Study sets matching "care of the surgical patient"

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Study sets matching "care of the surgical patient"

201 terms
Care of Surgical Patient, Care of Surgical Patient
Anastomosis
ectomy
lysis
orrhaphy
surgical joining
Surgical removal
destruction or dissolution
Surgical repair
Anastomosis
surgical joining
ectomy
Surgical removal
67 terms
Nursing Care of the Surgical Patient
Perioperative Nursing
Surgical Procedures
Extent of Surgical Procedure
Purpose of Surgery
-Preoperative Phase... -Intraoperative Phase... -Postoperative Phas…
Minimally invasive: Fiberoptic endoscopes, smaller incisions,…
Diagnostic: Aids in diagnosis (e.g., breast biopsy)... Curative…
Perioperative Nursing
-Preoperative Phase... -Intraoperative Phase... -Postoperative Phas…
Surgical Procedures
113 terms
CARE OF THE SURGICAL PATIENT
Ablative
Anesthesia
Atelectasis
Cachexia
Excision or removal of diseased body part ... amputation, cholec…
Absence of all sensation including pain
An abnormal condition characterized by the collapse of lung t…
Ill health, malnutrition and wasting as a result of chronic d…
Ablative
Excision or removal of diseased body part ... amputation, cholec…
Anesthesia
Absence of all sensation including pain
Care of a Surgical Patient
preoperative phase
intraoperative phase
post anesthesia care unit
emergency
What phase is it from the decision for surgery to the transfe…
What phase is it from transfer into the operating room to adm…
PACU =
What classification of surgery is surgery that:... -needs to be…
preoperative phase
What phase is it from the decision for surgery to the transfe…
intraoperative phase
What phase is it from transfer into the operating room to adm…
Care of the Surgical Patient
A perioperative nurse is preparing a p…
A nurse is preparing a patient for a c…
A nurse is preparing a patient for a c…
A 72-year-old woman who is scheduled f…
Answer: Major, emergency... Rationale: This surgery would invol…
Answer: B, C... Rationale: A localized loss of sensation and po…
Answer: B, F... Rationale: A consent form is not legal if the p…
Answer: Anticoagulants... Rationale: Anticoagulant drug therapy…
A perioperative nurse is preparing a p…
Answer: Major, emergency... Rationale: This surgery would invol…
A nurse is preparing a patient for a c…
Answer: B, C... Rationale: A localized loss of sensation and po…
Care of surgical patient
Perioperative. Definition
Preoperative
Intraoperative
Postoperative
Term for a surgical patient "umbrella under which a surgical…
Before surgery.
During surgery.
After surgery
Perioperative. Definition
Term for a surgical patient "umbrella under which a surgical…
Preoperative
Before surgery.
Care of surgical patient
WBC
RBC
Platelet
CVP
5-10
4.5-5 million
140-400
5-12
WBC
5-10
RBC
4.5-5 million
Care of the Surgical Patient
dehiscence
elective
palliative
perioperative care
separation of surgical wound
voluntary
to relieve pain or complication without curing
care from decision to have surgery through the recovery period
dehiscence
separation of surgical wound
elective
voluntary
101 terms
Care of Surgical patients
Major surgical classification
Minor surgical classification
Elective surgical classification
Urgent surgical classification
Extensive reconstruction, poses great risk to well being
Involves minimal risks compared with major procedures
Is not essential and is not always necessary for health
Not necessarily emergency
Major surgical classification
Extensive reconstruction, poses great risk to well being
Minor surgical classification
Involves minimal risks compared with major procedures
30 terms
Care of the Surgical Patient
autologous
dehiscence
elective
laser
own, originating within an individual
separation of surgical wound
voluntary
light amplification by stimulated emission of radiation
autologous
own, originating within an individual
dehiscence
separation of surgical wound
28 terms
Care of Surgical Patient
What should the patient have on before…
Transport to the operating room (Preop…
Preparing for the postoperative patien…
Arrival at the operating room
-Identification bracelet... - allergy band... -Fall risk ID band... -B…
- compare ID bracelet to the medical record... - Assist patient…
- - sphygmomanometer, stethoscope, and thermometer... -Emesis ba…
-Identification bracelet with the clients verbal response and…
What should the patient have on before…
-Identification bracelet... - allergy band... -Fall risk ID band... -B…
Transport to the operating room (Preop…
- compare ID bracelet to the medical record... - Assist patient…
46 terms
care of the surgical and immobile patient
surgery performed for varity reasones
elective (voluntary) surgery
Emergency surgery
Palliative surgery
elective ( voluntary), Emergency,palliative (pain or complica…
such us when a hernia repair is scheduled week away
trauma case,in which serious consequences will occur if surge…
pain or complication reliever,performed to make patient more…
surgery performed for varity reasones
elective ( voluntary), Emergency,palliative (pain or complica…
elective (voluntary) surgery
such us when a hernia repair is scheduled week away
81 terms
care of surgical patient
Perioperative nursing
ambulatory
laparoscopic
major
care given during, before, and after surgery is what kind of…
outpatient surgery, short-stay surgery, or same-day surgery i…
this type of surgery uses minimally invasive techniques with…
the seriousness of this surgery Involves extensive reconstruc…
Perioperative nursing
care given during, before, and after surgery is what kind of…
ambulatory
outpatient surgery, short-stay surgery, or same-day surgery i…
127 terms
Care of the Surgical Patient
Has surgical procedures and is dischar…
Elective
Urgent
Must be done immediately for patient's…
Ambulatory or outpatient
Patient's choice
Necessary for patient.
