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fundamentals of nursing > final exam: chapter 31 (perioperative nursing care) > Flashcards

final exam: chapter 31 (perioperative nursing care) Flashcards

1
Q

nursing pt safety goals include (1) __ surgery is done (2) __ operative site (3) __ before surgery to make sure a mistake is not made

A

correct; mark; time out

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2
Q

surgery classification based on urgency includes: (1) __ (2) __ and (3) __

A

elective - pre planned; urgent - w/in short time period; emergency - now

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3
Q

surgery classification based on risk is divided into __ and __

A

major - any urgency (remove/repair body part, restore, function, improve or maintain health); minor - primarily elective (teeth extraction, arthroscopy, etc.)

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4
Q

surgery classification based on purpose includes: __ (daprtc)

A

diagnostic | ablative | palliative | reconstructive | transplantation | constructive

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5
Q

informed consent is NOT legal if pt is (1)__ (2)__ (3)__ or (4)__

A

confused; sedated; mentally incompetent; minor

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6
Q

advanced directives can either be given through __ or __

A

living will; durable power of attorney for health care

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7
Q

outpt/same day surgery is conducted in __ care settings

A

ambulatory

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8
Q

outpt/same day surgery __ length of hospital stay & __ costs

A

reduces; cuts

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9
Q

outpt/same day surgery pts receive __ sedation

A

moderate

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10
Q

older adults, chronically ill pts, and ppl who do not have support at home may require __ teaching or home health care

A

additional

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11
Q

are these all of the outcomes for the surgical pt?
- receive respectful and culturally and age-appropriate care
- be free from injury and adverse effects
- be free from infection and DVT
- maintain fluid and electrolyte balance; skin integrity, normal temperature
- have pain managed
- demonstrate understanding of physiologic and psychological responses to surgery
- participate in rehabilitation process

A

yes

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12
Q

pre-op nursing care includes:
acip

A

assessment | client teaching | informed consent | prep for or

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13
Q

hlth hx & physical assessment, identifying risk factors & allergies, identifying meds, determining teaching & psychosocial needs, and determining post-surgical support & referral needs are part of the __ part of pre-op care

A

assessment

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14
Q

deep breathing
coughing
incentive spirometry
leg exercises
turning in bed
early ambulation

are all part of __

A

client teaching

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15
Q

surgery can cause absence of peristalsis for __ to __ hours

A

24; 48

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16
Q

standard npo is

A

8 hours

17
Q

can be on clear liquid diet up to __ hours before surgery

A

2

18
Q

respiratory status includes airway __ and __ for immediate pacu nursing care

A

patency; oxygenation

19
Q

the endotracheal tube/airway __ (is/is not) removed until gag reflex returns

A

is not

20
Q

some interventions to take are: (1) assess every __ to __ mins (2) admin humidified O2, __, and suctioning

A

10; 15; deep breaths

21
Q

compare cardiovascular to __

A

pre-op baseline

22
Q

typical post-op orders include:

A
  • vs frequency
  • IVF – type and rate
  • meds
  • need to be reordered post-op
  • diet and po status (may be NPO)
  • activity level
  • positioning considerations
  • I & O
  • labs
  • special orders (e.g. dressings, drains, therapy)
23
Q

typical post-op orders include:

A
  • vs frequency
  • IVF – type and rate
  • meds
  • need to be reordered post-op
  • diet and po status (may be NPO)
  • activity level
  • positioning considerations
  • I & O
  • labs
  • special orders (e.g. dressings, drains, therapy)
24
Q

__: restlessness, anxiety, hypotension, tachycardia, cool extremities, decrease urine output

A

shock

25
Q

hemorrhage and shock: you must __ the surgeon and medical team, __ airway, pt in __ position w legs __, __ line, administer __ and __, monitor __, __, __ and __

A

notify; establish; flat; elevated; iv; oxygen; meds; vs; labs; abgs; urine output

26
Q

you find a pt’s calf to be red, swollen, warm, and hypertrophied. they complain of pain. what cv complication is this?

A

thrombophlebitis

27
Q

what must you not do if the pt has thrombophlebitis?

A

massage legs (don’t want clot to move)

28
Q

what is the first priority for a thrombophlebitis?

A

prevent dislodgement

29
Q

a pt experiences dyspnea, chest pain, is coughing, exhibits cyanosis, and has increased rr, hr and anxiety. what is your first priority?

A

stabilize cv & resp function
this is a pulmonary embolism (life threatening)

30
Q

a pt has pneumonia, what must you do first?

A

treat the infection

31
Q

a pt has atelectasis, what must you do first?

A

oxygenation & expand involved lung tissues

32
Q

activity restrictions | diet restrictions | follow-up appt | meds | pain management | and transportation are all things needed to be discussed for __

A

discharge

fundamentals of nursing (17 decks)

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