Term
Induce the patient to become unconscious :
A. General Anesthetics
B. Local Anesthetic
C. Spinal Anesthetics
D.procaine hydrochloride |
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Definition
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Term
General Anesthetics :
A. Blocking receptors in the operative area
B. Blocking transmission of the pain sensation at the level of the spinal cord
C. Block reception of pain in the brain
D. Induce loss of feeling in a specific area |
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Definition
| C. Block reception of pain in the brain |
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Term
Most fact of local anesthetics, accept :
A. Patient remains awake
B. loss of feeling in a specific area
C. Patient loses consciousness
D. used for abdominal surgery |
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Definition
C. Patient loses consciousness
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Term
Blocking transmission of the pain sensation at the level of the spinal cord :
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Definition
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Term
| Preoperative care begins when |
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Definition
| surgery is planned by the physician with the patient |
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Term
NA responsibility during preoperative care begin when :
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Definition
| When the patient admitted to the facility |
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Term
Planning for discharge period begins :
A. Preoperative
B. Operative
C. Postoperative
D. PAR (Post-anesthasia recovery) |
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Definition
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Term
| Exercises taugh in the preoperative periode are |
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Definition
- Deep breathing and coughing
- Leg exercise
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Term
| Area to apply depilatory cream to check the skin for sensitivity is |
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Definition
| the skin of the forearm ; wait 10 minutes, if redness occurs, do not continue but report to the nurse. |
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Term
| During preoperative nurse determine the patient's special need and preoperative teaching, NA help nurse by |
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Definition
| encourage patient with preoperative teaching |
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Term
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Definition
| Infections are acquired during the facility stay |
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Term
While patient is in the operating room, except :
A. prepare the room for the patient return
B. Nothing to do before patient return from surgery
C. prepare for the Vital signs
D. Watch for the return or your patient from surgery |
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Definition
| B. Nothing to do before patient return from surgery |
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Term
| Patient is placed in a special area when the patient recovers from anesthesia during postoperative, is called |
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Definition
| Postanesthesia care unit (PACU) or recovery room |
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Term
Upon the patient's return from the recovery room, you should :
A. leave the unconscious patient alone
B. It is ok if the patient's temperature is below 97º
C. Have an extra blanket available
D. Do not have to identify the patient |
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Definition
C. Have an extra blanket available - many patients complain of feeling cold upon return
Wrong because
A. never leave the unconscious patient alone at any time
B. notify the nurse if <97º
D. indentify the patient upon the patient return from the recovery room
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Term
During postoperative care, accept :
A. Temperature always be taken at this time
B. Count pulse and respiration for one full minute
C. Ask the patient if he or she is having pain each time you check VS
D. Blood pressure may not always be taken at this time |
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Definition
A. Temperature always be taken at this time
Patient's temperature may not be taken at this time during postoperative care. But if the patient's temperature is below 97º, inform the nurse promptly |
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Term
If the patient vomit during postoperative :
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Definition
| Turn the patient's head to one side and support, if patient conscious allow the patient to rinse the mouth with water after vomiting. Note the type and amount of vomitus and record on the output worksheet |
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Term
Some special precautions to be taken if drainages are present after patient return from surgery :
