Download perioperative nursing

PERIOPERATIVE NURSING
Prefixes
Artho-
Define these suffixes:
1.
-ectomy
2.
-plasty
Chole-
3.
-otomy
Nephro-
4.
-oscopy
Pneumo-
5.
-ostomy
Thoraco-
6.
-rrhaphy
Cysto-
:
Place one word in each blank to complete these sentences correctly.
7.
The three phases of the perioperative nursing are
and
.
8.
Surgery that relieves symptoms without curing a disease is called:
surgery.
9.
A patient who is given preoperative anticholinergic medication should be told that the
medication may cause
mouth.
10.
Teach patients to take
post-operative day.
11.
The
1.
A hypermetabolic state with a genetic basis that occurs after exposure to anesthetic agents
is
.
13.
Epidural anesthesia is injection of anesthetic into the
anesthesia is injection into the
space.
14.
A patient who is given a neuromuscular blocker to supplement general anesthesia must
have
support for ventilation.
15.
Hypotension with a spinal anesthetic is due to paralysis of the
16.
Epinephrine is added to local infiltration anesthetics to
the duration of
action by
with resultant delay in removal of the anesthetic.
to
deep breaths every
,
,
on the first
nurse must be a registered nurse.
space; spinal
nerves.
1
17.
18.
Suture that are digested by body enzymes are called
sutures.
The first priority physical assessment in postoperative recovery is assessment of
function.
19.
Decreased blood pressure in the early postoperative period may be due to
, and medications such as
and
20.
If patient develops cardiac arrhythmias in the PACU, the patient’s
must be assessed immediately.
21
The most common type of shock in the recovery room is
22.
A patient who has post-operative ileus will have
abdomen.
,
.
and
shock.
bowel sounds and a
Match the appropriate persons with their functions in the operating room:
A. Scrub Nurse
B. Circulating Nurse
23.
Manager of operating
room during
during surgery
24.
Answers patient questions and
explains procedures.
25.
Prepares and delivers instruments
to the surgeon.
26.
Serves as patient advocate.
27.
Brings supplies to the room.
28.
Sets up sterile tables of supplies
and instruments.
Anesthesia Match: match name of anesthetic agent with its characteristic.
29.
Rapid acting muscle relaxant that
A. Lidocaine
causes repiratory depression.
30.
Local anesthetic agent also used
for spinal anesthesia.
B. Fentanyl
31.
Inhalation agent that produces
profound vasodilation
C. Succinylcholine
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32.
Intravenous narcotic anesthetic.
D. Isoflurane
Definitions:
33.
PAR
34.
PACU
35.
Atelectasis
36.
Paralytic ileus
37.
Wound dehiscence
38.
Evisceration
What is the risk? After each factor, write the risk that is present.
39.
Factor: Taking buffered aspirin for headaches.
Risk:
40.
Factor: Cigarette smoking.
Risk:
41.
Factor: Very thin person
Risk:
42.
Factor: Poor nutrition
Risk:
43.
Factor: Obesity
Risk:
44.
Factor: Food intake two hours before surgery.
Risk:
Choose the right words. Underline the correct word in these sentences.
45.
When a patient is repositioned from the lithotomy position to the supine position
immediately after surgery, the position change should be made (rapidly, slowly to prevent
adverse changes in (respiratory rate, blood pressure).
3
46.
A postoperative patient who is shivering, in pain, or hypotensive will have difficulty
(voiding, breathing).
47.
A patient who is still recovering from spinal anesthesia may have a (hypotensive,
hypertensive) episode if the urinary bladder becomes distended.
If evisceration occurs, cover the wound with sterile ( dry, saline-soaked) packs until the patient
returns to surgery.
Clinical scenarios: Place yourself in these situations and answer the questions.
49.
You are assisting with positioning Mr. C. on the O.R. table. The Trendelenberg position
has been specified for this patient who will have lower abdominal surgery. A nursing
student who is observing asks you why this position was chosen. What can you tell her?
You are the circulating nurse in the O.R. Miss T is scheduled for chest surgery. After Miss T is
positioned on the O. R. table, you notice that her left ankle is hanging over the edge of the
table. Should you do anything, and if so, why?
51.
The operating room nurse has notified you that it is time to give Ms. H. her “on call”
preoperative medication. After you administer the medication, you discover that the
operative permit has not been signed. What should you do?
52.
You enter Mr. T’s room to give him a preoperative injection of meperidine (Demerol).
His pulse is 80 and his respirations are 9 per minute. What will you do?
53.
Mrs. C. is scheduled for bowel surgery and her physician has ordered enemas till clear.
You have given her two enemas and the returns are not clear. What should you do?
54.
Mrs. F. is in the PACU with a dressing covering the surgical incision on her right hip.
“Check her for bleeding from the incision.” says your supervisor as she hands you a
glove. Why has she given you a glove? Why can’t you just look at the dressing to assess
for bleeding?
4
55.
In the PACU, a nurse reports to you that her patient has a narrowing pulse pressure. What
is this and what might it indicate?
56.
Your patient is recovering from surgery in which she has had a spinal anesthetic. She asks
you for something for a headache. What can you do?
57.
As a new nurse on a surgical unit. You are supposed to assess a patient’s respiratory rate
upon transfer from the PACU. However, Mr. S’s respirations are so shallow that you are
having difficulty seeing them. What should you do?
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