Podcast
Questions and Answers
What is a significant concern related to patients undergoing facial or neck surgery?
What is a significant concern related to patients undergoing facial or neck surgery?
- Long-term aesthetic changes (correct)
- Increased appetite due to recovery
- Improved body image
- Short-term hearing loss
Which of the following assessments is NOT typically part of a pre-operative respiratory assessment?
Which of the following assessments is NOT typically part of a pre-operative respiratory assessment?
- Smoking history
- Blood pressure monitoring (correct)
- Quality of breathing
- Nutritional status
What type of anaesthetic is typically used for surgeries lasting less than two hours?
What type of anaesthetic is typically used for surgeries lasting less than two hours?
- Local anaesthetic with neurolept (correct)
- General anaesthetic
- Regional anaesthetic
- Sedative anaesthetic
Which of the following structures is composed of c-shaped rings of cartilage?
Which of the following structures is composed of c-shaped rings of cartilage?
What is the purpose of using topical epinephrine during laryngeal surgery?
What is the purpose of using topical epinephrine during laryngeal surgery?
Prior to surgical prep for head and neck surgeries, hair removal is performed in which scenario?
Prior to surgical prep for head and neck surgeries, hair removal is performed in which scenario?
What instruction should be emphasized to patients receiving local anaesthetic with neurolept?
What instruction should be emphasized to patients receiving local anaesthetic with neurolept?
What is an important consideration when assessing facial structures during a pre-operative assessment?
What is an important consideration when assessing facial structures during a pre-operative assessment?
What is a potential complication that may arise if a patient coughs during anesthesia emergence after a thyroid surgery?
What is a potential complication that may arise if a patient coughs during anesthesia emergence after a thyroid surgery?
Which procedure is primarily focused on the removal of malignant tissues in the neck region?
Which procedure is primarily focused on the removal of malignant tissues in the neck region?
During which surgical procedure might it be necessary to preserve the sternocleidomastoid muscle and internal jugular vein?
During which surgical procedure might it be necessary to preserve the sternocleidomastoid muscle and internal jugular vein?
What may be a required pre-procedural intervention for patients undergoing a neck dissection due to potential airway issues?
What may be a required pre-procedural intervention for patients undergoing a neck dissection due to potential airway issues?
What type of surgery might involve harvesting tissue and bone from the patient’s own body for reconstruction?
What type of surgery might involve harvesting tissue and bone from the patient’s own body for reconstruction?
What is the primary function of the sterile nerve stimulator in head and neck surgeries?
What is the primary function of the sterile nerve stimulator in head and neck surgeries?
Which of the following instruments is NOT mentioned as part of the minor instrument set?
Which of the following instruments is NOT mentioned as part of the minor instrument set?
When preparing the operating room, which equipment is crucial for complex procedures requiring magnification?
When preparing the operating room, which equipment is crucial for complex procedures requiring magnification?
In the context of otologic surgeries, which approach is commonly used?
In the context of otologic surgeries, which approach is commonly used?
What is an essential consideration when using power drills during surgery?
What is an essential consideration when using power drills during surgery?
What is the purpose of forced-air warming blankets in the operating room?
What is the purpose of forced-air warming blankets in the operating room?
Which laser type is NOT listed for use in vaporizing scar tissue?
Which laser type is NOT listed for use in vaporizing scar tissue?
What is the correct sequence for instrument counts in minor surgical procedures?
What is the correct sequence for instrument counts in minor surgical procedures?
What is the primary benefit of using a microscope drape during surgical procedures?
What is the primary benefit of using a microscope drape during surgical procedures?
What type of scissors is NOT likely used in the minor instrument set?
What type of scissors is NOT likely used in the minor instrument set?
What is the primary goal of a closed reduction of a nasal fracture?
What is the primary goal of a closed reduction of a nasal fracture?
What is often used intraoperatively during a nasoseptoplasty to control bleeding?
What is often used intraoperatively during a nasoseptoplasty to control bleeding?
What is the purpose of inserting splints during a nasoseptoplasty?
What is the purpose of inserting splints during a nasoseptoplasty?
Why might a surgeon use a suspension laryngoscope holder during laryngoscopy?
Why might a surgeon use a suspension laryngoscope holder during laryngoscopy?
What are the common indications for a tonsillectomy?
What are the common indications for a tonsillectomy?
What might postoperative care involve after closed reduction of a nasal fracture?
What might postoperative care involve after closed reduction of a nasal fracture?
What anatomical structures are primarily affected by a nasoseptoplasty?
What anatomical structures are primarily affected by a nasoseptoplasty?
What essential precaution is necessary intraoperatively when performing a thyroidectomy?