Emergency
Has surgical procedures and is dischar…
Ambulatory or outpatient
Elective
Patient's choice
LPN Care of the Surgical Patient
Ablation
Atelectasis
Cachexia
Catabolism
surgical removal of a body part or tissue
Collapsed lung; incomplete expansion of alveoli
General lack of nutrition and wasting occurring in the course…
Breakdown of body tissue after severe trauma or crushing injury
Ablation
surgical removal of a body part or tissue
Atelectasis
Collapsed lung; incomplete expansion of alveoli
16 terms
Nursing Care of the Surgical Patient
Outpatient benefits
Discharge criteria after outpatient su…
Preop Diagnostic tests
Preop meds
1. Decreased cost... 2. Reduced risk of hospital-accquired infec…
1. Stable vital signs... 2. Can stand & walk without dizziness o…
Provide baseline date- usually performed one week prior to su…
Provide sedation... Reduce anxiety... Induce amnesia... Increase comfo…
Outpatient benefits
1. Decreased cost... 2. Reduced risk of hospital-accquired infec…
Discharge criteria after outpatient su…
1. Stable vital signs... 2. Can stand & walk without dizziness o…
chapter 2 care of the surgical patient
ambulatory (outpatient
same-day admit
inpatient
ablative surgery
patient enters setting, has surgical procedure, and is discha…
patient enters the hospital, undergoes surgery on the same da…
patient is admitted to hospital, undergoes surgery, and remai…
excision or removal of diseased body part
ambulatory (outpatient
patient enters setting, has surgical procedure, and is discha…
same-day admit
patient enters the hospital, undergoes surgery on the same da…
173 terms
Care of Surgical Patient
Anastomosis
ectomy
lysis
orrhaphy
surgical joining
Surgical removal
destruction or dissolution
Surgical repair
Anastomosis
surgical joining
ectomy
Surgical removal
Care of the Surgical Patient
Asepsis
Drainage
Exudate
Hematoma
absence of bacteria
The means of draining collectively, as a system of conduits,…
fluid, such as pus, that leaks out of an infected wound
A bleed under the skin that can cause complications in the pa…
Asepsis
absence of bacteria
Drainage
The means of draining collectively, as a system of conduits,…
Care for Surgical Patient
Perioperative Period
Preoperative Phase
Intraoperative Phase
Postoperative Phase (B/E)
Preoperative Phase... Intraoperative Phase... Postoperative Phase
Begins w/ decision to have surgery ... Ends when patient transf…
Begins when patient transferred to operating table... End with…
Begins with admission to PACU... End when healing complete
Perioperative Period
Preoperative Phase... Intraoperative Phase... Postoperative Phase
Preoperative Phase
Begins w/ decision to have surgery ... Ends when patient transf…
Care of the surgical patient
Approximation
Dehiscence
Intubation
Extubation
Edges of the surgical incision meet and are aligned with each…
Separation of wound edge ... Seen in approximately 2% of all mid…
Insertion of an endotracheal tube into the patient's trachea…
Removal of the endotracheal tube
Approximation
Edges of the surgical incision meet and are aligned with each…
Dehiscence
Separation of wound edge ... Seen in approximately 2% of all mid…
Care of the surgical patient
surgery
major surgery
minor surgery
elective
the branch of medicine concerned with diseases and trauma req…
extensive reconstruction of/or alteration in body parts
minimal alteration in body parts
patients choice
surgery
the branch of medicine concerned with diseases and trauma req…
major surgery
extensive reconstruction of/or alteration in body parts
LPN Care of the Surgical Patient
Ablation
Atelectasis
Cachexia
Catabolism
surgical removal of a body part or tissue
Collapsed lung; incomplete expansion of alveoli
General lack of nutrition and wasting occurring in the course…
Breakdown of body tissue after severe trauma or crushing injury
Ablation
surgical removal of a body part or tissue
Atelectasis
Collapsed lung; incomplete expansion of alveoli
45 terms
Care of surgical patient
Surgery
Major surgery
Minor surgery
Elective surgery
The branch of medicine concerned with diseases and trauma req…
Extensive reconstruction of or alteration in body parts... Exam…
