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68WM6 Ph 2 Test 3WO

68WM6 Ph 2 Test 3

Question	Answer
surgery for the excision or removal of diseased body part	ablation
absence of feeling/pain	anesthesia
the collapse of lung tissue	atelectasis
ill health, malnutrition, and wasting as a result of chronic disease	cachexia
tissue breakdown	catabolism
the administration of drugs that depress the central nervous system or provide analgesia to relieve anxiety or provide amnesia during surgical diagnostic procedures	conscious sedation
the separation of a surgical incision or rupture of a wound closure	dehiscence
the removal of fluids from a body cavity, wound, or other source of discharge by one or more methods	drainage
a dislodgeed thrombus	embolus
protrusion of an internal organ through a wound or surgical incision	evisceration
remove endotraceal tube from airway	extubate
substances that slowly seep from cells or blood vessels through small pores in cell membranes	exudate
use of a device to promote deep breathing	incentive spirometry
cuts produced surgically by a sharp instrument to create an opening into an organ or body space	incisions
localized area of necrosis	infarct
consent of the patient to a surgery that acknowledges the patient's understanding of what is going to happen and why, along with possible complications	informed consent
during surgery	intraoperative
surgery for relief or reduction of intensity of disease symptoms; will not produce cure	palliative
decrease or absence of intestinal peristalsis	paralytic ileus
before, during, and after surgery	perioperative
after surgery	postoperative
artificial replacement for a missing part of the body	prosthesis
hiccup, or involuntary contraction of the diaphragm	singultus
branch of medicine concerned with diseases and trauma requiring operative procedures	surgery
sterile technique	surgical asepsis
an accumulation of platelets, fibrin, clotting factors, and cellular elements of the blood attached to the anterior wall of a vessel	thrombus
purposes of surgery	dignostic, ablation, palliative, reconstructive, transplant, constructive, cosmetic
surgery that is not necessary to preserve life and may be performed at a time the patient chooses	elective surgery
surgery required to keep additional health problems from occuring	urgent surgery
surgery performed immediately to save the individual's life or preserve the function of a body part	emergency surgery
the term referring to the nurse's role throughout the surgical process	perioperative nursing
factors influencing an individual's ability to tolerate surgery	age, physical condition, nutritional factors
considerations for older adult surgical patient	higher morbidity rate, greater stress on the body, recover more slowly, risks are increased, disorientation and toxic reactions to anesthesia, teaching may require extra time, any physical impairment
a list of tasks and assessments to be made before surgery, must be completed before patient is transferred to surgical unit	preoperative checklist
why is informed consent important?	informed consent verifies that a patient understands the procedure and consents to it; it is protection for the provider against possible legal issues later
4 exercises that are important for all postoperative patients	turning, deep breathing, coughing, leg exercises
why is turning important in postoperative patients?	to prevent pressure ulcers, atrophy, and improve circulation and ventilation
why is deep breathing important in postoperative patients?	to fully expand the lungs following surgery
why is coughing important in postoperative patients?	to fully expand the lungs, and expel any sputum accumulated during surgery
why are leg exercises important in postoperative patients?	to improve circuation and prevent the formation of a thrombus
this type of anesthesia results in an immobile, quite patient who does not recall the surgical procedure	general anesthesia
this type of anesthesia results in loss of sensation in an area of the body	regional anesthesia
this type of anesthesia results in loss of sencation only at the desired site	local anesthesia
the administration of drugs that depress the central nervous system or provide analgesia to relieve anxiety or provide amnesia during surgical diagnostic procedures	concious sedation
role of the scrub nurse during surgery	sterile, maintains sterile field and instruments, keeps count of instroments and supplies, identifies and handles surgical specimens
role of the circulating nurse during surgery	clean, prepares patient, positions patient, counts supplies with scrub nurse, assists scrub nurse with sterile field, cares for surgical specimens
initial care following transfer from PACU includes:	airway, breathing, conciousness, circulation, and system review
