Unit 2 Kozier

Question 0

Unit 2 Kozier Reading

Answer 0

37
50 (1403-1419)
52 (1501-1507)

Question 1

Unit 2 Kee Reading

Answer 1

21 (301-306)
26 (366-374)
45
47 (697-702)

Question 2

Unit 2 Pillateri Reading

Answer 2

20 (531-532)
35 (1026-1028)
40 (1153-1157)
45 (1341-1344)

Question 3

Atelectasis

Answer 3

Collapse of Alveoli sacs

Question 4

Circulating Nurse

Answer 4

Responsible for Client safety, asepsis, and surgical environment including temp, humidity, and lighting. Also Responsible of surgical supply count

Question 5

Closed Wound Drainage System

Answer 5

A pressurized drain or a drain attached to suctioning used to keep wounds/areas dry and reduce likelihood of infection (JP drain or hemovac)

Question 6

Conscious Sedation

Answer 6

Minimal sedation level where PT can move and respond to stimuli (Valium, morphine, nitrous)

Question 7

Elective Surgery

Answer 7

Preferred surgical treatment with a condition that is not immediately life threatening

Question 8

Emboli

Answer 8

Blood clot that has traveled and causes an obstruction

Question 9

Emergency Surgery

Answer 9

Surgery performed immediately to preserve life or function of a client

Question 10

Epidural Anesthesia

Answer 10

Anesthesia in the epidural space

Question 11

General Anesthesia

Answer 11

Induced loss of all sensation, consciousness, and reflexes

Question 12

Intraoperative Care

Answer 12

Begins as client is transferred to the OR and ends when client is transferred to the PACU

Question 13

Local Anesthesia

Answer 13

Anesthesia used for minor surgical procedures injected into a small and specific area

Question 14

Major Surgery

Answer 14

Surgery that is high risk, may be complicated, prolonged, involve extensive hemorrhaging, or involves major organs

Question 15

Minor Surgery

Answer 15

Surgery likely to be performed at an outpatient facility with a very low likelihood of complications

Question 16

Nerve Block

Answer 16

Chemical interruption of nerve pathways by injecting a local anesthetic

Question 17

Penrose Drain

Answer 17

Flat, thin, rubber tube inserted into a wound that allows drainage to flow onto a dressing

Question 18

Peridural Anesthesia

Answer 18

Another name for an epidural

Question 19

Perioperative Period

Answer 19

The entire surgical period including Pre, Intra, and PostOp phases

Question 20

Postoperative Period

Answer 20

Begins at PACU admission and ends when healing is complete

Question 21

Preoperative Period

Answer 21

Begins when the decision of surgery has been made and ends when the client enters the OR

Question 22

Regional Anesthesia

Answer 22

Interruption of the transmission of nerve impulses to and from a specific area or region of the body and client remains conscious

Question 23

Scrub Person

Answer 23

UA, LPN, or RN that drapes the client and assists in handling sterile supplies and performing instrument count

Question 24

Spinal Anesthesia | Subarachnoid block

Answer 24

Anesthesia Injected into the subarachnoid space

Question 25

Surface Anesthesia | Topical Anesthesia

Answer 25

Applied directly to the skin to decrease sensation

Question 26

Suture

Answer 26

Thread used to sew tissue together

Question 27

Thrombophlebitis

Answer 27

Inflammation of a vein followed by a blood clot

Question 28

Thrombus

Answer 28

A stationary clot

Question 29

Preop nursing responsibilities

Answer 29

Assess, Plan, Teach family and PT, Advocate,

Question 30

Intraop Nursing Responsibilities

Answer 30

Provide safe environment, Assist the surgery, and gather equipment

Question 31

Postop Nursing Responsibilities

Answer 31

Assess client, Perform interventions to promote healing and comfort, teach, support,

Question 32

5 parts of informed consent

Answer 32

``` Reason for the surgery All available options Risks and Outcomes Surgeon's name and qualifications Right to refuse ```

Question 33

3 main Preop Teaching points for PT

Answer 33

Anticipated sensations and experience Social support and their roles Intervention skills training (ie deep breathing)

Question 34

Preop Pt eating/drinking guidelines

Answer 34

Clear liquids until 2 hours before Light meal until 6 hours Heavier meal until 8 hours before

Question 35

Postop PT tasks before inpatient is discharged

Answer 35

BM, Urinate, Bowel sounds, steady vitals, Movement, Breathing TX

Question 36

Defining traits for postop complications 1) Pneumonia 2) Atelectasis 3) Pulmonary Embolism 4) Thrombus

Answer 36

1) Fever and cough 2) Dull breath sounds decreased O2 3) Sudden chest pain and cyanosis 4) Pain, pallor, decreased pulse of extremity

Question 37

Trache care

Answer 37

``` Assess O2/lung sounds Fowler/Semifowler Hypervent or hyperox Clean inner cannula Clean surrounding skin replace dressing Replace cath ```

Question 38

Drainage system patient assessment responsibilities

Answer 38

``` Reposition Q2 Vitals Observe site Q4 Pain Deep breathing ```

Question 39

Drainage system equipment assessment responsibilities

Answer 39

Patent | Tube lower than site and secure

Question 40

Hypernatremia symptoms (FRIED)

Answer 40

``` Fever Restless Increased retention Edema Decreased Output ```

Question 41

Hyponatremia (TAGS)

Answer 41

Tachycardia Apprehension and confusion Gi pain Seizures

Question 42

Hyperkalemia (MURDER)

Answer 42

``` Muscle twitch Urine decrease Resp distress Dysrythmia EKG change Reflexes irregular ```

Question 43

Hypokalemia (WAR LAIR)

Answer 43

``` Weak Alkolosis Resp distress Lethargy Arrythmia Irritable Really sick ```

Question 44

Hypercalcemia (PEG)

Answer 44

Pain EKG change GI problems

Question 45

Hypocalcemia (CATS)

Answer 45

Convulsion Arrythmia Tetany Spasms

Question 46

Hypermagnesemia (RED)

Answer 46

Reduced Vitals Excessive sweating Decreased DTR

Question 47

Hypomagnesemia (MEDIC)

Answer 47

``` Muscle Tremors EKG DTR Irritable Confused ```