Surgical Techniques - Preoperative Routine, Post-Anesthesia Care, and Related Nursing Procedures 1-B Flashcards Preview

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Flashcards in Surgical Techniques - Preoperative Routine, Post-Anesthesia Care, and Related Nursing Procedures 1-B Deck (100)
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1

nothing by mouth

NPO

2

liberated or uncontrolled

emancipated

3

a recording of the x-ray visualization of the internal anatomy of the heart and blood vessels after the intravenous injection of radiopaque contrast medium

angiogram

4

to develop or grow in intensity at a rate that constitutes an emergency

emergent

5

designated room or area where patients wait prior to being admitted to the operating room

preoperative holding area

6

the scientific study of poisons, their detection, their effects, and the method of treatment for conditions they produce

toxicology

7

an endovascular procedure that re-opens narrowed blood vessels and restores forward blood flow

angioplasty

8

level of force blood exerted against an artery wall or the wall of any vessel as the heart beats at the height of the pulse wave

blood pressure

9

a radiograph of the ureter and renal pelvis after the injection of radiopaque contrast medium

pyelogram

10

an x-ray of detailed tissue structure cross-sections or slices that are used to construct a 3-dimensional image

computerized axial tomography (CT)

11

medical imaging that uses nuclear magnetic resonance as its source of energy

magnetic resonance imaging (MRI)

12

the surgical removal of tonsils and adenoids

T&A (tonsillectomy and adenoidectomy)

13

a graphic recording of the electrical activity of the muscle of the heart to detect abnormalities

electrocardiogram

14

postoperative care unit

PACU

15

All oral intake is discontinued as ordered for at least _____ to _____ hours prior to surgery.

6 to 8

16

Ideally, the surgeon and ________ should visit the patient prior to surgery.

anesthesiologist

17

Preoperative visits by the surgeon or assistant help lessen the patient's fear and anxiety by allowing the patient to _____ ______.

ask questions

18

False nails or _____ should be removed to allow the observation of the nail beds during surgery.

polish

19

Special preparations such as preoperative douches or _____ are performed as ordered by the surgeon or physician.

enemas

20

A shower with _______ solution should be performed by the patient the night before or the morning of the surgical procedure.

antimicrobial

21

Preoperative enemas are used in procedures involving the gastro-intestinal and _____ areas.

vaginal/gynecological

22

The preoperative douche cleanses the _____ area.

vaginal

23

_____ _____ is performed immediately before surgery, since there is less time for inflammation and _____, should the skin be compromised.

Hair removal
infection

24

Preoperative medication helps reduce secretion of saliva and gastric juices and prevents _____.

nausea

25

Explains the risks and benefits of the procedures.

informed surgical consent

26

authorizes the use of an experimental drug, chemical agent, or medial device on the patient

investigative/research device consent

27

authorizes the attending physician and staff to render standard treatment or miscellaneous procedures

general medical consent

28

authorizes the facility to administer blood and blood products if needed before, during, or after the surgical procedure

blood transfusion consent

29

authorizes proper disposal of an amputated extremity

specimen/limb disposal consent

30

authorizes a voluntary reproductive procedure

sterilization consent

31

Crosscheck information on the patient chart, ensuring that patient name, procedure, surgeon, and _____ match.

site

32

Assess patient's physical and _____ status; signs of distress can affect the course of surgery.

emotional

33

To establish a baseline, take and document the _____ _____ on the patient chart.

vital signs

34

Ensure the patient has _____ or _____ before putting on a hospital gown.

bathed or showered

35

Remove all patient jewelry, body piercings, wigs, and _____ devices and label for safekeeping and patient safety.

prosthetics

36

Ensure that the patient is in a _____ hospital gown.

clean

37

If ordered by the physician, apply special (anti-embolic) stockings or elastic bandages to the _____ extremities to prevent blood clots.

lower

38

Ensure the patient has ____ prior to surgery, recording the time on the preoperative checklist.

voided

39

Place bed in its _____ position with the side rails _____ after patient has received pre-op medications.

lowest
highest

40

All _____ should accompany the patient to the operating room.

records

41

used for pediatric patients under 5 years of age

cribs

42

used for patients who require supervision of their movement

beds or ward beds

43

same-day surgery permit patients to walk to the OR

ambulation

44

primarily used for out-patients

wheelchairs

45

most common means for transporting patients

stretchers (gurneys)

46

used to ease apprehensive young child when transporting to OR

wagon

47

used for newborn and premature infants

isolettes

48

Identify the patient verbally, by _____, and on chart, letting the patient know why you are there.

wristband

49

Cover patient and apply safety strap over blanket _____ inches above the knees.

