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68 Cards in this Set
- Front
- Back
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what are the 3 phases of perioperative care? |
pre intra post |
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when is the preoperative phase? |
from the decision to the patient being on the OR table |
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when is the intraoperative phase? |
when the patient is in the or bed to when the patient is admitted to the PACU |
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when is the post operative phase? |
when the patient is admitted to the PACU to the post op evaluation |
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how long does a patient stay in the PACU? |
until the nurse decides they are stable |
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what are the 3 surgical classifications? |
diagnosis/cure/repair reconstructive/cosmetic/palliative rehabilitative |
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what are the categories of surgery? |
emergent urgent required elective optional |
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who is responsible for informed consent? |
surgeon |
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what do you need to assess before obtaining informed consent? |
mental status and education level |
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what is the nurses responsibility with informed consent? |
clarifies information and witnesses signature |
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can a surgeon operate in an emergency without consent? |
yes. |
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what does the nurse assess before surgery? |
health history physical exam medications allergies nutritional and fluid status dentition drug and alcohol use system status psychosocial factors spiritual and cultural beliefs |
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do patients have to stop smoking before surgery? |
yes 30 days |
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What do you do if a patient refuses to stop smoking? |
notify surgeon and anesthesiologist |
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what is the risk of smoking and surgery? |
increased risk of pneumonia and a surgical site infection decreased wound healing |
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allergies to what foods could indicate a latex allergy? |
bananas kiwi avocado |
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what could an allergy to eggs indicate? |
allergy to dipravan |
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what is a normal white blood cell count? |
4-11 |
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what are common adverse effects of IV morphine? |
constipation pruitus nausea |
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why would someone take a garlic pill? |
for cholesterol and blood pressure |
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what is a risk for a garlic pill relating to surgery? |
increase bleeding |
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why does someone take ginseng? |
reduce inflammation benefit brain function boost immune system increase energy levels lower blood sugar |
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what risk does ginseng cause during surgery? |
increased blood pressure |
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what risk does St. john’s Wort cause related to surgery? |
increased sedation |
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how long should a patient stop taking herbal medications before surgery? |
2 weeks |
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when do you teach a patient how to use an incentive spirometer? |
pre op and post op |
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what do you need to check prior to going to the OR? |
correct patient correct procedure correct site |
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is the circulating nurse sterile or non sterile? |
non sterile |
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what does the circulating nurse do? |
leadership role manages the OR documents meds,vitals monitors breaks in sterile field ensures cleanliness, temperature, humidity, and lighting |
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What is a time out? |
recheck patient, procedure and site. document time it happened. |
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who can be a scrub role? |
RN LPN ST |
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what does the scrub nurse do? |
set up sterile equipment and field anticipate instruments and supplies count specimen collection |
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what are the zones in the OR? |
unrestricted semi restricted restricted |
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what are the types of anesthesia? |
general regional moderate local |
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what can succinylcholine cause? |
malignant hyperthermia |
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what are the clinical manifestations of malignant hyperthermia? |
tachycardia over 150 hypotension muscle rigidity increased temperature |
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what is the antidote for succinylcholine? |
dantrolene |
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what can you give for nausea and vomiting? |
antiemetic sodium citrate prochlorperazine promethazine ondansetron |
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what are major complication of surgery? |
hypotension shock hemmorage |
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what is a normal urine output? |
30mL/hr |
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what is normal hematocrit? |
42-52% male 35-47% female |
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what is a normal BUN? |
6-20 |
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what do you assess in relation to drains? |
drainage color and amount make sure it’s squeezed |
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which drain is an open drain? |
penrose |
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who changes the first dressing after surgery? |
surgeon |
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when should you expect a void post op? |
within 8 hours |
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what are the functions of the musculoskeletal system? |
protect vital organs framework movement facilitate return of blood to the heart reservoir for immature blood cells reservoir for vital minerals |
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what are the functions of the musculoskeletal system? |
protect vital organs framework movement facilitate return of blood to the heart reservoir for immature blood cells reservoir for vital minerals |
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what’s a sprain |
injury to the ligaments |
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what are the functions of the musculoskeletal system? |
protect vital organs framework movement facilitate return of blood to the heart reservoir for immature blood cells reservoir for vital minerals |
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what’s a sprain |
injury to the ligaments |
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what’s a strain? |
excessive stretching of a muscle or tendon |
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what is the nursing management for a sprain and strain? |
warm up muscles before exercise rest ice compression elevation immobilize anti inflammatory medications |
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how long can you apply a cold compress? |
no more than 20 minutes |
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how long can you apply a cold compress? |
no more than 20 minutes |
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what does applying cold cause? |
vasoconstriction decreased pain reduced edema reduced inflammation |
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how long does the acute phase of sprains and strains last? |
24 to 48 hours |
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how long does the acute phase of sprains and strains last? |
24 to 48 hours |
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what should you do after the acute phase? |
warm moist heat for 20-30 minutes |
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how long does the acute phase of sprains and strains last? |
24 to 48 hours |
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what should you do after the acute phase? |
warm moist heat for 20-30 minutes |
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what is a dislocation? |
complete displacement of the articular surface of a joint |
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what is a subluxation? |
partial or incomplete displacement of the joint surface |
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what is the most obvious sign of a dislocation? |
deformity |
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what is the most obvious sign of a dislocation? |
deformity |
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what are the manifestations of a dislocation? |
deformity local pain tenderness loss of function soft tissue swelling |
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what is the most obvious sign of a dislocation? |
deformity |
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what are the manifestations of a dislocation? |
deformity local pain tenderness loss of function soft tissue swelling |
