Adult Health Nursing: Ch. 2 Care Of The Surgical Patient Lpn Class Of 2017

Front 1

Surgery

Back 1

is the area of medicine that addresses diseases, conditions, and traumatic injuries tat are difficult or impossible to treat only with medicines.

Front 2

Elective Surgery

Back 2

not necessary to preserve life and may be performed at a time the patient chooses.

Front 3

Urgent Surgery

Back 3

required to keep additional health problems from occurring.

Front 4

Emergent Surgery

Back 4

is performed immediately to save the individuals life of to preserve the function of a body part of system.

Front 5

Perioperative Period

Back 5

encompasses the preoperative, intraoperative, and postoperative phases.

Front 6

Perioperative Nursing Stresses...

Back 6

the importance of providing continuity of care for the surgical patient by using the nursing process.

Front 7

This age group does not tolerate major surgical procedures as well as patients in other age groups.

Back 7

Young and Old

Front 8

This age group has higher morbidity and mortality rates when undergoing surgery than other age groups.

Back 8

Older Adults

Front 9

____________ is more important factor than age when considering the benefits and risks of surgery.

Back 9

The individuals current health status

Front 10

Older adults have and increased risk of... while undergoing surgery.

Back 10

aspiration, atelectasis, pneumonia, thromnus formation, infection, and altered tissue perfusion

Front 11

The older surgical patient is more likely to experience....

Back 11

disorientation and toxic reactions after administration of anesthetics

Front 12

Inpatient

Back 12

patient hospitalixed for surgery.

Front 13

One-Day (same day surgery)

Back 13

Patient is admitted the day surgery is scheduled and discharged the same day.

Front 14

Outpatient Surgery

Back 14

Patient (not hospitalized) is admitted either to a short-stay unit or directly to the surgical suite.

Front 15

Short-stay surgical center

Back 15

Independently owned agency; surgery is performed when overnight hospitalization is not required ( also called an ambulatory surgical center of one- day surgery center).

Front 16

Short-stay unit

Back 16

Department of floor where a patient does not exceed 24 hours ( sometimes referred to as an outpatient/observation unity.)

Front 17

Mobile surgery unit

Back 17

a unit that moves from place to place; it goes to the patient instead of the patient traveling to the unity.

Front 18

If malnutrition is promptly identified after surgery...

Back 18

tube feeding, intravenous (IV) therapy, or total parenteral nutrition can be initiated.

Front 19

ABCDEF mnemonic device to ascertain serous illness or trauma in the preoperative patient...

Back 19

A- Allergy to meds, chemical, surrounding environmental products.

B- Bleeding tendencies, or meds that deter clotting

C- Cortisone or steroid use

D- Diabetes mellitus

E- Emboli: previous embolic events

F- Fighting ability (immune system)

Front 20

The preoperative anxiety levels influences...

Back 20

the amount of anesthesia needed, and the amount of postoperative pain medication needed.

Front 21

Common Fears associated with surgery...

Back 21

fear of

loss of control

the unknown

anesthesia ( waking up during surgery)

pain or inadequate post-op analgesia

disruption of life patterns

death

separation of family

change in body image

detection of cancer

Front 22

It is essential to ask about ALL medications being used, including....

Back 22

herbal remedies/ preparations. Most people do not view herbs as medication. Vitamins must also be addressed.

Front 23

Nurse should assess for _____ __ _____ that may be used during any phase of the perioperative period.

Back 23

allergies to drugs

Front 24

What is done to have a baseline for post-op comparison...

Back 24

vitals signs, height, and weight should be measured before surgery.

Front 25

Teaching before surgery helps reduce...

Back 25

1) anxiety associated with fear of the unknown

2) amount of anesthesia needed

3) postsurgical pain

4)corticosteriod production

Front 26

Avoid questions that can be...

Back 26

answered yes or no

Front 27

Ideally preoperative teaching is provided ____ before surgery.

Back 27

1 or 2 days

Front 28

The nurse should explain that vital signs, dressings, and tubes are assessed every...

Back 28

15-30 minutes until the patient is awake and stable.

Front 29

Preoperative Preparation includes

Back 29

Lab tests and diagnostic imaging

informed consent

GI prep

Skin prep

Latex allergy considerations

Respiratory prep

Cardiovascular considerations

Vital Signs

Genitourinary considerations

Surgical wound explanation

Pain teaching

tube teaching

Pre-op meds

Anesthesia

Pre op checklist

Transport to OR

Preparing for the post op patient

Front 30

Lab test commonly reviewed before surgery include

Back 30

urinalysis, a complete blood count, a blood chemistry profile to asses endocrine, hepatic, renal and cardiovascular functions.

Front 31

Serum electrolytes are evaluated if extensive surgery is planned because...

Back 31

abnormal serum levels can result in harmful developments. EX. abnorm serum potassium levels can lead to dysrhythmias before and after surgery.

Front 32

The Patient's Bill of Rights affirms that ____ _____ must be given before any procedure begins.

Back 32

informed consent

Front 33

The nurse often acts as a witness when a consent form is signed. The nurse cannot...

Back 33

verify that the patient understood the procedure, the nurse can only verify that who ever signed the form is who they say they are.

Front 34

In a life threatening emergency situation, if the patient is unable to give consent and no one can be located to assume this responsibility...

Back 34

the surgeon can legally perform surgery.

Front 35

If family members object to surgery that the physician believes is essential, a ____ ____ may be obtained for the procedure.

Back 35

court order; often occurs in the case of an adolescent

Front 36

NPO status can increase...

Back 36

anxiety levels, thirst, dizziness, and hunger.

Front 37

A patient on NPO status can have...

Back 37

oral care, but should be cautioned to not swallow any fluids used.

Front 38

Anesthesia relaxes the bowel, therefore

Back 38

a bowel cleanser may be ordered to lessen post-op GI problems.

Front 39

If bowel prep is given,

Back 39

the nurse should chart the type of prep and the patients tolerance to the procedure.

Front 40

Latex allergy occurs in 3 ways:

Back 40

irritant contact dermatitis

Type IV allergic reaction

Type I allergic reaction (true latex allergen)

Front 41

A patient with a latex allergen must...

Back 41

have a medical alert/ allergy band placed on wrist and clearly flagged on the patients medical record.

Front 42

It is essential to ventilate the lungs post-op to

Back 42

prevent or treat atelectasis, improve lung expansion, improve oxygenation, and prevent post op pneumonia

Front 43

Incentive Spirometry use is normally

Back 43

8 to 10 breaths hourly during waking hours.

Front 44

Coughing is a good technique except when contradicted by...

Back 44

cranial and spine injuries.

Front 45

Leg exercises should be encouraged to prevent

Back 45

blood stasis which cause the formation of a thrombus the embolus.

Front 46

SCDs Sequential compression device or Antiembolism stockings...

Back 46

are worn to help prevent blood stasis in the veins.