78 Questions
What are the criteria for a patient to undergo ambulatory (outpatient) surgery?
Stable vital signs, ability to stand and walk without dizziness or nausea, controlled pain, ability to urinate without pain or problems
What is the main characteristic of laser surgery?
It is performed with a laser device that uses energy from light to cut through tissue
What is fiber optic surgery primarily characterized by?
Use of endoscopes and video cameras through small openings in the body to visualize and perform surgical procedures
Which diagnostic tests are typically part of the pre-op phase for elective surgery?
CBC, serum electrolytes, coagulation studies, chest x-ray, EKG
What does the Liver Function Test (LFT) primarily indicate?
Liver function and kidney function
What is the purpose of general information teaching in the perioperative phase?
To explain to the patient what he/she can expect during the perioperative phase
What does gastrointestinal system teaching involve?
Explaining the need to be NPO before surgery, receiving IV fluids, and being placed on a special diet after surgery
What is the main characteristic of ambulatory (outpatient) surgery?
It is performed on a patient who does not require inpatient care
What is the primary purpose of a chest x-ray before elective surgery?
To ensure the lungs are clear
What does the preoperative diagnostic test consist of?
CBC, serum electrolytes, coagulation studies, chest x-ray, EKG
What is a key component of respiratory system teaching for post-operative care?
Using incentive spirometer
Which is a potential complication to monitor for in post-operative care?
Hemorrhagic shock
What is the purpose of patient-controlled analgesia (PCA) pump?
To administer controlled substances like morphine
What is a key component of cardiovascular system teaching for post-operative care?
Leg exercises
What is a key consideration for pre-operative preparation?
Removing jewelry
What is the purpose of the post-anesthesia care unit (PACU)?
To provide immediate recovery and stabilization for patients
What is a potential complication related to blood therapy in post-operative care?
Pneumonia
What is a key consideration for transfer to the surgical unit?
Requiring a medical doctor's order
What are potential signs of cardiovascular complications in post-operative care?
Restlessness, anxiety, tachycardia, and decreased blood pressure
What is a key component of post-operative assessments?
Monitoring respiratory, cardiovascular, urinary, gastrointestinal, fluid and electrolyte, wound, and blood therapy status
What are the symptoms of pulmonary embolism?
Anxiety, sudden chest pain, dyspnea, tachypnea, diaphoresis
What is the cause of paralytic ileus?
Lack of peristaltic activity, anesthesia, electrolyte imbalance
What is the intervention for urinary retention?
Encourage to void, give fluids, run water
What is the characteristic of the inflammatory phase of wound healing?
Hemostasis, phagocytosis, reconstruction
What is the effect of wound vac in wound healing?
Speeds up healing time, closes the wound in half time, used with clean, healing tissue
What is the characteristic of the reconstruction phase of wound healing?
Collagen formation, capillaries grow, granulation tissue
What are the symptoms of deep vein thrombosis (DVT)?
Dull aching pain, tenderness, increased calf size, cyanotic extremity
What is the cause of fluid and electrolyte imbalance?
Fluid loss in surgery, gastric suctioning, vomiting/diarrhea
What is the characteristic of dehiscence in wound healing?
Increased incision drainage, tissues become visible, increased pain
What is the characteristic of the maturation phase of wound healing?
Collagen formation continues, wound scar becomes stronger
Which surgical wound healing process involves tissue surfaces being approximated and minimal scarring?
Primary intention
What is the characteristic of granulation tissue in wound healing?
It is red in color and indicates wound healing
What is the primary cause of paralytic ileus?
Lack of peristaltic activity in the intestines
What is the primary purpose of a wound vac in wound healing?
To speed up healing time by closing the wound
Which phase of wound healing involves capillaries growing and increasing blood supply to the wound?
Reconstruction phase
What are the symptoms of thrombophlebitis/DVT?
Dull aching pain/tenderness and cyanotic extremity
What is the primary cause of fluid and electrolyte imbalance in post-operative care?
Gastric suctioning
What is the characteristic of evisceration in wound healing?
Protrusion of organs from the wound
What are the symptoms of pulmonary embolism?
Dyspnea and tachycardia
What is the primary cause of urinary retention in post-operative care?
Inability to empty the bladder 8 hours post-op
What is the purpose of a chest x-ray before elective surgery?
To ensure the lungs are clear
What is the primary purpose of a liver function test (LFT)?
To evaluate liver function
What are the criteria for a patient to undergo ambulatory (outpatient) surgery?