nursing interventions that help prevent postoperative complications	proper vitals monitoring, observation and care of the incision(s), assuring proper ventilation (deep breathing, coughing), managing pain, monitoring urinary function, preventing venous stasis (exercise), early ambulation
assessment data for the surgical patient	prior surgery, allergies, medication, drugs/alcohol, smoking status, physical condition, at risk data, emotional status
information needed for discharge of a postoperative patient	wound care, action and side effects of medications, activity restrictions, dietary restrictions, symptoms to be reported, where and when to followup
surgical exploration that allows physician to confirm diagnosis; may involve removal of tissue for further diagnostic testing	diagnostic
surgery to restore function or appearance to traumatized or malfunctioning tissue	reconstructive
surgery to replace malfunctioning organs	transplant
surgery to restore fuction lost or reduced as a result of congenital abnormalities	constructive
surgery for the alteration of personal appearance	cosmetic
before surgery	preoperative
surgical joining of two ducts or blood vessels to allow flow from one to another; to bypass an area	anastomosis
surgical removal of	-ectomy
destruction or dissolution of	lysis
surgical repair of	-orrhaphy
direct visualization by a scope	-oscopy
opening made to allow the passage of drainage	-ostomy
opening into	-otomy
fixation of	-pexy
plastic surgery	-plasty
surgeries in which coughing postsurgically is contraindicated	intracranieal, eye, ear, nose, throat, and spinal surgeries
the process that removes drugs from the body	elimination
the time required to reduce the concentration of a drug in the body by 50%	half-life
relative sympathetic and parasympathetic nervous system homeostasis	autonomic stability
inability of muscles to contract or maintain resting tone	muscle relaxation
medication that reverses the effects of narcotics	naloxone
medication that reverses the effects of benzodiazepenes	romazicor/flurazenil
anesthesia achieved by placing local anesthatic into the subarachniod space	spinal anesthesia
anesthesia achieved by placing local anesthetic in the epidural space	epidural anesthesia
anesthesia achieved by placing local anesthetic in the region of the nerve enervating the area	nerve block
anesthetis is infused into the veins of an extremity distal to a tourniquet	bier block
who is responsible for monitoring of a consciously sedate patient?	an RN
potential intraoperative complications	infection, burns, hypothermia, hyperthermia, bleeding, pressure sores, trauma
the most important vital signs in monitoring a patient after spinal anesthesia	respiratory rate, blood pressure
strip or roll of cloth or other material that can be wound around a part of the body in a variety of ways for multiple purposes	bandage
bandage made lf large pieces of material to fit a specific body part	binder
soft, pink, fleshy tissue consisting of capillaries surrounded by fibrous collagen	granulation
the process of invasion of the body by pathogenic microorganisms	infectious process
tissue reaction to injury	inflammatory response
gentle washing of an area with a stream of solution	irrigation
this type of healing is possible in wounds where skin edges are close together and little tissue is lost; results in minimal scarring	primary intention
stab wound, sometames created surgically for a drainage system	puncture
producing or containing pus	purulent
composed of or pertaining to blood	sanguineous
this type of healing is necessary when skin edges are not close together, or when pus has formed in the wound; the wound must granulate and heal from the inside out	secondary intention
composed of serum and blood; thin, red drainage	serosanguineous
thin and watery drainage, composed of the serum portion of the blood	serous
trainage tube inserted into the bile duct following cholecystectomy	T-tube
delayed primary intention wound closure	tertiary intention
device that assists in wound closure by applying localized negative pressure to draw the edges of a wound together	vacuum assisted closure
any injury to the body's tissues involving a break in the skin	wound
the first phase of wound healing; termination of bleeding	hemostasis
the second phase of wound healing; initial increase in the flow of blood elements out of the blood vessel into the vascular space; results in redness, heat, swelling, pain, and tissue dysfunction	inflammatory phase
what phase of the wound healing process does collagen formation occur in?	reconstruction phase
what phase of the wound healing process does dehiscence most commonly occur in?	reconstruction phase
an overgrowth of collagenous scar tissue at the site of a wound	keloid
