Shared Flashcard Set

Details

PeriOp Nursing
PeriOp Nursing
57
Nursing
Professional
08/08/2010

Additional Nursing Flashcards

 


 

Cards

Term

 

1.                  which of the following should a nurse include when teach outpatient. about up coming surgery

Definition

-          post-op nursing intervention

Term

 

2.                  who is responsible for all the risks and benefits

Definition

-          the surgeon

Term

3.                 what is the greates risk factor to a pt. that undergo the surgery anesthesia

Definition

-          aspiration

what do we do about that

-     NPO for 6 – 8 hrs before surgery

 

Term

4. pt. is scheduled for colostomy, and is very nervous; what is the most effective way for you to help this pt.

Definition

- encourage him to express his feeling about his greatest fear

Term

5. who has the legal capacity to give consent

Definition

-          anyone is 18 or older

Term

6. when pt. signed the consent form, what is the informed consist of

Definition

-          understanding the nature and the reason for the surgery

Term

7.  you’re giving pt. a pre-op enema, pt. started to cry and said ‘I’m sorry that you have to do this messy thing for me”; what is your best therapeutic answer

Definition

-          ask and open ended question find out what she is upset about

Term

8. pt. is going to have an exploratory laparotomy (opening of abdomen and look around) in the morning, what do you need to do first

Definition

- Phisohex shower (antibacterial wash)

 

Term

9. how should you respond to pt saying ‘what exactly am I going to have done in the surgery, what exactly they are going to do to me’

Definition

- your response is ‘what did the physician tell you’

Term

10.                  what is the best way to prevent infection on the wound

Definition

-          preparation of the skin over the surgical site before the surgery

 

*** preparation of the skin include pHisohex shower, shaving hairs….

 

 

Term
11. pt. is going for total knee replacement, how are you going to teach pt. about pain
Definition

-          teaching the pain scale 1 – 10

-          leg exercise to prevent pulmonary embolism

                     

*** pulmonary embolism is the blockage of the main artery of the lung

 

 

Term
12. when you are checking pt. in for surgical procedure, what is the most important thing to check
Definition

- pt.’ s ID

Term
13. what are some of the risk factors for aspiration? Who is at risk?
Definition

- obese pt.

- pts eating to close to surgical time (within 8 hrs b4 surgery)

- general anesthesia

Term
14. what is malignant hyperthermia
Definition

- is inherited disease that causes a rapid rise in body temperature (fever) and severe muscle contractions when the affected person receives general anesthesia

Term
15. who does malignant hyperthermia affect
Definition

- strong muscled men

- hereditary factors

Term
16. what cause malignant hyperthermia
Definition

- general anesthesia

Term
17. math: order = 1.4g IM med. reconstitute with 2.1mL NS after reconstituted the solution = 350mg/mL how much do you get
Definition

- 1.4g = 1400mg

1400mg / 350mg/mL = 4mL/2vial (bc 1 vial = 2.1mL)

Term
18. pt. is receiving conscience sedation for putting back his dislocated shoulder, as a nurse what are you going to assessed this pt
Definition

- LOC

Term
19. who can give anesthesia
Definition

- anesthesiologist

- anesthetist (s/b an RN)

Term
20. what is stage 1 of anesthesia
Definition

- is relaxation and analgesic state

- problem with communication, slurred speech, drowsiness

Term
21.                 what is the most dangerous stage for most pt. in general anesthesia
Definition

- stage 2 (excitement and delirium stage)

Term
22.                 what stage is the surgical stage of anesthesia
Definition

- stage 3

- muscles are relaxed, regular breathing, pt. cannot hear anything

Term
23. what is stage 4 of anesthesia
Definition

- is danger stage

- apnea, BP drops, cardiac arrest , respiratory arrest

- at this stage, pt. is dead on the table

Term
24. what is post-op period (from beginning to the ending)
Definition

- from the completion of surgery to the transferring to unit

Term

25. what is inter-operative period

Definition
- is the surgery period (from the time pt. transfer to and leave from the operating table)
Term
26. what is the purpose of PACU (Post Anesthesia Care Unit)
Definition

- continuous critical evaluation, stabilization and maintain airway of the pt.

