Term
| Chest tube is needed after what surgeries? |
|
Definition
| wedge resection, lobectomy |
|
|
Term
| A chest tube reestablishes |
|
Definition
|
|
Term
| Nurse needs to ensure that the chest tube is |
|
Definition
|
|
Term
| Nurse needs to encourage a patient with a chest tube to |
|
Definition
|
|
Term
| What indicates the pt does not need the chest tube anymore? |
|
Definition
|
|
Term
| As lungs expand after surgery there is a high risk for |
|
Definition
|
|
Term
| What comes out of a chest tube? |
|
Definition
| air, exudate (bc it is a wound) |
|
|
Term
| What type of medication might a patient with a chest tube need? |
|
Definition
Pain meds, it hurt to cough
also maybe abx to prevent infxn |
|
|
Term
| An increase in chest tube drainage may indicate |
|
Definition
|
|
Term
| The number cause of death in cancer patients is |
|
Definition
|
|
Term
| The number cause of death in cancer patients is |
|
Definition
|
|
Term
| The number one cause of infection is |
|
Definition
|
|
Term
| What numbers need to be checked before blood admin? |
|
Definition
| patient id number, blood number |
|
|
Term
| What numbers need to be checked before blood admin? |
|
Definition
| patient id number, blood number |
|
|
Term
| blood is usually given over |
|
Definition
|
|
Term
| How often should vitals be done during blood admin? |
|
Definition
| before, 15 min after starting, then every hour until it is done |
|
|
Term
| Symptoms of blood transfusion reaction |
|
Definition
| elevated resp, HR, cardiac arrest, elevated temp |
|
|
Term
| Blood can only be hung with |
|
Definition
|
|
Term
| What fluid is given intra-op |
|
Definition
|
|
Term
| What fluids are typically given post-op? |
|
Definition
|
|
Term
| what drug is administered if a patient is experiencing delirium/hallucations during 72 hour post-op withdrawl |
|
Definition
|
|
Term
| When is a patient placed on neutropenic precautions? |
|
Definition
|
|
Term
| A patient cannot recieve chemo if their ANC is less than |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Why would a foley be on traction? |
|
Definition
| so the urethra heals straight |
|
|
Term
| In pancreatitis, the pancreas is |
|
Definition
| self-digesting (activated enzymes squirt back in) |
|
|
Term
| Pancreatitis can cause ascites in |
|
Definition
|
|
Term
| How should a patient with ascites in the lungs be positioned? |
|
Definition
| semi-fowlers, so the fluid doesnt spread |
|
|
Term
| An abduction pillow prevents what after hip replacement surgery |
|
Definition
|
|
Term
| Should the elderly bathe daily? |
|
Definition
| NO, it will dry out their skin |
|
|
Term
|
Definition
|
|
Term
| What is the difference between osteoarthritis and rheumatoid arthritis? |
|
Definition
RA is in the small joints, symmetrical, ossification of joints
OA is in large joints, no ossification |
|
|
Term
|
Definition
|
|
Term
| Hepatitis is primarily caused by |
|
Definition
|
|
Term
| Dexamethasone should be given |
|
Definition
| at night, want to give before anything has the chance to stimulate the adrenals |
|
|
Term
| What is a percutaneous biopsy? |
|
Definition
| needle or core biopsy that obtains tissue by making a small puncture in the skin |
|
|
Term
| What is the least invasive breast biopsy? |
|
Definition
|
|
Term
| Fine needle aspiration only removes |
|
Definition
|
|
Term
|
Definition
| anesthesia has been given |
|
|
Term
|
Definition
| before skin incision (confirm patient, site, procedure) |
|
|
Term
|
Definition
| before patient leaves the OR, nurse verbally confirms procedure done, sponge counts are correct |
|
|
Term
| Smokers should quit how many weeks before surgery? |
|
Definition
|
|
Term
| Anticoagulants should be stopped how many days before surgery |
|
Definition
|
|
Term
| Should digoxin be held before surgery? |
|
Definition
|
|
Term
| Should synthroid be stopped before surgery? |
|
Definition
|
|
Term
| What medications interact with anesthesia? |
|
Definition
| thiazide diuretics, antihypertensives |
|
|
Term
| OTC/herbal medications should be stopped |
|
Definition
| 2-3 weeks prior to surgery |
|
|
Term
