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The surgical Patient
test review
| Question | Answer |
|---|---|
| WHAT ARE THE FOLLOWING NURSING INTERVENTIONS RELATED TO THE USE OF PCA? | MAINTAIN SYSTEM, RECORD ACTIVATIONS, MONITOR PT. PAIN |
| _______SEDATION IS ROUTINELY USED FOR PROCEDURES THAT DO NOT REQUIRE COMPLETE ANESTHESIA BUT RATHER A DEPRESSED LEVEL OF CONSCIOUSNESS. | CONSCIOUS |
| A TYPE OF SURGERY WHERE AND AMPUTATION, EXCISION OF ANY PART OF BODY, OR REMOVAL OF A GROWTH & HARMFUL SUBSTANCE, IS PERFORMED. | ABLATION |
| LIST THE FOUR TYPES OF GENERAL ANESTHETICS GIVEN PER THE ANESTHESIOLOGIST. | STAGE 1-PT. AWAKE ENDS WITH LOSS OF CONSCIOUSNESSSTAGE 2- LOSS OF CONSCIOUSNESS, REG BREATHING ET LOSS OF EYE MOVEMENTSTAGE 3- ONSET OF REG. BREATHING, CESSATION OF RESPSTAGE 4- CESSATION OF RESP |
| WHAT IS DESIGNED TO RELIEVE OR REDUCE INTENSITY OF UNCOMFORTABLE SYMPTOMS WITHOUT CURE? | pALLIATIVE THERAPY |
| WHAT AFFIRMS THAT PT'S MUST GIVE INFORMED CONSENT BEFORE THE BEGINNING OF ANY PROCEDURE? | THE PT'S BILL OF RIGHTS |
| LIST THE ABC'S OF IMMEDIATE RECOVERY | AIRWAY, BREATHING, CONSCIOUSNESS, CIRCULATION, SYSTEM REVIEW |
| LIST THE SPECIFIC CONCERNS OF OLDER ADULTS AS RELATED TO MAJOR SURGICAL TX. | TEMP CHANGECARDIOVASCULAR SHIFTSRESP NEEDSRENAL FUNCTIONS |
| SURGERIES FOR WHICH COUGHING IS CONTRAINDICATED OR MODIFIED: | INTRACRANIAL EYEEARNOSETHROATSPINAL |
| wHAT IS THE SEPERATION OF A SURGICAL INCISION OR RUPTURE OF A WOUND CLOSURE; THIS MAY OCCUR WITHIN 3 DAYS TO OVER 2 WKS POSTOPERATIVELY? | DEHISCENCE |
| OBJECTIVE PAIN FACTORS THAT ARE DETECTABLE SIGNS THAT THE BODY IS RESPONDING TO PAIN | RESTLESSNESSDIAPHORESISV/S CHANGESFAVORING A BODY PARTPALLOR |
| NAME ONE OF THE BEST WAYS TO INCREASE A PT'S PERISTALSIS POSTOP | AMBULATION |
| THE NURSE KNOWS THAT HE/SHE SHOULD ASK THE PT EVERY ? IF SOMETHING IS NEEDED FOR PAIN B/C SOME PTS WILL NOT ASK FOR ANALGESIC | 3-4' |
| LIST S/S OF HYPOVOLEMIC SHOCK | THREADY PULSEDECLINING B/PCOOL & CLAMMY SKINREDUCED URINE OUTPUTRESTLESSNESS |
| HYPOVOLEMIC SHOCK IN POSTOP PERIOD IS FREQUENTLY CAUSED BY ? | INTERNAL HEMORRHAGE |
| GUIDELINES FOR ENSURING THAT ALL NURSING INTERVENTIONS ARE COMPLETED ON THE DAY OF SURGERY ARE LOCATED ON WHICH DOCUMENT? | PRE-OP CK LIST |
| IMMEDIATE POSTOP HYPOVENTILATION CAN RESULT FROM: | DRUGSINCISIONAL PAINOBESITYCHRONIC LUNG DISEASE OR PRESSURE ON DIAPHRAGM |
| TO ASSESS PT'S ? SYSTEM POSTOP, FREQUENT MONITORING OF PT'S V/S IS PERFORMED | CIRCULATION |
| THE NURSE KNOWS THAT IF THE ELECTROLYTE ? IS NOT AVAILABLE IN ADEQUATE AMTS IN THE BODY, DYSRHYTHMIAS CAN OCCUR DURING ANESTHESIA | POTASSIUM |
| EFFECTS OF EARLY POSTOPERATIVE AMBULATION | INCREASED CIRCULATION, INCREASED MICTURITION, INCREASED PERISTALIS |
| SIGNS OF PULMONARY EMBOLISM | DYSPNEATACHYCARDIACYANOSISDIAPHORESISHYPOTENSION |
| SURGERY IS CLASSIFIED AS: | ELECTIVEURGENTEMERGENCY |
| SURGERY IS PERFORMED FOR VARIOUS REASONS WHICH INCLUDE: | ABLATIONPALLIATIVERECONSTRUCTIVETRANSPLANTCONSTRUCTIVEDIAGNOSTIC STUDIES |
| ANY ? THAT IS RED OR HAS THE APPEARANCE OF "COFFEE GROUNDS" SHOULD BE REPORTED IMMEDIATELY; THIS CAN BE INDICATIVE OF INTERNAL BLEEDING | EMESIS |
| THE OPERATIVE PHASE IN WHICH THE NURSE IS ASSISTION WITH THE SPONGE & INSTRUMENT COUNT IS THE ? | INTRAOPERATIVE PHASE |
| WHAT ALTER NORMAL CLOTTING FACTORS & THUS INCREASE RISK OF HEMORRHAGING? | ANTICOAGULANTS |
| DEEP BREATHING & COUGHING PLACE ADDITIONAL STRESS ON A SUTURE LINE & CAUSE DISCOMFORT. ? DIRECTLY OVER AN INCISION PROVIDES FIRM SUPPORT AND REDUCES INCISIONAL PULLING | PILLOW SPLINTIN |
| WHEN AUSCULTATING FOR BOWEL SOUNDS THE NURSE SHOULD LISTEN FOR WHAT LENGTH OF TIME? | 1 MINUTE |
| THE NURSE USUALLY OBTAINS THE PT'S SIGNATURE ON THE ? | IMFORMED CONSENT |
Created by:
alkinse
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