Week 6: Perioperative care and pain Flashcards

Question

on the day of surgery the nurse is responsible for

Answer 1

o Final preoperative teaching o Readiness assessment o Communication of pertinent findings from diagnostic procedures and consults to appropriate health care providers o Ensuring that all preoperative preparation orders have been completed o Ensuring that records and reports are present and complete to accompany the patient to the OR o Verifying the presence of a signed operative consent o Laboratory data o A history and physical examination report o Baseline vital signs o Nurses’ notes complete to that point

Answer 2

controlled environment designed to maximize infection control and provide a seamless flow of patients, personnel, and operative instruments, equipment, and supplies.

Answer 3

personnel in street clothes can interact with those in scrubs

Answer 4

personnel must wear surgical attire and cover all head and facial hair

Answer 5

includes the OR, and all areas where sterile supplies are opened, the scrub sink area, and clean core, masks are required

Answer 6

identifies and assesses the patient, gives preoperative medications, and, in some institutions, initiates intravenous (IV) infusions before the patient is transferred into the OR or to an anaesthesia block room. Minor procedures such as inserting intravenous (IV) catheters and arterial lines, peripheral and spinal nerve blocks, and drug administration may occur here.

Answer 7

The circulating nurse is neither scrubbed, gloved, nor gowned, and remains in the unsterile field. The perioperative nurse orchestrates the preparation of the OR with other members of the surgical team. The nurse is usually the first member of the surgical team to greet the patient on arrival to the surgical suite and advocates for the patient throughout the intraoperative experience

Answer 8

the scrub nurse is often a practical nurse who performs surgical hand asepsis, is gowned and gloved in sterile attire, and remains in the sterile field assisting the surgical team by preparing and handling instruments.

Answer 9

loss of sensation with loss of consciousness, skeletal muscle relaxation, amnesia, analgesia, and elimination of the somatic, autonomic, and endocrine responses, including coughing, gagging, vomiting, and sympathetic nervous system responsiveness.

Answer 10

loss of sensation without loss of consciousness. Local anaesthesia may be induced topically or via infiltration intracutaneously or subcutaneously.

Answer 11

loss of sensation to a region of the body without loss of consciousness when a specific nerve or group of nerves is blocked with the administration of a local anaesthetic (e.g., spinal, epidural, or peripheral nerve block).

Answer 12

refers to the technique of administering IV sedatives or procedural agents with or without analgesics. Procedural sedation with analgesia results in depressed levels of consciousness but patients do maintain independent control of their airway and, subsequently, oxygenation.

Answer 13

a rare metabolic disease characterized | by hyperthermia with rigidity of skeletal muscles that can result in death

Answer 14

▪ Care during the immediate postanaesthesia period ▪ Focused on the patient’s basic life-sustaining needs ▪ Constant, vigilant monitoring ▪ Goal: Prepare patient for safe transfer to phase II or inpatient unit

Answer 15

▪ Surgery patient is ambulatory ▪ Goal: Prepare patient for transfer to extended-care environment or home with discharge teaching

Answer 16

▪ Ongoing care for patients who will be admitted to the unit and those who require observation or interventions ▪ Goal: Prepare patient for self-care.

Answer 17

airway obstruction, hypoxemia, and hypoventilation

Answer 18

hypotension, hypertension, and dysrhythmias

Answer 19

emergence delirium, delayed awakening, and agitation

Answer 20

post op nausea and vomiting

Answer 21

postop oliguria and acute urinary retention

Week 6: Perioperative care and pain Flashcards

(45 cards)