| Some anti-seizure may need to be held how many days prior to surgery? |
|
Definition
|
|
Term
| Steroids may affect what after surgery? |
|
Definition
| wound healing, they also hide infxn |
|
|
Term
| Post-op immobility can cause |
|
Definition
| pneumonia, thrombophlebitis |
|
|
Term
| Thrombophlebitis can lead to |
|
Definition
|
|
Term
| Tests that need to be done pre-op |
|
Definition
| chest x-ray, ekg, pulmonary function |
|
|
Term
| The surgical consent form is who's responsibility? |
|
Definition
|
|
Term
| True or False: meds cannot be given until surgical consent form is signed |
|
Definition
|
|
Term
| What needs to be taught by the nurse prior to surgery? |
|
Definition
-turn, cough, deep breath
-incentive spirometer
-leg exercises
-SCD's |
|
|
Term
| What foot exercise is essential? |
|
Definition
|
|
Term
| The patient should be NPO how long before surgery? |
|
Definition
|
|
Term
| What is the GI prep before surgery? |
|
Definition
|
|
Term
| What types of meds are usually given in the holding area? |
|
Definition
| narcotics, tranquilizers, anticholinergics, PPI's |
|
|
Term
| Why are narcotics given prior to surgery? |
|
Definition
-ease induction of anesthesia
-produce drowsiness, euphoria |
|
|
Term
| What specific narcotics are given before surgery? |
|
Definition
| morphine, demerol, fentanyl |
|
|
Term
| Narcan is an antidote for |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Examples of commonly used benzodiazapenes before surgery |
|
Definition
|
|
Term
| Why are benzodiazpenes given before surgery? |
|
Definition
-calm and relax pt
-ease induction of anesthesia
-enhance narcotics and sedatives |
|
|
Term
|
Definition
| hypotension, decreased resp |
|
|
Term
| After giving a benzodiazapene, vitals should be monitored how often |
|
Definition
|
|
Term
| Why are anticholinergics given before surgery? |
|
Definition
-decrease reflex bradycardia
-decrease secretions, saliva, GI
-decrease laryngospasms |
|
|
Term
| Examples of anticholinergics |
|
Definition
|
|
Term
| Anticholinergics cause increased |
|
Definition
|
|
Term
| Why are PPI's given before surgery? |
|
Definition
-decrease acid secretion
-prevent stress ulcers |
|
|
Term
|
Definition
| regional anesthesia, injected into epidural space, can move with low doses |
|
|
Term
|
Definition
| regional anesthesia, injected in CSF, cannot move lower extremities |
|
|
Term
|
Definition
|
|
Term
|
Definition
| pre-op to unconsciousness |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| excitement - muscle jerking |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| How long does it take for LOC to occur after induction? |
|
Definition
|
|
Term
| Induction is given prior to |
|
Definition
|
|
Term
| Most common IV induction agent |
|
Definition
|
|
Term
| Other IV induction agents |
|
Definition
|
|
Term
| What do IV induction agents cause? |
|
Definition
| unconsciousness, amnesia, decreases reflexes |
|
|
Term
| Inhalation agents are given during the |
|
Definition
|
|
Term
| What is the most common inhalation agents? |
|
Definition
|
|
Term
|
Definition
| halothane, isoflurane, suphane |
|
|
Term
| Neuromuscular blocking agents are given during what phase |
|
Definition
|
|
Term
| Neuromuscular blocking agents cause |
|
Definition
|
|
Term
| Neuromuscular blocking agents |
|
Definition
| pancuronium, vecuronium (common), succinylcholine chloride (SUX)--common |
|
|
Term
| What reverses benzodiazapenes? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Drugs are given to reverse the effects of the anesthetic agents during what phase |
|
Definition
|
|
Term
|
Definition
| familial, causes a fast rise in body temp and sever muscle contractions when the pt gets general anesthesia |
|
|
Term
| Malignant hyperthermia causes |
|
Definition
| metabolic and respiratory acidosis, increases in Ca, K |
|
|
Term
| Malignant hyperthermia is linked to |
|
Definition
| inhalation anesthetics (halothane) and succinylcholine (SUX) |
|
|
Term
| True or False: malignant hyperthermia is a medical emergency |
|
Definition
|
|
Term
| Symptoms of malignant hyperthermia |
|
Definition
