Perioperative/Reproductive Nursing Unit 4

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Questions and Answers

What is the role of the nurse in the consent process?

  • Fills out consent
  • Explains the benefits (correct)
  • Provides anesthesia
  • Witnesses the consent (correct)

Informed consent may be filled out by the patient alone.

False (B)

What is the term for the time the patient enters the operating room until they are admitted to the Post Anesthesia Care (PAC)?

Intraoperative Nursing

The combination of drugs that can cause amnesia is referred to as _____ medication.

<p>benzodiazepine</p> Signup and view all the answers

Match the descriptions with the terms:

<p>Witnesses the consent = Nurse Benefits explained to patient = Healthcare Provider Time in operating room = Intraoperative Nursing Calming medication = Benzodiazepines</p> Signup and view all the answers

Who typically fills out the consent form?

<p>Patient (A)</p> Signup and view all the answers

Benzodiazepines are used to calm patients during surgery.

<p>True (A)</p> Signup and view all the answers

What is meant by the term 'informed consent' in a healthcare context?

<p>A patient's agreement to a medical procedure after understanding the risks and benefits.</p> Signup and view all the answers

A combination of medications, including _____, may be used to relax patients prior to surgery.

<p>benzodiazepines</p> Signup and view all the answers

What is the primary focus of intraoperative nursing?

<p>Patient monitoring during surgery (D)</p> Signup and view all the answers

Medication reconciliation is an important step in the preoperative nursing process.

<p>True (A)</p> Signup and view all the answers

What is the purpose of surgical asepsis?

<p>To prevent infection during surgical procedures.</p> Signup and view all the answers

The _____ is responsible for assessing the patient before and during the surgical procedure.

<p>nurse</p> Signup and view all the answers

Match the terms related to surgery with their definitions:

<p>Preoperative nursing = Care provided before surgery Asepsis = Absence of pathogenic microorganisms Intraoperative phase = Care provided during surgery Postoperative phase = Care provided after surgery</p> Signup and view all the answers

Which of the following is NOT a part of the perioperative process?

<p>Postoperative accounting (D)</p> Signup and view all the answers

The operating room environment is designed to minimize the risk of infection.

<p>True (A)</p> Signup and view all the answers

Name one key guideline in the principles of surgical asepsis.

<p>Maintain a sterile field.</p> Signup and view all the answers

The male and female reproductive systems are discussed in chapters _____ of the Lewis 12 Ed.

<p>56-59</p> Signup and view all the answers

Which of the following roles does a nurse NOT typically perform during the intraoperative phase?

<p>Administering anesthesia (D)</p> Signup and view all the answers

Which medication class is mentioned as a high-risk medication for inpatients?

<p>Antihypertensive medications (D)</p> Signup and view all the answers

Informed consent is required before administering any medication.

<p>True (A)</p> Signup and view all the answers

What project is implemented by JC for surgical care?

<p>SCIP Project</p> Signup and view all the answers

______ medications should be monitored closely due to potential risks associated with their use.

<p>High risk</p> Signup and view all the answers

Match the following medications with their associated risks:

<p>Insulin = Electrolyte imbalances Antihypertensive medications = Blood pressure fluctuations Antibiotics = Resistance development Analgesics = Dependency risks</p> Signup and view all the answers

What is a primary concern when administering insulin?

<p>Electrolyte imbalances (D)</p> Signup and view all the answers

High-risk medications are only given to outpatients.

<p>False (B)</p> Signup and view all the answers

What should be confirmed regarding a patient before administering antihypertensive medications?

<p>Current medications and dosages</p> Signup and view all the answers

The SCIP Project aims to reduce ______ complications during and after surgeries.

<p>surgical</p> Signup and view all the answers

What is a critical step prior to surgical procedures?

<p>Informed consent (D)</p> Signup and view all the answers

What is the primary focus of regional anesthesia?

<p>Numbing a specific area of the body (C)</p> Signup and view all the answers

Epidural anesthesia is considered a type of local anesthesia.

<p>True (A)</p> Signup and view all the answers

Name one type of induction agent used in anesthesia.

<p>Propofol</p> Signup and view all the answers

Antiemetics are used to prevent __________.

<p>nausea</p> Signup and view all the answers

Which of the following is NOT a medication commonly used in anesthesia?

<p>Ibuprofen (A)</p> Signup and view all the answers

Match the following anesthetic agents with their type:

<p>Epidural = Regional Scopolamine = Anticholinergic Zofran = Antiemetic Propofol = Induction Agent</p> Signup and view all the answers

It is recommended to monitor a patient's ability to breathe when using local anesthesia.

<p>False (B)</p> Signup and view all the answers

What should be monitored after administering anesthesia to prevent complications?

<p>Infection signs</p> Signup and view all the answers

One postoperative nursing consideration is to teach patients about ________.

<p>splinting</p> Signup and view all the answers

Which nursing consideration is important in the postoperative phase after anesthesia?

<p>Teach pain management techniques (B)</p> Signup and view all the answers

Flashcards

Perioperative Nursing

Care of patients before, during, and after surgery.

Preoperative Nursing

Care of a patient before surgery.

Surgical Asepsis

Methods to prevent contamination and infection during surgery.

Operating Room Environment

The setting for surgical procedures, ensuring sterility.

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Medication Reconciliation

Reviewing and confirming medications before and after surgery.

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Postoperative Complications

Potential problems that can arise after surgery.