Minimal alteration in body parts ... Example : tooth extraction…
Not necessary to preserve life ; time if surgery chosen by pa…
Surgery
The branch of medicine concerned with diseases and trauma req…
Major surgery
Extensive reconstruction of or alteration in body parts... Exam…
25 terms
Care of the Surgical Patient
Elective Surgery
Urgent Surgery
Emergent Surgery
Ambulatory (Outpatient)
not necessary to preserve life, may be performed at a time th…
required to to keep additional problems from occuring
immediately to save an individual's life or to preserve the f…
discharge on same day
Elective Surgery
not necessary to preserve life, may be performed at a time th…
Urgent Surgery
required to to keep additional problems from occuring
47 terms
Care of the Surgical Patient
Seriousness
Urgency: Elective
Urgency: Urgent
Urgency: Emergency
Major: Extensive reconstruction of or alteration in body part…
Patient's choice; ex: plastic surgery
Necessary for patient's health; ex: excision of tumor, gallst…
Must be done STAT to save life or preserve function; ex: cont…
Seriousness
Major: Extensive reconstruction of or alteration in body part…
Urgency: Elective
Patient's choice; ex: plastic surgery
23 terms
Care of Surgical Patient
Benefits of Ambulatory Surgery
Classification of Surgery
Pre-operative Assessment
Diagnostic Testing Prior to Surgery
anesthesia drugs metabolize rapidly, allowing for shorter ope…
Seriousness: major, minor... Urgency: elective, urgent, emergen…
Nursing history: health assessment, physical assessment... Medi…
Complete Blood Count (CBC): RBC, Hgb & Hct, WBC... Serum electr…
Benefits of Ambulatory Surgery
anesthesia drugs metabolize rapidly, allowing for shorter ope…
Classification of Surgery
Seriousness: major, minor... Urgency: elective, urgent, emergen…
8 terms
Care of the Surgical Patient
Preoperative phase... Intraoperative phas…
post-anesthesia care unit
cholecystectomy
Association of periOperative Registere…
Phases of Peri-operative Nursing
PACU stands for and is the most Immediate postoperative care
A laparoscopic (ambulatory) surgery involving gallbladder rem…
AORN established in 1956 stands for
Preoperative phase... Intraoperative phas…
Phases of Peri-operative Nursing
post-anesthesia care unit
PACU stands for and is the most Immediate postoperative care
501 Care of surgical patient
Pre-op assessment
Pre-op teaching
Informed consent
Intra-op care: Time-out
Baseline data, medication, allergies, emotions, drug/alcohol…
Details of procedure, how to prepare, what to expect after
Doctor obtains - not nurses
Everyone stops to confirm name, birthday, procedure and locat…
Pre-op assessment
Baseline data, medication, allergies, emotions, drug/alcohol…
Pre-op teaching
Details of procedure, how to prepare, what to expect after
146 terms
Care of Surgical Patient
Know the following suffixes:... -ectomy.…
Minimally invasive
endoscopic
Open surgical procedure
-ectomy: removal or an organ or gland.... -rrhaphy: repair.... -o…
fiberoptic endoscopes, smaller incisions, customized instrume…
diagnostic as well as therapeutic, can be used in conjunction…
traditional opening of body cavity, more extensive surgical a…
Know the following suffixes:... -ectomy.…
-ectomy: removal or an organ or gland.... -rrhaphy: repair.... -o…
Minimally invasive
fiberoptic endoscopes, smaller incisions, customized instrume…
99 terms
Care of Surgical Patient
Anastamosis
Ectomy
Lysis
Orrhaphy
Surgical joining
Removal
Destruction or dissolution
Repair
Anastamosis
Surgical joining
Ectomy
Removal
17 terms
Care of Surgical Patient
Surgery
Reconstructive
Constructive
Risk factors for clients needing surgery
The branch of medicine concerned with diseases and trauma req…
Restores function or appearance to traumatized or malfunction…
Restores function lost or reduced as result of congenital ano…
Young patients- pts with multiple surguries before age 2 tend…
Surgery
The branch of medicine concerned with diseases and trauma req…
Reconstructive
Restores function or appearance to traumatized or malfunction…
Nursing Care of Surgical Patient
Atelectasis
Pulmonary embolus
Pneumonia
Hypovolemia
- incomplete expansion or collapse of alveoli... -S/S: cyanosis;…