| muscle rigidity, tachycardia, unstable BP, hypoxia, hyperkalemia, temp up to 108 |
|
|
Term
| Malignant hyperthermia tx |
|
Definition
| IV fluids, dantrolene (muscle relaxant) |
|
|
Term
|
Definition
| anesthetic over a large specific area |
|
|
Term
|
Definition
| anesthesia over a small area |
|
|
Term
|
Definition
| some of the nerves nearby |
|
|
Term
| Epidural anesthesia is usually a |
|
Definition
| continuous infusion (narcotics) |
|
|
Term
| What types of cases are epidurals used for? |
|
Definition
| ortho cases, vaginal, rectal, post-op analgesia |
|
|
Term
| Spinal anesthesia is used for procedures |
|
Definition
|
|
Term
| Spinal anesthesia can either be |
|
Definition
| single injection or continuous |
|
|
Term
|
Definition
| peripheral surgeries, upper extremities, short procedures |
|
|
Term
|
Definition
| inject anesthetic over nerve to block pain |
|
|
Term
| Moderate sedation requires vital signs how often |
|
Definition
|
|
Term
|
Definition
|
|
Term
| the patient needs to stay in PACU until |
|
Definition
| fully awake, VS stable, no complications--> can leave after 1 hr |
|
|
Term
|
Definition
| laryngospasm, bronchospasm |
|
|
Term
| When worried about resp post op, HOB should be |
|
Definition
|
|
Term
| Cardio issues usually occur when post op |
|
Definition
| within the first 72 hours |
|
|
Term
| Elevation decreases post op |
|
Definition
|
|
Term
| For post-op pain, patients are given which IM NSAID? |
|
Definition
|
|
Term
| What IV anti-emetics are given for post-op nausea? |
|
Definition
|
|
Term
| Categories of the aldrete score |
|
Definition
-Activity
-Consciousness
-Respiration
-O2 sat
-Circulation |
|
|
Term
| How is the activity part of the aldrete score scored? |
|
Definition
-2 Able to move 4 extremities voluntarily/on command
-1 Able to move 2 extremities voluntarily/on command
-0 Able to move 0 extremities voluntarily/on command |
|
|
Term
| How to score consciousness in the aldrete score? |
|
Definition
-2 full awake oriented x3
-1 arousable on calling
-0 not responding |
|
|
Term
| How to score the respiration part of the aldrete score? |
|
Definition
-2-able to cough and deep breath freely
-1-dyspnea, limited breathing
-0-apneic, assisted breathing (mechanic/manual) |
|
|
Term
| How to score the 02 sat portion of the aldrete score? |
|
Definition
-2- spO2 greater than 92%
-1-spO2 92% or greater with supplemental O2
-0-sp02 less than 92% with supplemental O2 |
|
|
Term
| How to score the circulation part of the aldrete score? |
|
Definition
-2- systolic change less than 20%
-1-systolic change 20%-49%
-0-systolic change >%50 |
|
|
Term
| What aldrete score does a patient need to transfer out of the PACU? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| "wind" usually occurs when |
|
Definition
| the first 24-48 hours post op |
|
|
Term
|
Definition
|
|
Term
| When does "water" usually occur? |
|
Definition
|
|
Term
| When do wound infxns usually occur post-op? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| When does thrombophlebitis usually occur post-op? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| bowel sounds return (usually 3 days) |
|
|
Term
| A patient with a pneumonectomy should be turned between |
|
Definition
|
|
Term
|
Definition
| pain, pressure, burning, frequency |
|
|
Term
|
Definition
|
|
Term
| How to prevent incontinence |
|
Definition
| tx underlying condition, empty bladder/toileting, kegals |
|
|
Term
| What tests diagnose incontinence? |
|
Definition
| PVR, bladder scan, KUB xray, bladder ultrasonography, CT, MRI, cystography, IVP |
|
|
Term
| a PVR of 50-100mL is ok for those older than |
|
Definition
|
|
Term
| Urolithiasis/Nephrolithiasis is associated with |
|
Definition
| hyperparathyroidism, increased vitamin D, increased calcium |
|
|
Term
| What is the number one way to prevent stones? |
|
Definition
|
|
Term
| Diet for uric acid stones |
|
Definition
| avoid shellfish, anchovies, asparagus, mushrooms, organ meat |
|
|
Term
|
Definition
|
|
Term
|
Definition
| avoid spinach, strawberries, rhubarb, chocolate, tea, peanuts, wheat bran |
|
|
Term
| Back/flank pain indicates |
