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Chapter 35: The Person Having Surgery
Terms in this set (76)
The loss of consciousness and all feeling or sensation is
_________________ is surgery done by choice to improve the person's life or well-being.
A blood clot is called
_______________ is the loss of feeling or sensation produced by a drug.
An _____________ is a blood clot that travels through the vascular system until it lodges in a blood vessel.
____________ is before surgery.
__________ is the surgery needed for the person's health. It is done soon to prevent further damage or disease.
_________________ is after surgery
The loss of feeling or sensation in a large area of the body is
Surgery done immediately to save life or function is
______________ is the loss of feeling or sensation in a small area.
A state of quiet, calmness, or sleep produced by a drug is
A surgery that can be delayed for a few days is
When an accident occurs, the person often requires
When a person tells you about fears and concerns before surgery, you should
Respect the person's fears by showing warmth, sensitivity, and caring.
When a patient asks you about test results or the diagnosis
Tell the person you will get the nurse.
Which of these is not part of your role when caring for a surgical patient?
Tell the person about your own experience with the same surgery.
The nurse will tell the patient that deep-breathing and coughing exercises will be done after surgery
Every 1 or 2 hours when the person is awake
How is a child prepared for surgery?
A doll may be used to show the site of the surgery.
If blood loss is expected during surgery, what test is done preoperatively?
Type and crossmatch
A person is NPO for 6 to 8 hours before surgery to reduce
Vomiting and aspiration during and after surgery
Cleansing enemas may be ordered before surgery to
Prevent contamination of the abdominal cavity during surgery.
The person being prepared for surgery needs to void
Before the nurse gives the pre-operative drugs.
Make-up, nail polish, and fake nails are removed before surgery because
The skin, lips, and nail beds are observed for color during and after surgery.
When preparing a child for surgery, it is important to report
Any loose teeth
If a person is allowed to wear a wedding ring during surgery, you should
Secure it in place with gauze and tape
If you are assigned to do a skin preparation with a razor pre-operatively, you should be careful
Not to cut, scratch, or nick the skin.
The surgery consent
Is signed by the person and sometimes the nearest relative
Pre-operative medications are given
Before the person is transported to the operating room
When you are delegated to assist with the pre-operative checklist, it must be completed
Before the nurse gives the pre-operative drugs
When a child is transported to the operating room, the parents
May stay in the OR until the anesthesia is given and the child is asleep
A person stays in the PACU for 1 to 2 hours after surgery or until
The person can respond and call for needed help
When you prepare a room for a person to return from surgery
The bed is raised for a transfer from a stretcher.
You may be assigned to take the vital signs after surgery. They are usually measured
Every 15 mins until the person is stable
Post-operatively, the person is positioned
To allow for easy and comfortable breathing
Coughing and deep-breathing exercises are done after surgery to
Prevent complications such as pneumonia and atelectasis
Leg exercises are important to prevent
Thrombus and embolus (blood Clots) from forming
Leg exercises are done
At least every 1 to 2 hours while the person is awake
Elastic stockings are used to
Promote venous blood return to the heart and prevent blood clots
When applying elastic stockings, you should have the person
Lie in a supine position
When applying elastic bandages
Expose the fingers and toes if possible
When you assist a person to walk after surgery, you first measure
The blood pressure and pulse
If a person is NPO after surgery, important personal hygiene is
Frequent oral hygiene
It is important to report the time and amount of the first voiding after surgery because the person must void
Within 8 hours after surgery
Complete blood count
Non per os; nothing by mouth
Post-anesthesia care unit
Sequential compression device
If a person has out-patient, 1 day, or ambulatory surgery, the person is admitted in the morning and
Goes home the same day or on the next day
Before surgery, special personal care is done. Describe the care given and the reasons it is important.
- Special soap or cleanser reduces the number of microbes on the body. This reduces risk of infection.
- Observe nail beds, skin, and lips for color and circulation during and after surgery.
- Remove all hairpins, clips, and combs. Cap keeps hair out of face and surgical site.
- Being NPO causes thirst and a dry mouth. The person must not swallow any water as during oral hygiene.
Some people do not like being seen without their dentures. How can you promote dignity and self-esteem when dentures must be removed before surgery?
Let them wear dentures for as long as possible
When you are delegated a skin preparation, what is reported and recorded?
- The area prepared
- Any cuts, nicks, or scratches
- Sites of non-intact skin
What vital signs are recorded on the pre-operative checklist?
Temperature and blood pressure (may also include pulse and respirations)
After the pre-operative are given, the person is not allowed
Out of bed
When a person returns to the room after surgery, how often are vital signs usually measured?
- Every 15 minutes until the person's condition is stable
- Every 30 minutes for 1 to 2 hours
- Every hour for 4 hours
- Then every 4 hours
What post-operative observations of the vital signs should be reported to the nurse?
A. Temperature: Increase or decrease
i. More than 100 beats per minute
ii. Less than 60 beats per minute
i. Shallow, slow breathing
v. Shortness of breath
D. Blood pressure: Increase or decrease
You may be able to turn a person who has had surgery by yourself when the person's condition
Is stable and the care is simple
Why are older persons at risk for respiratory complications?
- Respiratory muscles are weaker.
- Lung tissue is less elastic.
- The person has less strength for coughing.
Leg exercises are done at least every _____________. These exercises are done ___________________ times.
- Every 1 or 2 hours while the person is awake
Leg exercises are
- Making circles with the toes. This rotates the ankles.
- Dorsiflexing and plantar flexing the feet.
- Flexing and extending 1 knee and then the other.
- Raising and lowering a leg off the bed. Repeat with the other leg.
When you apply elastic stockings, you avoid twists because they can ________________. Creases and wrinkles can cause _______________.
- Affect circulation;
- Skin breakdown
When you apply elastic bandages, what observations are reported and recorded?
- The width and length applied
- When you applied the bandage
- Skin color and temperature
- Swelling of the part
- Skin tears, wounds, or signs of skin breakdown
- Complaints of pain, itching, tingling, or numbness
- When you removed the bandage and for how long
- When you re-applied the bandage
Early ambulation prevents
- Circulatory complications such as thrombi
- Urinary tract infections
How can you ease a person's fears and concerns when he or she has surgery?
- Take time to listen.
- Avoid seeming rushed.
- Act professionally.
- Take pride in showing that you care
What questions can you answer when caring for a person having surgery
Only answer questions within the scope of your role
When you are delegated to take post-operative vital signs, what should you report at once to the nurse?
- Abnormal values
- Sudden changes
- Any concerns
THIS SET IS OFTEN IN FOLDERS WITH...
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