Term
| A client holds a pillow against the incision while coughing. What is this called? |
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Definition
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Term
| A client takes a deep breath and forces it out in several short quick breaths. What is this called? |
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Definition
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Term
| A patient says to the nurse that he or she has a fear of dying,what do you do? |
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Definition
| Ask the client to explain. |
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Term
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Definition
| Atropine sulfate (prevents or reduces respiratory tract secretions) |
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Term
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Definition
| When an incision opens enough so that abdominal organs protrude. |
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Term
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Definition
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Term
| Formation of a blood clot in a vein |
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Definition
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Term
| In which order should sutures or staples be removed? |
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Definition
| every other one. Stop if incision line opens. |
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Term
| Lab test for blood clotting |
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Definition
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Term
| Patients most at risk for poor pain management |
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Definition
| children and mentally disabled |
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Term
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Definition
| Offer the client a clear liquid diet first. Progress to a full liquid diet, and finally a soft or general diet |
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Term
| Signs and symptoms of DVT |
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Definition
pain, swelling in one of both legs,warmth in the skin of the affected leg,redness of the leg,leg fatigue,visible surface veins
swelling,
warmth, and
redness. |
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Term
| Splitting open or separation of a surgical incision. |
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Definition
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Term
| What can be used to assist in deep-breathing exercises? |
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Definition
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Term
| What is a Homans' sign and what does it indicate? |
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Definition
| Pain behind the knee during dorsiflexion. It is a sign of possible thrombophlebitis. |
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Term
| What is the NPO time before surgery? |
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Definition
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Term
| What is the nurse's responsibility for client signatures? |
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Definition
| Make sure client (or legal guardian) signs all consent forms prior to anesthesia. Nurse may witness signatures. Nursing student may not. |
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Term
| What is the purpose of huffing? |
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Definition
| It helps loosen more secretions than just coughing. |
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Term
| What is the purpose of splinting |
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Definition
| relieves pressure on the abdominal suture line |
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Term
| What to ask client before surgery. |
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Definition
| Name, pain, underdstanding of procedure |
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Term
| What to do if a post-op patient complains of dizziness when getting out of bed. |
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Definition
| Assist the client with ambulation |
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Term
| When an incision opens enough so that abdominal organs protrude. |
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Definition
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Term
| composed of serum and blood |
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Definition
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Term
| direction to use (which way do you go) when irrigating an open wound? |
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Definition
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Term
| how can you get rid of post-op gas? |
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Definition
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Term
| how does a nurse give non-pharmacological pain remedy? |
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Definition
| offer massage,back-rub,repositioning |
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Term
| how does an incentive spirometer work? |
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Definition
| it provides visual feed back to let the client know if they are breathing right . |
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Term
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Definition
| composed of serum and blood |
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Term
| signs of infection after surgery |
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Definition
| Pain and redness around an incision occuring 2-3 days after surgery, elevated temp, pain, elevated WBC. |
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Term
| signs/symptoms of pre-op anxiety |
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Definition
| significant change in behavior,tachycardia,continuous questions, |
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Term
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Definition
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Term
| Pre-op test usually obtained for all clients older than 40 years |
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Definition
| An electrocardiogram (ECG) |
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Term
| what are Hemovac and jackson - pratt |
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Definition
| they are closed drainage systems |
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Term
| What is the priority of shock treatment. |
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Definition
| airway,breathing,& circulation |
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Term
| what are the sign and symptoms of shock? |
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Definition
Hypotension
Narrowed puse pressure
Tachcardia
restlessness
Difficulty breathing
Cyanosis
Extreme thirst
Cold, clammy skin
hypothermia
low oxygen saturation
slowed capillary refill
ringing in ears
difficulty seeing |
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Term
| what are typical post op complications? |
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Definition
| hemorrhage,shock,hypoxia,hypothermia |
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Term
| Define general anesthesia? |
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Definition
| it is an unconscious sedation.breathing is done artificially. |
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Term
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Definition
| it is a blockage of pain or sensation in a specific area of the body.it is also known as infiltration or topical anesthesia |
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Term
| what is a paralytic ileus? |
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Definition
| there is absence of peristalsis. |
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Term
| what is spinal anesthesia? |
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Definition
| this is a conduction nerve block that is injected into the sub-arachnoid space of the spinal cord. |
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Term
| what medication is often given post-op to reduce gas? |
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Definition
| symethicone (aka mylicon) |
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Term
| what steps does a nurse check before a pt goes to surgery? |
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Definition
1 I D band
2 Vital signs
3 fall risk
4 Blood id
5 Weight
6 Bathing and hygeine
7 remove jewelry and accesories
8 void before surgery
9 remove dentures
10 remove make-up,lipstick,etc
11 make sure client signs check list
12 administer pre-op meds
13 update charts
14 notify post-op |
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Term
| what would postpone a scheduled surgery? |
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Definition
| unsigned informed consent,if NPO orders were not followed. |
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Term
| When would planned pain medications usually be ordered? |
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Definition
| 30 minutes before painful procedures are performed and right after surgery. |
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Term
| How long before surgery should patients stop taking medications that affect blood coagulation? |
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Definition
|
|
Term
| where are consents signed before surgery? |
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Definition
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Term
| What kind of patient is typically high-risk for surgery? |
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Definition
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Term
| while witnessing a consent,what does the patient need to know? |
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Definition
| patient needs to know what is being done and why it is being done |
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Term
| who can sign a legal consent and what makes a consent legal? |
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Definition
A patient, unless they are a minor or mentally disabled. then their guardian signs it.
It's signed and witnessed BEFORE administration of pre-op meds. |
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Term
| why do patients go NPO before surgery? |
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Definition
| to prevent aspiration,nausea and vomiting |
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Term
| why do we teach patient about turning,coughing and deep breathing? |
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Definition
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|
Term
| why is shaving done on a client before surgery? |
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Definition
| to reduce the risk of infection. |
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