Term
27. S/S of compromised airway
Definition

- noisy breathing

- pt. is agitated, restless, confused, S/S of hypoxia

Term
28. how do you treat pt. with stridor, noisy respiration and agitated
Definition

- open the airway (head tilt or jaw thrust for head or neck injury)

*** oxygen only works for hypoxia not for obstruction

Term
29. what is the most common object obstructed the airway that cause stridor
Definition
- the tongue
Term
30. what med. do you give to pt. immediately post-of to prevent laryngospasm
Definition

-          succinylcholine (anectine) (use for relaxing the muscle)

 

*** laryngosasm: vocal cord disfunction

 

Term
31.                 you are monitoring pt. and taking temperature, what is the body temperature reflex of
Definition

- thermo regulation

Term
32. an post-op pt. with hypothemic, what is your best action
Definition

 

-          give warm blanket, fluid

-          remove wet, bloody clothings from the surgery

 

Term
33. post-op pt. received general anesthetic, which of the following observations is your priority
Definition

- N/V

- mild hypertension

- decrease urinary output

- rising body temperature

why

- due to malignant hyperthermia

Term
34.                  what is characteristic of the drainage that you want to write down
Definition

- amount

- color

- consistency

- odor

 

• you would do all that for all body fluid (urine, NG suctioning, wound)

Term

35.                  before the doctor can change the dressing for the first time and the pt.’s dressing is saturated; what do you do

Definition

- reinforce the dressing (adding another layer of dressing on top)

Term

36.                 S/S of pt. become hypovolemia

Definition

- blood loss of at least 500mL

Term
37.                  before you medicate post-op pt. for pain, what information do you  want to gather first
Definition

- PQRST (Provoke, Quality, Radiates, Severity and Time)

Term

38. after the PQRST, what is your next step before giving medication

Definition

- check VS

Term

39. pt. with appendectomy (abd surgery), has temperature of 100 orally, pulse of 84, RR of 10 and BP of 120/72. which one requies immediate interventions

Definition

- respiratory

*** normal respiratory rate = 12 – 20

Term

40. you giving pain med. to pt., you come back about 45min. later pt. still complains about pain on the same place. What should you do

Definition

 

- reposition pt.

Term

41.                 S/S of atelectasis

Definition

-          pulse and respiratory elevated and BP can go either way

-          diminished lung sound, pallor, chest pain, shortness of breath

 

*** atelectasis is the partial collapse of a lung can cause breathing difficulty, chest pain, cough, diminished breath sound or no breath sound at all

 

Term

42. what is the most common complications of spinal anesthesia

Definition

- headache

Term

43. what do we do to prevent headache from spinal anesthesia

Definition

- keep pt. flat for 8-12 hrs

Term

44. what do you do when pt. started vomiting during the surgery

Definition

- turn pt. into the left side

Term

45. what electrolyte are we concern about losing during the prolonged surgery

Definition

- potassium

Term

46. to prevent pulmonary embolism in the post-op pt  what do we do

Definition

 

-          leg exercise to increase blood circulation to heart

Term
47. what is the purpose of ted hose
Definition
- to prevent blood clot
Term
48. pt. is ordered to ambulate, what is the first thing you have to do before ambulation
Definition
- take VS - check for orthostatic (sit up, dangling, standing)
Term

49. pt. tell you he feels a POP after his abd surgery and has a lot of pink serous fluid around the his dressing. What is the sign

Definition

- it is dehiscence (premature ‘bursting’ open of a wound along surgical suture)

Term

50. what do you do with dehiscence

Definition

-          put him supine

-          bend his knee

-          apply normal saline on the dressing

-          then call doctor

 

***            do the same with evisceration (the internal organ came out)

 

Term

51. what do you do with a full Jackson Pratt (wound drainage system) while assessing pt.

Definition

- empty it and before re-attach it, you have to squeeze it in to re-establish the suction

Term

52.                  S/S of infection from the post-op pt.

Definition

 

-          pus, redness, smelling and increased pain

-          elevated WBC

-     fever

Term

53. pt. had abd surgery, what do you use to splint the incision

Definition

- splint with hand if incision is small

- or with pillow if incision is larger (put right on the incision)

Term

54. what is the purpose of splinting incision

Definition

- to prevent dehiscence or evisceration

Term

55.        which of the following is the most important in your pre-op teaching plan as a nurse

Definition

-          answer any question the pt. might have

Term

56.                  when prepare pt. for surgery, what should you ask the pt. regarding of allergy

Definition

-     check if pt. allergic to the medication and also to iodine and shellfish

Term

 what position do we often put pt. in after surgery to help train secretion

Definition

to the left side

Supporting users have an ad free experience!