What essential precaution is necessary intraoperatively when performing a thyroidectomy?
What is imperative to remind a patient postoperatively after a nasal fracture reduction?
What is imperative to remind a patient postoperatively after a nasal fracture reduction?
What type of tissue specimens may be sent for examination during laryngoscopy procedures?
What type of tissue specimens may be sent for examination during laryngoscopy procedures?
What is the recommended position for patients undergoing head and neck surgeries?
What is the recommended position for patients undergoing head and neck surgeries?
Why is chlorhexidine avoided in otorhinolaryngology procedures?
Why is chlorhexidine avoided in otorhinolaryngology procedures?
What type of instrument is specifically used for myringotomy procedures?
What type of instrument is specifically used for myringotomy procedures?
What should a perioperative nurse ensure regarding patient electrodes and safety during surgery?
What should a perioperative nurse ensure regarding patient electrodes and safety during surgery?
Which of the following instruments is commonly associated with rhinosurgery?
Which of the following instruments is commonly associated with rhinosurgery?
What is the purpose of the shoulder roll during surgery?
What is the purpose of the shoulder roll during surgery?
What safety measure should be taken before surgery concerning patient positioning?
What safety measure should be taken before surgery concerning patient positioning?
What is a common prep solution in otorhinolaryngology, barring any allergies?
What is a common prep solution in otorhinolaryngology, barring any allergies?
Which of the following is NOT a characteristic of instruments used in otorhinolaryngology?
Which of the following is NOT a characteristic of instruments used in otorhinolaryngology?
What should be ensured regarding the positioning performance checklist prior to surgery?
What should be ensured regarding the positioning performance checklist prior to surgery?
Study Notes
Airway Structure and Muscles
- The trachea comprises c-shaped rings of cartilage providing structural support.
- Posterior to the trachea lie the sternohyoid and sternothyroid muscles, along with the thyroid glands.
Perioperative Nursing Considerations
- Pre-operative assessment includes evaluating respiratory status, quality of breathing, and smoking history.
- Nutritional status is monitored, paying attention to weight loss from swallowing or chewing difficulties.
- Facial symmetry, structure, color, and any lesions or nodules are assessed.
- Patients undergoing facial or neck surgery may face body image concerns and long-term effects like facial numbness or hearing loss.
Anesthesia Considerations
- Local anesthetic with neurolept may be used for brief procedures, requiring patient immobility.
- General anesthetic is indicated for patients based on health conditions or surgical needs.
- Nasal surgeries involve packing the nasal cavity with vasoconstrictor-soaked patties to manage bleeding.
Surgical Preparation
- Hair removal in head and neck surgeries is performed only if necessary, using clippers.
- Povidone-iodine is the preferred prep solution in otorhinolaryngology; chlorhexidine is avoided due to its ototoxic properties.
- Patient positioning varies but typically involves a supine position with a shoulder roll for optimal access.
Instrumentation and Counting
- Otorhinolaryngology requires specific delicate instruments for otologic and rhinologic surgeries.
- Minor counts are generally required for head and neck surgeries to ensure no instruments or sponges are left in the surgical field.
Equipment in the OR
- Essential equipment includes cautery, suction systems, light sources, monitors, and microscopes for enhanced visualization.
- Power drills are used with sterile water for specific surgeries, while laser technology helps vaporize tissue without collateral damage.
- Forced-air warming blankets are utilized to prevent hypothermia during procedures.
Surgical Interventions
- Otologic surgeries often involve approaches through the ear canal or behind the ear.
- Closed reduction of nasal fractures typically requires local anesthetics and may utilize nasal packing for stabilization.
- Nasoseptoplasty aims to correct septal deviations, often necessitating hemostatic methods during surgery.
Oral Cavity and Neck Surgeries
- Laryngoscopy allows visualization of glottis/vocal cords using a laryngoscope, with options for using a self-retaining holder.
- Tonsillectomy and adenoidectomy may occur simultaneously.
- Thyroidectomy involves the removal of thyroid tissues and careful monitoring for nerve injuries, with drains placed before closure.
Additional Surgical Procedures
- Parotidectomy carries risks to the facial nerve and may also require drainage.
- Radical neck dissection entails the removal of malignant tissues, often with reconstructive options deriving from the patient’s tissues.
- Tracheostomy involves creating an opening in the trachea for airway access, performed electively or in emergencies.
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Description
This quiz focuses on the anatomy of the airway and perioperative considerations in nursing care. It includes topics such as the composition of the trachea and the pre-operative assessment of respiratory and nutritional status. Test your knowledge of ENT structures and nursing assessments in a surgical context.
