IN4 pre/post op

Question 1

Anesthesia

Answer 1

A loss of sensory perception to prevent pain, achieve adequate muscle relaxation and to calm fear, ease anxiety and induce forgetfulness

Question 2

Curative Surgery

Answer 2

Cures; alleviates a problem

Question 3

Diagnostic Surgery

Answer 3

Done to provide data for diagnosis of the problem (i.e. mass biopsy, exploratory laparotomy)

Question 4

Elective Surgery

Answer 4

Voluntary; improves person’s life or well being. Is scheduled in advance

Question 5

Emergency Surgery

Answer 5

Done to save life or function; necessary in trauma cases where serious consequences will occur if surgery is not done immediately

Question 6

Incentive Spirometer

Answer 6

Assist the patient in deep breathing; most often used following abdominal or thoracic surgery

Question 7

Palliative Surgery

Answer 7

Pain/Complication relieving; performed to make the patient more comfortable (necrotic tissue debridement, colostomy)

Question 8

Pneumatic Stocking devices

Answer 8

A sequential compression device used alone or in conjunction with antiembolitic stockings that inflate and deflate chambers within the sleeve. This removes pooled blood and prevents both venous stasis and the accumulation of clotting factors

Question 9

Reconstructive Surgery

Answer 9

Restore appearance or function due to trauma or illness

Question 10

Pre-op

Answer 10

preoperative

Question 11

Post-op

Answer 11

postoperative

Question 12

How is general anesthesia induced?

Answer 12

by the administration of inhalant gas or intravenous medications

Question 13

In which type of anesthesia does the patient go into a deep sleep state with muscle relaxation and is not aware of anything going on in the operating room?

Answer 13

General

Question 14

How is regional anesthesia induced?

Answer 14

Nerve block is administered causing loss of sensation in an area of the body with no loss of consciousness, injected along nerve path

Question 15

How is conscious sedation induced?

Answer 15

Local injection plus iv sedation causing depressed level of consciousness

Question 16

In what type of anesthesia must the patient independently maintain their airway and respond to verbal stimuli?

Answer 16

Conscious sedation

Question 17

What type of anesthesia is used for minor procedures like biopsies or cyst excision?

Answer 17

Local anesthesia

Question 18

When does the pre-op NPO order usually start?

Answer 18

6-8 hours before surgery

Question 19

Why are pre-op patients placed on NPO orders?

Answer 19

Prevents vomiting and aspiration caused by anesthesia

Question 20

What are some pre-op interventions that Corpsman/Technicians may be responsible for performing?

Answer 20

NG tube placement, IV line insertion, O2 Therapy, Urinary Catheter insertion

Question 21

What piece of post op equipment is helpful to prevent atelectasis and hypoventilation in the postoperative patient?

Answer 21

Incentive Spirometer

Question 22

What is used for splinting abdominal or thoracic surgical areas to provide firm support and reduce incisional pulling during deep breathing or coughing exercises?

Answer 22

Pillow

Question 23

What is used to prevent thrombus formation while improving venous return of blood to the heart?

Answer 23

Pneumatic stocking devices (also used to prevent dependent edema)

Question 24

What are some general vital sign guidelines for the post op patient?

Answer 24

Q15 x 1hr, Q30 min x 2hr, Q1hr x 4hrs until totally recovered from surgery

Question 25

What are some ways we can provide comfort for the post-op patient when we cannot give pain medications?

Answer 25

Patient re-positioning, ensure bladder is empty, Keep patient warm, Distraction and imagery

Question 26

How often should the patient perform leg exercises and change positions?

Answer 26

every 2 hours

Question 27

If urine flow from the indwelling catheter is less than _____ after 2 hours you should notify the surgeon

Answer 27

60ml

Question 28

If a post op patient did not receive a catheter, how many hours should elapse before they void?

Answer 28

should void within 8 hours

Question 29

What should you do before applying pneumatic stocking devices?

Answer 29

Measure circumference of upper thigh, complete neurovascular assessment of legs

Question 30

What are some signs and symptoms of pneumonia?

Answer 30

Fever, increased sputum, purulent sputum, cough dyspnea, malaise, abnormal breath sounds

Question 31

What are some signs and symptoms of atelectasis?

Answer 31

chest pain, dyspena

Question 32

What are the complications associated with the post op surgical wound?

Answer 32

Dehiscense, Evisceration and infection

Question 33

What complication of a post op surgical wound might be characterized by a feeling of “something gave”?

Answer 33

Evisceration

Question 34

What should you do for the patient who suffers a surgical wound evisceration?

Answer 34

cover wound with sterile saline-soaked gauze or towels, notify nurse or doctor, return to operating room for repair, monitor for shock

Question 35

What should be done if a surgical dressing is discovered to have staining?

Answer 35

outline with pen, note time, monitor, every hour for first four hours

Question 36

What are some postoperative abnormal findings/complications that should be reported to the nurse and documented?

Answer 36

Elevated vital signs, Pain meds with no relief, wound complications, urinary retention, abnormal respiratory function, circulatory complications, abnormal mental status