classification of anesthesia is always injected
Regional anesthesia (or block)
Chapter 18, p. 324
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)
ANSWER: Hypoventilation
Chapter 19, p. 335
This type of monitoring provides a noninvasive means of assessing oxygenation and can provide an early warning of hypoxemia
Pulse oximetry
Chapter 19, p. 331
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. 302
This occurs just before the procedure starts to verify patient identification, surgical procedure, and surgical site
Surgical time-out
Chapter 18, p. 321
This method of administration maybe used for procedures involving the extremities (i.e. joint replacements) and lower gastrointestinal, prostate, and gynecologic surgeries
Spinal anesthesia
Chapter 18, p. 326