Nursing 170 Med Surg Exam 1 with 142 complete solutions.

Nursing 170 Med Surg Exam 1 with
142 complete solutions.
Nursing 170 Med Surg Exam 1 with
142 complete solutions.
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



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

,Nursing 170 Med Surg Exam 1 with
142 complete solutions.
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)



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

, Nursing 170 Med Surg Exam 1 with
142 complete solutions.
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

Aspirin

Coumadin

Heparin



Signed Operative Consent Form - ANSWER ~Disclosure of the risks associated with the intended
operation or procedure to the patient

~The patient, nurse and surgeon sign

~Nurse serves as witness



PreOp Teaching - ANSWER ~PreOp experience

~PreOp meds (IV or IM, feels like...)

~Breathing exercises, coughing, incentive spirometer, leg exercises

~Position changes and movement

~Pain management

~Reducing anxiety and fear, support of coping