Stable vital signs, ability to stand/walk without dizziness, controlled pain, and ability to urinate without problems
What does the preoperative diagnostic test consist of?
Complete blood count, serum electrolytes, coagulation studies, chest x-ray, and EKG
What is the characteristic of laser surgery?
It uses energy from light to cut through tissue
What is the purpose of general information teaching in the perioperative phase?
To explain to the patient what to expect during the perioperative phase
What is the primary characteristic of fiber optic surgery?
Use of endoscopes and video cameras through small openings in the body
What does the gastrointestinal system teaching involve?
Explaining the need to be NPO before surgery and receive IV fluids
What is the characteristic of the inflammatory phase of wound healing?
Increased blood flow and migration of white blood cells to the wound site
What is a key component of respiratory system teaching for post-operative care?
Deep breathing exercises and coughing techniques
What is the purpose of using incentive spirometer in post-operative care?
To prevent atelectasis
What is the primary purpose of patient-controlled analgesia (PCA) pump?
To provide controlled substances like morphine for pain management
What are the main effects of general anesthesia on the patient?
Loss of consciousness and pain management
What is the primary purpose of the post-anesthesia care unit (PACU)?
To provide immediate recovery and stabilization for patients who had general anesthesia
What are the complications to monitor for in post-operative care?
Adventitious lung sounds, hemorrhagic shock, hypoxia, and signs of circulatory overload or shock
What is required for transfer to the surgical unit?
A medical doctor's order
What is a key component of post-operative assessments?
Monitoring cardiovascular status
What is the purpose of leg exercises in post-operative care?
To prevent deep vein thrombosis (DVT)
What is the primary purpose of using sequential compression devices in post-operative care?
To prevent deep vein thrombosis (DVT)
What is the primary purpose of early ambulation in post-operative care?
To prevent deep vein thrombosis (DVT)
Which symptom is not associated with paralytic ileus?
Frequent voiding
What is the primary purpose of using sequential compression devices in post-operative care?
To prevent deep vein thrombosis (DVT)
What is the primary cause of urinary retention in post-operative care?
Urinary catheterization
What is a key component of post-operative assessments?
Monitoring for pneumonia
What is the primary purpose of using a wound vac in wound healing?
To speed up healing time
What is the primary characteristic of fiber optic surgery?
Minimally invasive
Which phase of wound healing involves collagen formation, capillary growth, and increased blood supply?
Reconstruction phase
What is the primary cause of paralytic ileus?
Decreased bowel motility
What is the primary cause of paralytic ileus?
Lack of peristaltic activity
What is the purpose of using incentive spirometer in post-operative care?
To prevent atelectasis
Which of the following is NOT a part of the preoperative diagnostic test for elective surgery?
Liver function test (LFT)
Which surgical procedure is primarily characterized by the use of endoscopes and video cameras through small openings in the body?
Fiber optic surgery
Which patient criteria are necessary for ambulatory (outpatient) surgery?
Stable vital signs, ability to stand/walk without dizziness, controlled pain, and ability to urinate without problems
Which diagnostic test is primarily aimed at making sure the lungs are clear before elective surgery?
Chest x-ray
What is the primary purpose of general information teaching in the perioperative phase?
Explaining to the patient what to expect during the perioperative phase
What is the primary cause of paralytic ileus?
Anesthesia
What is a potential complication related to blood therapy in post-operative care?
Thrombophlebitis
What does the term 'evisceration' refer to in post-operative care?
Organs come out of the wound
Study Notes
Post-Operative Care and Complications
- Post-operative care includes monitoring for return of gag reflex and bowel sounds before giving food to the patient.
- Respiratory system teaching involves using incentive spirometer, coughing, deep breathing, and splinting techniques to prevent atelectasis.
- Cardiovascular system teaching includes leg exercises, sequential compression devices, anti-emboli stockings, and early ambulation to prevent deep vein thrombosis (DVT).
- Patient-controlled analgesia (PCA) pump is filled with controlled substances like morphine, which decreases respiratory rate and requires constant evaluation of respirations.
- Pre-operative preparation involves transferring the patient to the operating room with specific guidelines, such as removing jewelry, securing dentures, and administering pre-op meds only after checking consent form.
- Anesthesia options include general anesthesia, regional anesthesia, and conscious sedation, each with specific effects on the patient's consciousness and pain management.
- Post-anesthesia care unit (PACU) provides immediate recovery and stabilization for patients who had general anesthesia, need constant observation, and may require extubation.