keloids occur in what stage of wound healing?	maturation phase
the four phases of wound healing	hemostasis, inflammatory, reconstruction, maturation
role of nutrition in wound healing	porteins, carbs, fats, and vitamins are essential in promoting the wound healing process
common factors that complicate wound healing	age, malnutrition, obesity, impaired oxygenation, smoking, drugs, diabetes mellitus, radiation, wound stress
common complications of wound healing	abcess, adhesion, cellulitis, dehiscence, evisceration, extravasation, hematoma
cavity containing pus and surrounded by inflamed tissue	abcess
band of scar tissue that binds together two anatomical surfaces normally separated; most commonly found in the abdomen	adhesion
infection of the skin characterized by heat, pain, erythema, and edema	cellulitis
separation of a surgical incision or rupture of a wound closure	dehiscence
protrusion of an internal organ through a wound or surgical incision	evisceration
blood, serum, or lymph escaping from the vessel into the tissue	extravasation
collection of extravasated blood trapped in the tissues or in an organ resulting from incomplete hemostasis after surgery or injury	hematoma
CDC classifications of wounds	clean, clean-contaminated, contaminated, dirty or infected
CDC class of an unifected surgical wound	clean wound
CDC class of a surgical incision made into the respiratory, GI, or GU tract	clean-contaminate wound
CDC class of incision in the presence of GI products from an acute, nunpurulent inflammation; or if aseptic technique is broken during surgery	contaminated
CDC class of a wound that was infected before surgery (ie gangrene)	dirty or infected
special nursing interventions for wound care in older patients	instruct patient on safety precautions, provide wound care instruction to home caregiver
to promote wound healing in malnourished patients, what should a patient be encouraged to increase their intake of?	protein, carbs, lipids, vitamins A and C, minerals, and B vitamins
what are some interventions to promote wound healing in patients with impaired ability to oxygenate?	diet high in iron, vitamin B, and folic acid; monitor hematocrit and hemoglobin levels
what are some nursing interventions to promote wound healing in pationts who are on steroids or other antiinflammatory drugs?	obeserve more closely for signs of infection; diet high in vitamin A
what is the primary purpose of a wet to dry dressing?	to mechinically debride a wound
this drain is used when 100-200 ml of drainage is expected	jackson-pratt drain
this drain is used when more than 100, up to 500ml, of drainage is expected	hemovac
this class of medication is used for the treatment and prophylaxis of various bacterial infections	antiinfectives
kill bacteria	bactericidal
inhibit the growth of bacteria	bacteriostatic
a sensitivity to one substance that predisposes an individual to sensitivity to other substances that are related in chemical structure	cross-sensitivity
penicillins are chemically inactivated by	aminoglycosides
dosages of antiinfectives may need to be reduced in patients with these to conditions	hepatic and renal insufficiency
these antiinfectives can reduce the ability of the liver to metabolize other drugs	erythromycins
this medication can increase serum levels of penicillins	probenecid
the absorbtion of these antiinfectives is decreased by antacids, bismuth subsalicylate, iron salts, sucralfate, and zinc salts	fluoroquinolones
assessment for patients receiving antiinfectives should include	s/s of infection, previous hypersensitivites, culture and sensitivity
potential nursing diagnoses for patients receiving antiinfectives	risk for infection, deficient knowledge (med education), noncompliance
how should most antiinfectives be administered to maintain therapeutic serum levels	around the clock
patient teaching related to antiinfectives	take med as directed until gone, report signs of superinfection, reasons to follow up
black, furry overgrowth on tongue, vaginal itching or discharge, and loose or foul smelling stools are signs of	superinfection
this class of medications is used for the treatment of fungal infections	antifungals
kills fungi	fungicidal
stops growth of fungi	fungistatic
systemic antifungals have adverse effects on the function of this	bone marrow
this antifungal commonly causes renal impairment	amphotericin B
the dosage of this antifungal should be adjusted in patients with this dysfunction	renal impairment
HIV positive patients may have more severe adverse reactions to this antifungal	fluconazole
possible nursing diagnoses related to antifungals	risk for infection, impaired skin integrity, deficient knowledge

Created by: ewoff85

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