- clot lodged in pulmonary vessel... -S/S: sudden chest pain, dy…
- inflammation of the lungs. Hypostatic, infectious, aspirati…
- low blood volume... -S/S: tachycardia, tachypnea, low BP, dec…
Atelectasis
- incomplete expansion or collapse of alveoli... -S/S: cyanosis;…
Pulmonary embolus
- clot lodged in pulmonary vessel... -S/S: sudden chest pain, dy…
8 terms
Care of the surgical Patient
incision
puncture
primary intention
secondary intention
a cut produced surgically by a sharp instrument creating an o…
stab wound for a drainage system
wounds made surgically heal this way-healing begins during th…
a wound must granulate during healing- occurs when skin edges…
incision
a cut produced surgically by a sharp instrument creating an o…
puncture
stab wound for a drainage system
31 terms
Care of the Surgical Patient
Elective surgery
Urgent surgery
Emergent surgery
Anastomosis
Not necessary to preserve life; may be performed at a time th…
Required to keep additional health problems from occurring.
Performed immediately to save the individual's life or to pre…
Surgical joining of two ducts or blood vessels to allow flow…
Elective surgery
Not necessary to preserve life; may be performed at a time th…
Urgent surgery
Required to keep additional health problems from occurring.
133 terms
CARE OF THE SURGICAL PATIENT
SURGERY
CLASSIFICATION FOR SURGICAL PROCEDURES
ADMISSION STATUS THREE TYPES
SERIOUSNESS
the branch of medicine concerned with diseases and trauma req…
ADMISSION STATUS... SERIOUSNESS... URGENCY... PURPOSE
AMBULATORY (outpatient): patient who enters setting, has surg…
MAJOR: involves extensive reconstruction or alteration in bod…
SURGERY
the branch of medicine concerned with diseases and trauma req…
CLASSIFICATION FOR SURGICAL PROCEDURES
ADMISSION STATUS... SERIOUSNESS... URGENCY... PURPOSE
35 terms
Care of Surgical patient II
Criteria for calid consent
What type of cases call for two witnes…
Rn first assistant
Circulating nurse
Voluntary , informed subject , competent subject ( legal age )
Blind patients and during emergency cases
Worked under surgeon , handles tissue , suturing , providing…
Coordinates activists and environment in OR , is patient advo…
Criteria for calid consent
Voluntary , informed subject , competent subject ( legal age )
What type of cases call for two witnes…
Blind patients and during emergency cases
15 terms
care of the surgical patient (3)
pre-op care involves
pre-op nursing dx's
intra-operative includes what
principles of surgical asepsis
assessment, teaching, informed consent, preoperative checklist
risk for infection, impaired physical mobility, acute pain, d…
safety, time out, surgical asepsis
An object remains sterile only when touched by another steril…
pre-op care involves
assessment, teaching, informed consent, preoperative checklist
pre-op nursing dx's
risk for infection, impaired physical mobility, acute pain, d…
Care of surgical patients (match)
Perioperative nursing
Inpatient surgery
Ambulatory surgery (out patient)
Benefits of ambulatory Anastasia
A specialized area of practice that describes the provision o…
Patient who stays in the hospital while under treatment
Healthcare facilities focused on providing the same day surgi…
Feeler laboratory test, fewer preop/postop medications, small…
Perioperative nursing
A specialized area of practice that describes the provision o…
Inpatient surgery
Patient who stays in the hospital while under treatment
Care of the surgical patient
surgery
major surgery
minor surgery
elective
the branch of medicine concerned with diseases and trauma req…
extensive reconstruction of/or alteration in body parts
minimal alteration in body parts
patients choice
surgery
the branch of medicine concerned with diseases and trauma req…
major surgery
extensive reconstruction of/or alteration in body parts
189 terms
MS-Care of Surgical Patient
surgical terminology
Anastomosis
ectomy
lysis
page 19, table 2-2... AHN
surgical joining
Surgical removal
destruction or dissolution
surgical terminology
page 19, table 2-2... AHN
Anastomosis
surgical joining
36 terms
Care of the Surgical Patient
Anesthesia
Embolus
Infarct
Informed Consent
Absence of pain; Divided into general, regional, & local cate…