- Complications to monitor for include adventitious lung sounds, hemorrhagic shock, hypoxia, and signs of circulatory overload or shock.
- Transfer to the surgical unit requires a medical doctor's order, and the PACU nurse gives a report to the floor nurse before transporting the patient.
- Post-operative assessments involve monitoring respiratory, cardiovascular, urinary, gastrointestinal, fluid and electrolyte, wound, and blood therapy status to prevent complications.
- Blood therapy includes specific procedures for transfusions, monitoring for reactions, and preventing complications such as pneumonia, cardiovascular issues, and shock.
- Cardiovascular complications may include restlessness, anxiety, tachycardia, and decreased blood pressure, which could be signs of hemorrhage or hypovolemic shock.
Post-Operative Care and Complications
- Post-operative care includes monitoring for return of gag reflex and bowel sounds before giving food to the patient.
- Respiratory system teaching involves using incentive spirometer, coughing, deep breathing, and splinting techniques to prevent atelectasis.
- Cardiovascular system teaching includes leg exercises, sequential compression devices, anti-emboli stockings, and early ambulation to prevent deep vein thrombosis (DVT).
- Patient-controlled analgesia (PCA) pump is filled with controlled substances like morphine, which decreases respiratory rate and requires constant evaluation of respirations.
- Pre-operative preparation involves transferring the patient to the operating room with specific guidelines, such as removing jewelry, securing dentures, and administering pre-op meds only after checking consent form.
- Anesthesia options include general anesthesia, regional anesthesia, and conscious sedation, each with specific effects on the patient's consciousness and pain management.
- Post-anesthesia care unit (PACU) provides immediate recovery and stabilization for patients who had general anesthesia, need constant observation, and may require extubation.
- Complications to monitor for include adventitious lung sounds, hemorrhagic shock, hypoxia, and signs of circulatory overload or shock.
- Transfer to the surgical unit requires a medical doctor's order, and the PACU nurse gives a report to the floor nurse before transporting the patient.
- Post-operative assessments involve monitoring respiratory, cardiovascular, urinary, gastrointestinal, fluid and electrolyte, wound, and blood therapy status to prevent complications.
- Blood therapy includes specific procedures for transfusions, monitoring for reactions, and preventing complications such as pneumonia, cardiovascular issues, and shock.
- Cardiovascular complications may include restlessness, anxiety, tachycardia, and decreased blood pressure, which could be signs of hemorrhage or hypovolemic shock.
Post-Operative Care and Complications
- Post-operative care includes monitoring for return of gag reflex and bowel sounds before giving food to the patient.
- Respiratory system teaching involves using incentive spirometer, coughing, deep breathing, and splinting techniques to prevent atelectasis.
- Cardiovascular system teaching includes leg exercises, sequential compression devices, anti-emboli stockings, and early ambulation to prevent deep vein thrombosis (DVT).
- Patient-controlled analgesia (PCA) pump is filled with controlled substances like morphine, which decreases respiratory rate and requires constant evaluation of respirations.
- Pre-operative preparation involves transferring the patient to the operating room with specific guidelines, such as removing jewelry, securing dentures, and administering pre-op meds only after checking consent form.
- Anesthesia options include general anesthesia, regional anesthesia, and conscious sedation, each with specific effects on the patient's consciousness and pain management.
- Post-anesthesia care unit (PACU) provides immediate recovery and stabilization for patients who had general anesthesia, need constant observation, and may require extubation.
- Complications to monitor for include adventitious lung sounds, hemorrhagic shock, hypoxia, and signs of circulatory overload or shock.
- Transfer to the surgical unit requires a medical doctor's order, and the PACU nurse gives a report to the floor nurse before transporting the patient.
- Post-operative assessments involve monitoring respiratory, cardiovascular, urinary, gastrointestinal, fluid and electrolyte, wound, and blood therapy status to prevent complications.
- Blood therapy includes specific procedures for transfusions, monitoring for reactions, and preventing complications such as pneumonia, cardiovascular issues, and shock.
- Cardiovascular complications may include restlessness, anxiety, tachycardia, and decreased blood pressure, which could be signs of hemorrhage or hypovolemic shock.
Test your knowledge of post-operative care and complications with this quiz. Explore topics such as respiratory and cardiovascular system teaching, patient-controlled analgesia, anesthesia options, post-anesthesia care unit (PACU), and monitoring for complications.
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