Term
| List five variable that increase surgical risk |
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Definition
| Age: very young and very old; obesity and malnutrition, pre-op dehydration/hypovolemia; pre-op infection use of anticoagualants (aspirin) pre-op |
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Term
| why is a client with liver disease at increased risk for operative complications |
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Definition
| Impairs ability to detoxify med used during surgery; impairs ability to produce prothrombin to reduce hemorrhage |
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Term
| Preoperative teaching should include demonstration adn explanation of expected post-op client activites. What activities should be included? |
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Definition
| Respiratory activites: Coughing, breathing, use of spirometerl exercises: range of motion, leg execrises, turning; Pain management: meds, splinting, dietary restrictions: NPO evolving to progressive diet; dressing and drains; orienation to recovery room enviroment |
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Term
| What items shoudl the nurse assist the client in removing before surgery? |
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Definition
| Contact lenses, glasses, dentures, partial plates, wigs, jewelry, prostheses, makeup and nail polish |
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Term
| how is the client positioned in the immediate post-op pd and why? |
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Definition
| Usually on the side or with head to side in order to prevent aspiration of any emesis |
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Term
| List three nursing actions that prevent post-op wound dehiscence and evisceration. |
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Definition
| Teaching client to splint incision when coughing; encouraging C&DB in early post-op od when sutures are strong; monitoring for s/s of infection, malnutrition, and dehydration; encouraging a high protein diet |
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Term
| Identify three nursing interventions that prevent post-op urinary tract infections. |
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Definition
| Avoiding post-op cath, increasing oral fld intake; emptying bladder Q4H to 6hr; early ambulation |
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Term
| Identify nursing/medical interventions that prevent post-op paralytic ileus |
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Definition
| Early ambulation, limiting use of narcotic analgesicsl NG tube decompression |
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Term
| List four nursing interventions that prevent post-op thrombophlebitis. |
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Definition
| Teaching performance of in bed leg exercises; encouraging early ambulation; applying antiembolus stockings; teaching avoidance of positions and pressures that obstruct venous flow |
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Term
| During the intraoperative pd, what activites should the operating room nurse do to ensure safety during the surgery? |
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Definition
| Ascertain correct sponge, needle and instrument count; position client to avoid injury; apply ground during electroacutery use; apply strict use of surgical aspepsis |
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