medsurg test 3- surgical care

circulating nurse

not sterile, does the timeout, manages the OR

scrub nurse

sterile

when should the nurse teach the pt post-op care?

before surgery

when does intubation end?

when the person gets their gag reflex back

how much does the nurse want the pt to void after surgery?

250mls

how long after surgery should the pt be voiding?

2 hours after

what should the nurse do if the pt doesn’t void after 2 hours?

do a bladder scan

when changing a dressing what should you be looking for?

T type

A amount

C color

O odor

what can a nurse witness but not do by themselves?

signed consent forms

what are the pre-op preparations?

informed consent, NPO, elimination, pre-op medications, pre-op checklist

why is there a pre-op checklist?

pt needs to be medically optimal for surgery

what are the sociocultural effects of surgery?

cost, language barriers, cultural beliefs that conflict with surgical interventions

what are spiritual effects on surgery?

Jehovas witnesses- no transfusion

Muslim- family takes care of the deceased

Islam- right hand should be used for treatments

Is informed consent written or verbal?

both

what happens to the pt before transport to the OR?

the extremity is marked with initials and signed by surgeon

how long should someone avoid smoking before surgery?

24 hours

what will the pt sound like after surgery?

hoarse and dry

People with ETOH addictions typically need more what?

pain meds

what is the pt education for surgery?

use SCD’s, TEDs, early ambulation, and leg and foot excersises to prevent DVTs

what are the most important things to know about a pt before surgery?

allergies

what is ambulatory surgery?

leave the same day of the surgery

what does a pt need before being discharged?

pain controlled, normal body temp, no bleeding, void, good vitals, steady gait, someone to pick them up

what is the most injured nerve during surgery?

ulnar

when do most emergencies occur in the OR?

when being intebated and exubated

oral pharangeal airway

keeps airway open

benzodiazepines

light sedation for quick procedures

anti-emetics

anti-nausea and vommiting

which nurse calls the time-out?

circulating nurse

what are the three things that need to be verified during the time out?

correct pt, correct surgical procedure, correct site

why do accidental surgeries happen?

because a room could normally be used for or set up for a different procedure than is actually supposed to be done

what should you do to a wound site after surgery?

circle it and put the time

what is happening if a pt develops a fever within 48 hours

atelectasis

sanguineous fluid

fresh bloody drainage

serous fluid

clear/yellow drainage