-
referes to the treatment of injury disease or deformaty through invasive operative methods
surgery
-
surgery that presents little risk to life
minor surgery
-
surgery that involves risk to life
major surgery
-
a major stressor for clients
surgery
-
indiactions for performing surgery
- diagnostic
- curative
- palliative
- restorative
- cosmetic
-
surgery to improve appearance or change shape
cosmetic surgery
-
surgery for strengtheneing a weakened area
restorative surgery
-
surgery to relieve symptoms wihtout curing a disease
palliative surgery
-
surgery to remove a diseased body part or replace to restore function
curative
-
surgery to determine cause of symptom
diagnostic
-
time during the decision for surgery adn ends with the transfer to the operating table
preoperative phase
-
most common fear related to surgery
fear of the unknown
-
preoperative assesment includes
lab values, diagnostic tests, and screenings
-
what form must be signed by the client before surgery
informed consent
-
preoperative physiological assessments include
age, nutritional status, fluid adn electrolyte status, resp status, cardio status, renal/hepatic status, neuro status
-
when are enemas givin for surgery
the night before
-
particular attention is given to what for surgery
right and left operative sites
-
why is makeup removed for surgery
so skin color is observed
-
what is the temperature for the OR
cool 66-68 degrees fahrenheit
-
how should surgical team members be dressed
sterile dressed
-
team members dressed in nonsterile attire
anasthsiologist and circulating nurse
-
team member responsible for management of personnel, equipment, supplies, environement and communication
circulation nurse
-
sterile scrubbed team members include
surgeon, first assistant and scrub nurse
-
these are responsibilites of the ______
perform homeostasis, tissue retraction and wound closure
first assistant
-
team member responsibilty to maintain integrity, efficacy and safety of sterile field
scrub nurse
-
abscense of pathogenic microorganisms
asepsis
-
a type of sterile technique a scrub nurse may use
aseptic technique
-
when should a sterile hand scrub be performed
before gowning and gloving
-
how must an iodine scrub be administered adn completed
a generous amount must be applied in a circular motion from in to out
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goal of post anasthesia nursing care is
promote recovery
-
time that begins with end of surgical procedure until discharge
postoperative phase
-
how often should the nurse check vital signs if they are normal after surgery
every 15 mins
-
how often should a nurse check unstable vital signs after surgery
every 5 mins
-
vital signs are assessed every:
- 15 mins for 1 hour
- every 30 mins for 2 hours
- and every hour for 4 hours
-
major principle in cleaning surgical incisions
use standard precaution and use sterile swab working in to out adn top to bottom
-
defined as surgical care performed under general, regional, or local anesthesia involving less than 24 hour hospitalization
ambulatory surgery
-
what is the health care trend
to promote wellness
-
who are most at risk for developing complications after surgery
elderly clients
-
how can a nurse help prevent clots DVT adn embolisms
encouarge ambulation and post op exercises or providing antiembolic stockings
-
teaching methods that a nurse uses influences what?
the degree of learning adn retention
-
what does hemoglobon and hematocrit test for?
measure of blood weight
-
BUN and creatnine tests for:
kidney function
-
PT, INR, PTT test for:
blood clotting ability
-
ALT (alanine aminotransferase)
AST (aspartate aminotransferase)
tests for:
metabolization of medications
-
nutritional status for surgery can determine
wound healing abilities
-
clients with chornic respiratory problems are more likely to develop:
atelectasis and pneumonia
-
before surgery what should be checked or assessed
Vitals
-
what is the goal for postanesthesia care
promote recovery from anesthesia
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