Midterms (NSG124 — PainSurg)
Intraoperative Phase - ANS Begins when the client is transferred to operating table and ends
when the client is admitted to the post-anesthesia care unit, also called the post-anesthetic
room or recovery room.
Identification of surgical client.
Assessment of client's status.
Verification of the information in the preoperative checklist. - ANS What do we assess in
patients during the intraoperative phase? (3)
Physiological
Psychological
Physical - ANS What are the three components we assess in the client status?
Anxiety related to expressed concerns due to surgery.
Risk for perioperative injury related to environmental conditions in the OR.
Risk for injury, related to anesthesia and surgery.
Disturbed sensory perception related to general anesthesia.
Risk for fluid deficit related to bleeding.
Risk for aspiration related to depressants of endotracheal tube.
Risk of latex surgery response due to possible exposure of latex in OR environment. - ANS
Provide at least three analysis or nursing diagnosis in related to internal operative phase.
Introduce yourself.
Address patient by name warmly and frequently.
Provide explanations.
Encourage questions and answer them.
Provide comfort measures. - ANS What are the ways to reduce the anxiety of the patient?
asleep/awake - ANS Preventing Intraoperative Positioning Injury: depression should be in as
comfortable position as possible, whether ???/???.
operative field - ANS Preventing Intraoperative Positioning Injury: The ??? ??? must be
adequately exposed.
vascular supply - ANS Preventing Intraoperative Positioning Injury: An awkward position, undue
pressure on the body part, or use of stirrups or traction, should not obstruct the ??? ???.
patient — anesthesia - ANS Protecting the Patient from Injury: Correct ??? and the planned
surgical procedure and type of ???.
, Iodine & Latex - ANS What are the most common allergies encountered in the OR?
Surgical Position - ANS The position of the client during a surgical procedure, which is essential
to the maintenance of client safety.
Optimal visualization of andaccess to the surgical site.
Optimal access to IV lines and monitoring devices.
Protection of the client from harm (anatomic and physiological considerations). - ANS The
client's surgical position should provide: (3)
Positioning - ANS ??? is performed after anesthesia is induced and before surgical draping of
the client.
Supine
Trendelenburg
Reverse Trendelenburg
Lithotomy
Sims/Lateral
Prone - ANS What are the six surgical positions?
Supine - ANS Flat on bed. One arm positioned at the side of the table with the hand placed
palm down, the other hand is carefully positioned on the arm board.
Supine - ANS Used for most abdominal surgery.
Trendelenburg - ANS Flat on bed but head and body are lowered. The patient is held in position
by padded shoulder braces.
Trendelenburg - ANS Used for surgery on lower abdomen and pelvis. Obtain good exposure by
displacing the distance into upper abdomen.
Reverse Trendelenburg - ANS The body is laid flat on the back with the head higher than the
feet.
Reverse Trendelenburg - ANS Used in thyroidectomy, laparoscopic gallbladder and biliary tract
surgery.
Lithotomy - ANS Flat on back with legs and thighs flexed. Position is maintained by placing
stirrups.
Lithotomy - ANS Used for nearly all perennial, rectal and vaginal cervical procedures.
Sims/Lateral - ANS Patient is placed on non-operative side with air pillow 12.5 to 15 cm thick
under the loin, the upper leg extended and the lower leg is flexed at the knee.
Intraoperative Phase - ANS Begins when the client is transferred to operating table and ends
when the client is admitted to the post-anesthesia care unit, also called the post-anesthetic
room or recovery room.
Identification of surgical client.
Assessment of client's status.
Verification of the information in the preoperative checklist. - ANS What do we assess in
patients during the intraoperative phase? (3)
Physiological
Psychological
Physical - ANS What are the three components we assess in the client status?
Anxiety related to expressed concerns due to surgery.
Risk for perioperative injury related to environmental conditions in the OR.
Risk for injury, related to anesthesia and surgery.
Disturbed sensory perception related to general anesthesia.
Risk for fluid deficit related to bleeding.
Risk for aspiration related to depressants of endotracheal tube.
Risk of latex surgery response due to possible exposure of latex in OR environment. - ANS
Provide at least three analysis or nursing diagnosis in related to internal operative phase.
Introduce yourself.
Address patient by name warmly and frequently.
Provide explanations.
Encourage questions and answer them.
Provide comfort measures. - ANS What are the ways to reduce the anxiety of the patient?
asleep/awake - ANS Preventing Intraoperative Positioning Injury: depression should be in as
comfortable position as possible, whether ???/???.
operative field - ANS Preventing Intraoperative Positioning Injury: The ??? ??? must be
adequately exposed.
vascular supply - ANS Preventing Intraoperative Positioning Injury: An awkward position, undue
pressure on the body part, or use of stirrups or traction, should not obstruct the ??? ???.
patient — anesthesia - ANS Protecting the Patient from Injury: Correct ??? and the planned
surgical procedure and type of ???.
, Iodine & Latex - ANS What are the most common allergies encountered in the OR?
Surgical Position - ANS The position of the client during a surgical procedure, which is essential
to the maintenance of client safety.
Optimal visualization of andaccess to the surgical site.
Optimal access to IV lines and monitoring devices.
Protection of the client from harm (anatomic and physiological considerations). - ANS The
client's surgical position should provide: (3)
Positioning - ANS ??? is performed after anesthesia is induced and before surgical draping of
the client.
Supine
Trendelenburg
Reverse Trendelenburg
Lithotomy
Sims/Lateral
Prone - ANS What are the six surgical positions?
Supine - ANS Flat on bed. One arm positioned at the side of the table with the hand placed
palm down, the other hand is carefully positioned on the arm board.
Supine - ANS Used for most abdominal surgery.
Trendelenburg - ANS Flat on bed but head and body are lowered. The patient is held in position
by padded shoulder braces.
Trendelenburg - ANS Used for surgery on lower abdomen and pelvis. Obtain good exposure by
displacing the distance into upper abdomen.
Reverse Trendelenburg - ANS The body is laid flat on the back with the head higher than the
feet.
Reverse Trendelenburg - ANS Used in thyroidectomy, laparoscopic gallbladder and biliary tract
surgery.
Lithotomy - ANS Flat on back with legs and thighs flexed. Position is maintained by placing
stirrups.
Lithotomy - ANS Used for nearly all perennial, rectal and vaginal cervical procedures.
Sims/Lateral - ANS Patient is placed on non-operative side with air pillow 12.5 to 15 cm thick
under the loin, the upper leg extended and the lower leg is flexed at the knee.
