Chapter 42

49 cards

Care of the Surgical Patient


 
  
Created Oct 4, 2011
by
txsugar33

 

 
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1
Pre-op information helps with what things?
 

Lessens Anxiety

Decrease amount of anesthesia needed

Decrease post surgical...

2

True or False?

Avoid questions that can be answered yes or no?

 
True
3
Pre-op considerations for Ginger?
 

Risk of prolonged clotting times

Discontinue beofre surgery

Assessment should...

4
When is pre-op teaching done?
 
1-2 days before surgery
5
Pre-op considerations for Valerian Root?
 

DOn't use with sedatives or anxiolytics

May increase effects of CNS depressants

6
Following surgery is called?
 
Post-op
7
Pre-op considerations of St. Johns Wart?
 

DOn't use with psychoactive drugs, MOI's, or Seratonin Reuptake Inhibitors

Discontinue...

8

Which latex allergy?

Cell mediated response to the chemical irritaqnts found in...

 
Type IV
9
_____ & _____are the prophylactic treatments for latex allergies to pre-op patients?
 

Glucocorticoid Steroids

Antihistimines

10
Risk factors for latex allergy include ______?
 
Kiwi, bananas, avacodos, chestnuts, pointsetta plants, history of alergies and asthma
11

Which latex allergy?

True latex allergy

Occurs after exposure to proteins...

 
Type I
12
What are the 3 classifications of latex allergies
 

Irritant

Type IV

Type I

13
When is GoLYTELY contraindicated?
 
In patients with GI obstruction, gastric retention, bowel perforation, toxic colitis, mega...
14
During surgery is called ____?
 
Intra-op
15
_____nursing refers to the role of the nurse during the pre-op, intra-op, and post-op phase...
 
Peri-op
16
____ is an amputation or excision of any part of the body or removal of a growth or harmful...
 
Ablation
17
Before surgery is called _____?
 
Pre-op
18
The 4 primary purposes of the Incentive Spirometer?
 

Prevent / Treat Atelectasis

Increase lung expansion

Increase Oxygenation

Prevent...

19
After removal of a cath post-op a nurse should teach the patient to drink ___oz of fluid per...
 
8
20
Collapse of lung tissue is called _____?
 
Atelectasis
21
Which patients is reflexology contraindicated in?
 

Heart problems

BP problems

Epilepsy

Diabetes

22
When is a cath removed post-op
 
1-2 days
23

True or False?

After general anesthesia the urinary bladder tone is increased?

 
False - Decreased
24

Which latex allergy?

Most commonly seen

Actually a non-allergic reaction

 
Irritant reaction
25
Pre-op considerations for Feverfew?
 

Has anticoagulant factors

Assessment should include clotting studies

Discontinue...

26
A patient should void within ____hr after surgery?
 
6-8
27
Teaching coughing to post-op patient is contraindicated in which patients? WHY?
 

Cranial & Spinal-related surgeries

Cataract surgery patients

 

Increases...

28
_____is a disorder in which the normal flow of fluid through a vessel of the body is slowed...
 
Venous Stasis
29
How would a wound be covered when open (as in evisceration or dehiscence)?
 
COver with sterile towel moistened with sterile saline (warm)
30
BREAK TIME BREAK TIME BREAK TIME
 
BREAK TIME BREAK TIME BREAK TIME
31
Normally dressings are not changed but are reinforced during the first 24hr. To accuratley...
 
Circle the drainage markings on the dressing and write time and date on it.
32
_____is the separation of a surgical incision or rupture of a wound closure.
 
Dehiscence
33
NI for patients receiving Opioid Analgesics?
 
MOnitor for Resp depression, N/V, Orthostatic hypotension, pruritis.
34
_____is a localized area of necrosis. (without adequate blood supply)
 
Infarct
35

True or False?

Surgery *cancels all orders* and must be rewritten?

 
True
36
When a thrombus is dislodged and begins to travel to the heart, lungs, or brain it is called...
 
Embolus
37
If edema, aching, cramping, sensitivity, or pain occurs in the calf (+Homans sign) or leg,...
 
Thrombus
38
_____is a protrusion of an internal organ through a wound or surgical incision, especially...
 
Evisceration
39
_____is ill health, malnutrition, and wasting as a result of chronic disease?
 
Cachexia
40
_______is a core temp of less than 98.6 F & occurs in 60-80% of all post-op pt.'s?
 
Hypothermia
41
During recovery how often would vitals be taken?
 
Every 15min
42
_____is an accumulation of platlets, fibrin, clotting factors, and cellular elements of the...
 
Thrombus
43

Scrub Nurse or Circulating Nurse?

 

Performs surgical hand scrub

Dons...

 
Scrub
44
Before ambulating pt. for the first time....what NI should nurse perform?
 
Have pt. sit on side of bed (legs dangling) to become accustomed to upright position.
45
How long would you listen for bowel sounds ____?
 
One full minute in each quad.
46
_____is an involuntary contraction of the diaphram followed by rapid closure of the glottis....
 
Singultus (hiccups)
47
Unless the pt. has other problems (decreased renal excretion r/t renal failure, or advanced...
 
2000-2400
48
What steps would the nurse take when a pt. appears to be going into shock?
 

Admin O2 or increase rate of delivery

Raise pt.'s legs above level of the heart

Increase...

49
AKA Singultus
 
Hiccups

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