A. Raise drainage bottles above the level of the drainage site.
B.Allowe infusion bottles below the level of the infusion site
C. Report to the nurse when the levels of infusions run out
D. Never put stress on the tubes when moving the patient or giving care |
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Definition
D. Never put stress on the tubes when moving the patient or giving care
A. Wrong - Never raise drainage bottles above the level of the drainage site
B.Wrong - never lower infusion bottles below the level of the infusion site
C. Wrong - Monitor levels of infusions and report to the nurse before the levels of infusions run out
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Term
| During post operative, position should be change every |
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Definition
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Term
| Temperature return to normal after surgery may take |
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Definition
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Term
| Cough and deep breath are perform by the patient after surgery |
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Definition
| to prevent pneumonia (respiratory complication) which can lead to imobility and illness ; especially belly surgery |
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Term
| Deep breaths and coughs are not perform for |
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Definition
| Eye surgery, nose surgery and brain surgery ; cause pressure on the head and eye |
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Term
| If medication for pain is to be administered before the exercise (deep breathing and leg), wait for |
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Definition
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Definition
| Turn, Cough & Deep Breath |
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Term
| Area should not be shave during skin preparation prior to surgery are : |
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Definition
- Do not shave the neck or face of a female patient
- Never shave the eyebrow
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Term
| The safety as soon as the nurse gives the preoperative medication : |
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Definition
- Side rails up
- call signal is within reach
- Never allow pts to get up and go to the bathroom alone (assist with bedpan or urinal, if necessary)
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Term
| Leg exercises following surgery is to |
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Definition
encourage steady circulation ; prevent blood clot (deep vein thrombosis (DVT) that can lead to heart attack.
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Term
| Device used to help patient breath after surgery |
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Definition
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Term
| Explain why deep breath is very important to prevent pneumonia |
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Definition
Anesthesia used during surgery can affect how well our lungs work after surgery. Also, being inactive from surgery reduces the amount of oxygen taken in by our lungs since we don’t breath as deeply as we do when we are active, even just doing our daily activities. These shallower breaths keep the little air sacs in your lungs from filling with air. These sacs can flatten and their insides stick together like a water balloon after you let most of the water the water out. In order to get air back into these sacs, you need to take deep breaths and hold them. Holding your breath makes the sides of the little air sacs pop apart and the sacs fill with air. If you don’t get the little air sacs (alveoli) filled with air you may have complications like pneumonia. |
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Term
| Deep breath and coughs usual number is |
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Definition
| 5 to 10 breaths and 2 to 3 coughs |
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Term
| AANA (American Association of Nurse Anesthetists) recommend checking the temperature on pediatric patients receiving general anesthesia. Some experts recommend checking temperature while patients in the operating room every : |
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Definition
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Term
| Before ambulate patient (initial ambulation) |
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Definition
- Let the patient dangle (watch for vertigo and dizziness)
- Check pulse before and after standing (if more than 10 points, put them to bed and notify the nurse)
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Term
| During postoperative care, take VS of the patient upon arrival every |
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Definition
- 15 minutes for four readings, If stable
- 30 minutes for 1 hour
- every hour for 2 hours
- every 4 hours for 24 hoursc
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Term
| If the patient was given a spinal anesthetic, during postoperative : |
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Definition
| Patient remain flat on the back and without pillow for 8 to 12 hours to avoid headaches |
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Term
| Gauze, film or other systhetic substances that cover wound is called, |
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Definition
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Term
Type of fabric, gauze, net or elasticized materials used to cover the dressing and keep it securely in place :
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Definition
Bandages
Elastic bandages are used to reduce edema and support injured |
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Term
| Long strips of adhesive attached to the skin on either side of the wound, used to hold dressing in place |
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Definition
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Term
Patient complaints of dryness of lips, mouth and skin :
A. Give ice chips or increase fluid intake by mouth with permission
B. Assist patient to breath into a paper bag
C. Limit fluids by mouth
D. Insert a rectal tube
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Definition
A. Give ice chips or increase fluid intake by mouth with permission ; give mouth care
B. Wrong - for incidence of hiccups
C. Wrong - patient nausea, vomiting, encourage the patient to breathe deeply
D. Wrong - if there is possible distention (accumulation of gas in bowel), if permitted and increase mobility |
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Term
Used to hold dressing in place, accept :
A. Montgomery straps
B. Binders
C. Bandages
D. Jactson Pratt |
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Definition
D. Jactson Pratt
Is a drainage outlet to drain fluid such as blood, pus, serous drainage caused by tissue trauma or gastric contents from it before or after surgery. |
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Term
Periopertative Hypothermia develops in the operating room, affect by :
A. anesthesia and some sedatives disrupt the internal ability to regulate temperature
B. factors such as age
C. Presence of chronic disease
D. body size
E. All above
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