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Details

CNA UNIT 29
The Surgical Patient
41
Nursing
Not Applicable
10/16/2012

Additional Nursing Flashcards

 


 

Cards

Term

Induce the patient to become unconscious :

A. General Anesthetics

B. Local Anesthetic

C. Spinal Anesthetics

D.procaine hydrochloride

Definition
A. General Anesthetics
Term

General Anesthetics :

A. Blocking receptors in the operative area

B. Blocking transmission of the pain sensation at the level of the spinal cord

C. Block reception of pain in the brain 

D. Induce loss of feeling in a specific area

Definition
C. Block reception of pain in the brain 
Term

Most fact of local anesthetics, accept :

A. Patient remains awake

B. loss of feeling in a specific area

C. Patient loses consciousness

D. used for abdominal surgery 

Definition

C. Patient loses consciousness

 

 

Term

Blocking  transmission of the pain sensation at the level of the spinal cord :

 

Definition
Spinal Anesthesia
Term
Preoperative care begins when
Definition
surgery is planned by the physician with the patient
Term

NA responsibility during preoperative care begin when :

 

 

 

Definition
When the patient admitted to the facility
Term

Planning for discharge period begins :

A. Preoperative

B. Operative

C. Postoperative

D. PAR (Post-anesthasia recovery)

Definition
A. Preoperative
Term
Exercises taugh in the preoperative periode are
Definition
  • Deep breathing and coughing
  • Leg exercise
Term
Area to apply depilatory cream to check the skin for sensitivity is 
Definition
the skin of the forearm ; wait 10 minutes, if redness occurs, do not continue but report to the nurse.
Term
During preoperative nurse determine the patient's special need and preoperative teaching, NA help nurse by
Definition
encourage patient with preoperative teaching
Term
Noscomial
Definition
Infections are acquired during the facility stay
Term

While patient is in the operating room, except :

A. prepare the room for the patient return

B. Nothing to do before patient return from surgery

C. prepare for the Vital signs

D. Watch for the return or your patient from surgery

Definition
B. Nothing to do before patient return from surgery
Term
Patient is placed in a special area when the patient     recovers from anesthesia during postoperative, is called
Definition
Postanesthesia care unit (PACU) or recovery room
Term

Upon the patient's return from the recovery room, you should :

A. leave the unconscious patient alone 

B. It is ok if the patient's temperature is below 97º

C. Have an extra blanket available

D. Do not have to identify the patient

Definition

C. Have an extra blanket available - many patients complain of feeling cold upon return


Wrong because

A.  never leave the unconscious patient alone at any time

B.  notify the nurse if <97º

D. indentify the patient upon the patient return from the recovery room

 

Term

During postoperative care, accept :

A. Temperature  always be taken at this time

B. Count pulse  and respiration for one full minute

C. Ask the patient if he or she is having pain each time you check VS

D. Blood pressure may not always be taken at this time

Definition

A. Temperature  always be taken at this time

Patient's temperature may not be taken at this time during postoperative care. But if the patient's  temperature is below 97º, inform the nurse promptly
Term

If the patient vomit during postoperative : 

 

Definition
Turn the patient's head to one side and support, if patient conscious allow the patient to rinse the mouth with water after vomiting. Note the type and amount of vomitus and  record on the output worksheet
Term

Some special precautions to be taken if drainages are present after patient return from surgery :

