ASCORERS STUVIA
MED/SURG EXAM 1 WITH 140 CORRECTLY ANSWERED
QUESTIONS ALREADY GRADED A+
Preoperative Phase ...ANSWER... Decision for surgery is made and ends
when the patient is transferred to the operating room
Intraoperative Phase ...ANSWER... Begins with the patient's entry into
the operating room and ends with admittance to the postanesthesia care unite
(PACU) or recovery room
Postoperative Phase ...ANSWER... Begins with the patient's admittance
to the PACU and ends with the patient's complete recovery from the surgical
intervention
Elective Surgery ...ANSWER... Suggested and scheduled, no forseen ill
effects if postponed
Urgent Surgery ...ANSWER... Necessary to be performed within 1 to 2
days (ASAP)
Emergency Surgery ...ANSWER... Performed IMMEDIATELY; life or
limb threatening
Ambulatory Admission ...ANSWER... Surgeries are performed that
DONT require hospital admission; Outpatient procedure
Same Day Admission ...ANSWER... Admission of surgical patients to
the hospital on the day of surgery
,ASCORERS STUVIA
Early Admission ...ANSWER... Patient that may have multiple and/or
significant comorbidities are admitted 1 to 2 days prior to surgery to
maintain or prepare
Diagnostic Surgery ...ANSWER... Surgical exploration that alows health
care providers to confirm diagnoses ex: laparotomy
Curative Surgery ...ANSWER... Surgery performed to resolve a health
problem by repairing or removing the cause
• Ex. Lap chole, Mastectomy, Hysterectomy
Palliative Surgery ...ANSWER... Surgery that improves comfort or
reduces intensity of disease symptoms; will not produce cure (ex. colostomy,
debridement of necrotic tissue)
Cosmetic Surgery ...ANSWER... Surgeries specific in the surgical
restoration and reconstruction of body structures (ex. rhinoplasty)
Reconstructive Surgery ...ANSWER... Surgery performed to
improve/restore a client's functional ability
• Ex. Total knee replacement, Finger reimplantation
Neuroendocrine Response ...ANSWER... SNS stimulation (stress
response) = compensatory vasoconstriction
Increased HR and BP (risk for stroke, bleeding)
Decreased Peristalsis (No Bowel Sounds, pain meds not effective)
, ASCORERS STUVIA
Hormonal Response ...ANSWER... Norepinephrine = increased HR
Aldosterone = increased fluid/Na (decreased UO)
Glucocorticoids = increased blood sugar
Metabolic Response ...ANSWER... Relative rate of starvation
~Gluconeogenesis
~Fat metabolism
~Protein breakdown
~Negative Nitrogen balance
Healing ...ANSWER... Adequate protein and Vitamin C
Psychological Response ...ANSWER... Anxiety and Fear r/t to cause for
surgery and poor coping skills
Preoperative Management ...ANSWER... ~Patient Safety is PRIMARY
CONCERN
~NPO
~Bowel Prep and Skin Prep
~Pre-Op Labs
~Hospital gown, voiding, removal of dentures, jewelry, contacts, etc.
~Attend to family's needs
Hold Meds: Preop Care ...ANSWER... Insulin
MED/SURG EXAM 1 WITH 140 CORRECTLY ANSWERED
QUESTIONS ALREADY GRADED A+
Preoperative Phase ...ANSWER... Decision for surgery is made and ends
when the patient is transferred to the operating room
Intraoperative Phase ...ANSWER... Begins with the patient's entry into
the operating room and ends with admittance to the postanesthesia care unite
(PACU) or recovery room
Postoperative Phase ...ANSWER... Begins with the patient's admittance
to the PACU and ends with the patient's complete recovery from the surgical
intervention
Elective Surgery ...ANSWER... Suggested and scheduled, no forseen ill
effects if postponed
Urgent Surgery ...ANSWER... Necessary to be performed within 1 to 2
days (ASAP)
Emergency Surgery ...ANSWER... Performed IMMEDIATELY; life or
limb threatening
Ambulatory Admission ...ANSWER... Surgeries are performed that
DONT require hospital admission; Outpatient procedure
Same Day Admission ...ANSWER... Admission of surgical patients to
the hospital on the day of surgery
,ASCORERS STUVIA
Early Admission ...ANSWER... Patient that may have multiple and/or
significant comorbidities are admitted 1 to 2 days prior to surgery to
maintain or prepare
Diagnostic Surgery ...ANSWER... Surgical exploration that alows health
care providers to confirm diagnoses ex: laparotomy
Curative Surgery ...ANSWER... Surgery performed to resolve a health
problem by repairing or removing the cause
• Ex. Lap chole, Mastectomy, Hysterectomy
Palliative Surgery ...ANSWER... Surgery that improves comfort or
reduces intensity of disease symptoms; will not produce cure (ex. colostomy,
debridement of necrotic tissue)
Cosmetic Surgery ...ANSWER... Surgeries specific in the surgical
restoration and reconstruction of body structures (ex. rhinoplasty)
Reconstructive Surgery ...ANSWER... Surgery performed to
improve/restore a client's functional ability
• Ex. Total knee replacement, Finger reimplantation
Neuroendocrine Response ...ANSWER... SNS stimulation (stress
response) = compensatory vasoconstriction
Increased HR and BP (risk for stroke, bleeding)
Decreased Peristalsis (No Bowel Sounds, pain meds not effective)
, ASCORERS STUVIA
Hormonal Response ...ANSWER... Norepinephrine = increased HR
Aldosterone = increased fluid/Na (decreased UO)
Glucocorticoids = increased blood sugar
Metabolic Response ...ANSWER... Relative rate of starvation
~Gluconeogenesis
~Fat metabolism
~Protein breakdown
~Negative Nitrogen balance
Healing ...ANSWER... Adequate protein and Vitamin C
Psychological Response ...ANSWER... Anxiety and Fear r/t to cause for
surgery and poor coping skills
Preoperative Management ...ANSWER... ~Patient Safety is PRIMARY
CONCERN
~NPO
~Bowel Prep and Skin Prep
~Pre-Op Labs
~Hospital gown, voiding, removal of dentures, jewelry, contacts, etc.
~Attend to family's needs
Hold Meds: Preop Care ...ANSWER... Insulin