|
Definition
|
|
Term
| What tests diagnose stones? |
|
Definition
| KUB xray, cystography, pyelography |
|
|
Term
|
Definition
| natural birth, forceps, c section |
|
|
Term
| True or False: IV fluids are given to help pass stone |
|
Definition
|
|
Term
| Bladder cancer occurs most often in |
|
Definition
|
|
Term
| How else are stones treated? |
|
Definition
| ureterscopy, lithotripsy, percutaneous nephrolithotomy |
|
|
Term
| Risk factors for bladder cancer |
|
Definition
| smoking, industrial chemicals |
|
|
Term
|
Definition
| painless hematuria, later on dysuria and frequency |
|
|
Term
|
Definition
|
|
Term
| Diagnostic tests for bladder cancer |
|
Definition
| UA, cystography with biopsy, IVP, MRI, CEA, ultrasound |
|
|
Term
| surgery for superficial lesions on bladder |
|
Definition
| transurethral resection w/electrocautery, laser photocoagulation, open loop resection/segmental resection, regular screening for invasive bladder cancer |
|
|
Term
| What is the surgical treatment for invasive bladder cancer w/o mets? |
|
Definition
| partial or radical cystectomy |
|
|
Term
| What is the tx for advanced stages of bladder cancer? |
|
Definition
| radiation (internal/external seeds placed), chemo (systemic/intravesical), hydrostatic water balloon strangles tumor |
|
|
Term
| What does intravesical mean? |
|
Definition
| treatment that is put directly in the bladder |
|
|
Term
| What is an ileal conduit? |
|
Definition
| surgery that removes the bladder, rest piece of ileum, ostomy formed, anastamose ureters to ileum, urine empties into bag |
|
|
Term
| What remains post op after an ileal conduit? |
|
Definition
| ureter stents, till swelling decreases |
|
|
Term
| True or False: an ileal conduit is a very bloody surgery |
|
Definition
|
|
Term
| Is it possible for the stents to get blocked? |
|
Definition
|
|
Term
| What should the nurse teach the pt to prevent nephritis (kidney infxn)? |
|
Definition
|
|
Term
| What should the nurse teach the pt to prevent lymphadema? |
|
Definition
| elevate legs, teds, foot care, leg exercises |
|
|
Term
| What should be used during ostomy care? |
|
Definition
| karya paste, a wick during changes |
|
|
Term
| Testicular cancers risk factors |
|
Definition
| cryptochidism (undescended testicle), men whose mothers took DES, family hx, high SES |
|
|
Term
| How often should a testicular self exam be performed? |
|
Definition
|
|
Term
|
Definition
| radical orchiectomy, retroperitoneal LND, chemo, radiation |
|
|
Term
| prostate cancer is usually asymptomatic unless |
|
Definition
|
|
Term
|
Definition
|
|
Term
| True or false: prostate cancer is the second leading cause of death in men |
|
Definition
|
|
Term
| Risk factors for prostate cancer |
|
Definition
|
|
Term
| Prostate cancer occurs most in |
|
Definition
|
|
Term
| When should screening for prostate cancer occur? |
|
Definition
|
|
Term
| What screening tests are done for prostate cancer? |
|
Definition
| Digital Rectal exam, PSA test (greater than 4 |
|
|
Term
| S&S of prostate cancer/BPH |
|
Definition
| difficulty initiating urine stream, hesitancy, emptying bladder, dysuria, nocturia, unexplained cystitis, painful ejaculation |
|
|
Term
| Diagnostic tests for prostate cancer/BPH |
|
Definition
| prostatic acid phosphatase, bone scan, transrectal ultrasound |
|
|
Term
|
Definition
| TURP, prostatectomy, 5-alpha reductase inhibitors |
|
|
Term
|
Definition
| radical prostatectomy, brachytherapy (strain urine, condoms, double flush), external radiation, chemo |
|
|
Term
| What chemo treatments are used to treat prostate cancer? |
|
Definition
hormonal
antiandrogen- lupron, zoladex, flutamide, proscar |
|
|
Term
| Prostate cancer can cause |
|
Definition
| sterility, possible impotence, sexual dysfunction, retrograde ejaculation |
|
|
Term
| The nurse should teach the pt to do what after sex |
|
Definition
|
|
Term
| Which chemo drugs are vesicants? |
|
Definition
| alkylating agents, mitotic spindle poisons |
|
|
Term
|
Definition
| Cytoxan, Busulfan, leukeran, cisplatin, carboplatin, cyclophosphamide |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