A foreign object, quantity of air or gas, bit of tissue or tu…
Localized area of necrosis in tissue, a vessel, or an organ r…
Permission to perform a specific test or procedure
Anesthesia
Absence of pain; Divided into general, regional, & local cate…
Embolus
A foreign object, quantity of air or gas, bit of tissue or tu…
16 terms
Care of the surgical patient
DNR "do not resuscitate"
sterile conscience
Circulating nurse
scrub nurse
The physician should discuss and document issues with the pat…
Surgical personal must have ___ for patient safety such as if…
reviewing the preoperative assessment, establishing and imple…
gowns and gloves surgeons as they enter the operating room an…
DNR "do not resuscitate"
The physician should discuss and document issues with the pat…
sterile conscience
Surgical personal must have ___ for patient safety such as if…
nursing care of surgical patients
what are the purposes of preoperative…
surgical settings
preoperative nursing assessment:
psychosocial assessment
- diagnostic... - curative... - palliative... - preventive
- elective vs. emergency... - same day surgery - ambulatory surg…
- Psychological status... - Physiologic factors (Post-op Pain)... -…
- anxiety... - fears... - hope
what are the purposes of preoperative…
- diagnostic... - curative... - palliative... - preventive
surgical settings
- elective vs. emergency... - same day surgery - ambulatory surg…
41 terms
Care of Surgical Patient Notes
Where does preoperative nuring take pl…
Preoperative phase
Intraoperative phase
Postoperative phase/ Immediate recovery
Hospitals, surgical centers attached to hospitals, freestandi…
Involves all processes that take place to prepare for surgery…
Primarily concerned with preventing injury and complications…
Monitoring & maintaining airway; respiratory, circulatory, an…
Where does preoperative nuring take pl…
Hospitals, surgical centers attached to hospitals, freestandi…
Preoperative phase
Involves all processes that take place to prepare for surgery…
30 terms
Care of the Surgical Patient
this is defined as the branch of medic…
this became a medical specialty in the…
in the 1840's this allowed surgeons to…
this allowed surgeons to conduct longe…
surgery
surgery
anesthesia
anesthetic gases
this is defined as the branch of medic…
surgery
this became a medical specialty in the…
surgery
36 terms
Care of the Surgical Patient
An admission status that indicates a p…
An admission status indicating a patie…
Patient is admitted to the hospital an…
Involves extensive reconstruction of o…
Ambulatory or outpatient
Same day admit
Inpatient
Major Surgical procedure ... Ex. Coronary artery bypass, gastri…
An admission status that indicates a p…
Ambulatory or outpatient
An admission status indicating a patie…
Same day admit
17 terms
Care of Surgical Patient
Surgery
Reconstructive
Constructive
Risk factors for clients needing surgery
The branch of medicine concerned with diseases and trauma req…
Restores function or appearance to traumatized or malfunction…
Restores function lost or reduced as result of congenital ano…
Young patients- pts with multiple surguries before age 2 tend…
Surgery
The branch of medicine concerned with diseases and trauma req…
Reconstructive
Restores function or appearance to traumatized or malfunction…
60 terms
LPN Care of the Surgical Patient
Ablation
Atelectasis
Cachexia
Catabolism
surgical removal of a body part or tissue
Collapsed lung; incomplete expansion of alveoli
General lack of nutrition and wasting occurring in the course…
Breakdown of body tissue after severe trauma or crushing injury
Ablation
surgical removal of a body part or tissue
Atelectasis
Collapsed lung; incomplete expansion of alveoli
Care of the Surgical Patient
An admission status that indicates a p…
An admission status indicating a patie…
Patient is admitted to the hospital an…
Involves extensive reconstruction of o…
Ambulatory or outpatient
Same day admit
Inpatient
Major Surgical procedure ... Ex. Coronary artery bypass, gastri…
An admission status that indicates a p…
Ambulatory or outpatient
An admission status indicating a patie…
Same day admit
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