A. Raise drainage bottles above the level of the drainage site.

B.Allowe infusion bottles below the level of the infusion site

C. Report to the nurse when the levels of infusions run out

D. Never put stress on the tubes when moving the patient or giving care

Definition

D. Never put stress on the tubes when moving the patient or giving care

A. Wrong - Never raise drainage bottles above the level of the drainage site

B.Wrong - never lower infusion bottles below the level of the infusion site

C. Wrong - Monitor levels of infusions and report to the nurse before the levels of infusions run out


Term
During post operative, position should be change every
Definition
2 hours
Term
Temperature return to normal after surgery may take
Definition
2 to 5 hours
Term
Cough and deep breath are perform by the patient after surgery 
Definition
to prevent pneumonia (respiratory complication) which can lead to imobility and illness ; especially belly surgery
Term
Deep breaths and coughs are not perform for
Definition
Eye surgery, nose surgery and brain surgery ; cause pressure on the head and eye
Term
If medication for pain is to be administered before the exercise (deep breathing and leg), wait for
Definition
45 minutes
Term
Hair removing
Definition
depilatory
Term
TCDB
Definition
Turn, Cough & Deep Breath
Term
Area should not be shave during skin preparation  prior to surgery are :
Definition
  • Do not shave the neck or face of  a female patient 
  • Never shave the eyebrow
Term
The safety as soon as the nurse gives the preoperative medication :
Definition
  • Side rails up
  • call signal is within reach
  • Never allow pts to get up and go to the bathroom alone (assist with bedpan or urinal, if necessary)
Term
Leg exercises following surgery is to 
Definition

encourage steady circulation ; prevent blood clot (deep vein thrombosis (DVT)  that can lead to heart attack.

 

Term
Device used to help patient breath after surgery
Definition
Incentive Spirometer
Term
Explain why deep breath is very important to prevent pneumonia
Definition

Anesthesia used during surgery can affect how well our lungs work after surgery. Also, being inactive from surgery reduces the amount of oxygen taken in by our lungs since we don’t breath as deeply as we do when we are active, even just doing our daily activities. These shallower breaths keep the little air sacs in your lungs from filling with air. These sacs can flatten and their insides stick together like a water balloon after you let most of the water the water out. In order to get air back into these sacs, you need to take deep breaths and hold them. Holding your breath makes the sides of the little air sacs pop apart and the sacs fill with air. If you don’t get the little air sacs (alveoli) filled with air you may have complications like pneumonia.

Term
Deep breath and coughs usual number is
Definition
5 to 10 breaths and 2 to 3 coughs
Term
AANA (American Association of Nurse Anesthetists) recommend checking the temperature on pediatric patients receiving general anesthesia. Some experts recommend checking temperature while patients in the operating room every :
Definition

15 to 30 minute

 

 

Term
Before ambulate patient (initial ambulation)
Definition
  • Let the patient dangle (watch for vertigo and dizziness)
  • Check pulse before and after standing (if more than 10 points, put them to bed and notify the nurse)
Term
During postoperative care, take VS of the patient upon arrival every
Definition
  • 15 minutes for four readings, If stable
  • 30 minutes for 1 hour
  • every hour for 2 hours
  • every 4 hours for 24 hoursc
Term
If the patient was given a spinal anesthetic, during postoperative :
Definition
Patient remain flat on the back and without pillow for 8 to 12 hours to avoid headaches
Term
Gauze, film or other systhetic substances that cover wound is called,
Definition
Dressing
Term

Type of fabric, gauze, net or elasticized materials used to cover the dressing and keep it securely in place : 

 

Definition

Bandages

Elastic bandages are used to reduce edema and support injured

Term
Long strips of adhesive attached to the skin on either side of the wound, used to hold dressing in place
Definition
Montgomery straps
Term

Patient complaints of dryness of lips, mouth and skin :

A. Give ice chips or increase fluid intake by mouth with permission

B. Assist patient to breath into a paper bag

C. Limit fluids by mouth

D. Insert  a rectal tube

Definition

A. Give ice chips or increase fluid intake by mouth with permission ; give mouth care


B. Wrong - for incidence of hiccups

C. Wrong - patient nausea, vomiting, encourage the patient to breathe deeply

D. Wrong - if there is possible distention (accumulation of gas in bowel), if permitted and increase mobility

Term

Used to hold dressing in place, accept :

A. Montgomery straps

B. Binders

C. Bandages

D. Jactson Pratt

Definition

D. Jactson Pratt

Is a drainage outlet to drain fluid such as blood, pus, serous drainage caused by tissue trauma or gastric contents from it before or after surgery.

Term

Periopertative Hypothermia develops in the operating room, affect by :

A. anesthesia and some sedatives disrupt the internal ability to regulate temperature

B. factors such as age

C. Presence of chronic disease

D. body size

E. All above

 

Definition
E. All above
Term
Opening by the TED hose
Definition
to provide circulation
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