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Surgical Settings

Areas dedicated to surgical procedures.

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Unit IV (Perioperative/Reproductive)

A unit covering perioperative and reproductive nursing.

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Patient Assessment (Pre and Post-op)

Evaluating a patient's condition before and after surgery.

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Surgical transfer

Moving a patient from one location to another for surgical procedures.

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Who should be in informed consent?

The individuals involved in obtaining informed consent from the patient should include

  • The surgeon performing the surgery
  • The anesthesiologist responsible for anesthesia
  • Any other healthcare providers involved in the procedure.
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What information should be included in informed consent?

Informed consent should contain clear and detailed information about:

  • The nature of the surgery, diagnosis, and procedure
  • The potential benefits and risks of the surgery
  • Alternative options available to the patient
  • The potential complications that could arise from the surgery
  • The right to refuse or withdraw consent at any time
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Who fills out the consent form?

The patient usually fills out the consent form, but it's crucial for the surgeon or another healthcare professional to explain all the aspects of the surgery and answer the patient's questions.

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Who witnesses the consent form?

A nurse or other qualified healthcare professional usually witnesses the patient signing the consent form.

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What is intraoperative nursing?

Intraoperative nursing refers to the nursing care provided during the surgical procedure, from the time the patient enters the operating room to the time they are admitted to the post-anesthesia care unit (PACU).

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What is medication reconciliation?

Medication reconciliation involves reviewing and confirming a patient's medications before and after surgery to prevent medication errors and ensure accurate medication administration.

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What is the role of an anesthetist?

The anesthetist is responsible for administering anesthesia, monitoring the patient's vital signs during the surgery, and managing pain after the procedure.

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What is the role of an adjunct?

An adjunct is a medication that is used in conjunction with other medications, like anesthesia, to enhance its effects or manage specific medical conditions.

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What are some examples of adjunct medications?

Examples of common adjunct medications used during surgery include anxiolytics (for anxiety), antiemetics (for nausea), and muscle relaxants.

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What are some potential complications of anesthesia?

Potential complications of anesthesia can include:

  • Respiratory depression: Difficulty breathing.
  • Cardiac arrhythmias: Irregular heartbeat.
  • Nausea and vomiting.
  • Allergic reactions.
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High-Risk Medications

Medications with a high potential for causing harm if not administered correctly. This includes medications that can cause severe side effects, affect vital functions, or require specific monitoring.

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Informed Consent

A crucial legal document in surgery. It outlines the risks, benefits, and alternatives of the procedure, allowing a patient to make an informed decision about their care.

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Antihypertensives

Medications used to lower high blood pressure. They play a vital role in perioperative care to manage blood pressure fluctuations during and after surgery. An example is amlodipine.

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SCIP

The Surgical Care Improvement Project, which aims to improve patient safety and outcomes. It focuses on specific standards and protocols to reduce the risk of complications and improve the quality of surgical care.

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Electrolyte Imbalance

A condition caused by an imbalance in electrolytes, crucial for body functions. It can occur during surgery due to fluid loss, medications, or underlying medical conditions. An example is potassium imbalance.

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Insulin

A hormone regulating blood sugar levels. In perioperative care, insulin is essential for managing blood sugar levels in diabetic patients, especially during and after surgery.

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Inpatient

A patient who requires a stay in a hospital setting. They are admitted for medical care, diagnostic procedures, or surgical intervention.

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Outpatient

A patient who receives medical care without staying overnight in a hospital. They may be seen in a clinic, doctor's office, or surgical center for procedures or consultations.

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Types of Anesthesia

Different methods of anesthesia used to block pain during surgery, ranging from local numbing to general unconsciousness.

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Local Anesthesia

A type of anesthesia that numbs a specific area of the body by blocking nerve signals, often used for minor procedures.

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Regional Anesthesia

A type of anesthesia that numbs a larger region of the body, often used for procedures like childbirth or limb surgery.

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General Anesthesia

A type of anesthesia that causes a loss of consciousness, used for major surgeries and procedures.

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Monitoring Under Anesthesia

Closely observing the patient's vital signs, especially breathing, during anesthesia to ensure safety.

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Epidural Anesthesia

A type of regional anesthesia where an anesthetic is injected into the space surrounding the spinal cord, blocking nerve signals in the lower body.

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Postoperative Pain Management

Managing pain after surgery to promote healing and comfort for the patient.

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Anticholinergics

Medications used to reduce secretions, relax muscles, and prevent side effects of anesthesia like nausea and vomiting.

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Antiemetics

Medications used to prevent and treat nausea and vomiting after surgery.

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Induction Agents

Medications used to quickly induce anesthesia, causing loss of consciousness.

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Study Notes

Unit 4 Outline: Perioperative/Reproductive Nursing

  • Source Material: Unit 4a: Anesthesia and Perioperative Nursing, Unit 4 Discussion and Student Presentations: Postoperative Complications, Perioperative Medications Learning Activity, Unit 4c: Male and Female Reproductive, Lewis 12th Ed., Chapters 18-20, Chapters 56-59

Perioperative Nursing

  • Principles of Surgical Asepsis:
    • Basic guidelines
    • Operating room environment (3 zones)
  • Preoperative Nursing:
    • Medication reconciliation (high-risk medications, informed consent)
  • Intraoperative Nursing:
    • Anesthesia (types, medications)
  • Postoperative Nursing:
    • Nursing considerations (pain management, early ambulation, monitoring for infection/dehiscence)

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