2

50

Allow for _____ _____ or assist the patient onto the stretcher.

self transfer

51

Secure side rails in _____ position.

highest

52

Review the chart for _____.

completeness

53

Push stretcher from _____ _____, facing patient in direction of travel, avoiding abrupt movements such as sharp turns or sudden stops or bumping into things.

head end

54

When approaching inclining and declining ramps with doors, explain what is happening, then stop movement of stretcher at least _____ feet from start of incline or decline, open door, secure it and proceed with firm control of stretcher on ramps at all times.

2

55

Walk _____ and in full control.

slowly

56

Give special attention to _____, drains, IVs, etc.

catheters

57

Check the _____ of the patient.

identity

58

Request patient to verbally state name, date of birth, _____, procedure side and site, and surgeon.

allergies

59

Verify that the _____ has marked the appropriate surgical site to ensure the correct site and side.

surgeon

60

Surgical site marking may be waived in a life-threatening emergency at the discretion of the surgeon, but a _____ _____ should be conducted unless there is more risk than benefit for the patient.

time out

61

Review patient's chart for the presence of history and physical, surgeon's orders, signed surgical consent, any required laboratory reports, and any _______ or interventions.

dx tests

62

Document known allergies on chart and with an ____ _____.

arm band

63

Report any abnormalities or discrepancies to the surgeon and/or _____ provider immediately.

anesthesia

64

Check the _____ checklist and review with the patient to ensure accuracy.

pre-op

65

Observe and assess the patient's _____ level.

anxiety

66

Check vital signs, including blood pressure, temperature, pulse and _____.

respirations

67

Identify any oral consumption prior to surgery and _____ of consumption by asking the patient.

time

68

Convey warmth, respect, and concern for the patient by keeping the patient covered and unexposed, ensuring patient _____.

dignity

69

Distinguish between normal and abnormal heart sounds.
systole

normal

70

Distinguish between normal and abnormal heart sounds.
murmurs

abnormal

71

Distinguish between normal and abnormal heart sounds.
reduplication

abnormal

72

Distinguish between normal and abnormal heart sounds.
diastole

normal

73

Pulse beat is the throbbing caused by the regular contraction and expansion of an _____ _____.

artery wall

74

Normal pulse rates vary according to _____ and _____.

sex and age

75

A heart rate (pulse) greater than ______ beats per minute is a common indicator of tachycardia.

100

76

An indicator of _____ is a heart rate (pulse) below 60 beats per minute in an adult.

bradycardia

77

pulse rate in women

72-80 bpm

78

pulse rate in infants

110-13- bpm

79

pulse rate in children over 7

75-90 bpm

80

recorded pulse pressure

systolic minus diastolic

81

pulse rate in men

60-70 bpm

82

pulse rate in neonates

140 bpm

83

ordinary, quiet respirations made without obvious effort

eupnea

84

painful, difficult, and labored breathing

dyspnea

85

increased rate and/or depth of respirations

hypernea

86

cessation of breathing or lack of breathing

apnea

87

breathing possible only when person sits or stands in an erect position

orthopnea

88

lack of oxygen or absence of oxygen

hypoxia

89

decreased amount of oxygen reaching the body cells

anoxia

90

any stoppage of respirations caused by strangulation, aspiration of foreign object, or drowning

suffocation

91

increased CO2 and decreased O2 in the body as a result of some interference with respiration

asphyxia

92

bubbling or rattling sounds caused by mucus in the air passages as in bronchitis or pneumonia

rales

93

alternating cycles of hypernea and apnea, often seen in critically ill or unconscious patients

Cheyne-Stokes

94

All institutional policies, procedures and guidelines should be followed when documenting care and _____ of the patient from PACU.

discharge

95

Written postoperative orders pertaining to the immediate care of the patient in the PACU and follow-up instructions will be completed by the _____.

surgeon

96

Most patients will remain in the PACU for approximately one hour or until _____ _____ are stable and they have satisfactorily recovered from the effects of anesthesia.

vital signs

97

The PACU staff is trained to recognize complications and anticipate postoperative difficulties by carefully monitoring patients until they meet _____ criteria.

transfer

98

The patient's condition is scored using a _______ scoring system and the anesthesia provider or surgeon will determine if the patient is stable enough to be transferred from the PACU.

post-op

99

A post-anesthesia evaluation must be completed no later than _____ hours after surgery or a procedure requiring anesthesia services.

48

100

The post-anesthesia evaluation must occur in either the PACU/ICU or in another designated _____ location.

recovery