MS CH 12 Nursing Care of Patients Having Surgery
140 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which term describes the use of instruments during an operation to treat injuries, diseases, and deformities?

  • Anesthesia
  • Hematoma
  • Surgery (correct)
  • Adjunct

    • What is the term for the separation of the layers of a surgical incision?

  • Atelectasis
  • Hypothermia
  • Dehiscence (correct)
  • Evisceration

    • Which term refers to the abnormal accumulation of blood within tissues or a body cavity?

  • Induction
  • Serosanguineous
  • Purulent
  • Hematoma (correct)

    • What is the term for the process of removing foreign material and dead or damaged tissue from a wound?

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

    Which surgical procedure is considered less damaging to tissues than traditional open incision surgery?

    <p>Laparoscopic surgery</p> Signup and view all the answers

    Which surgical procedure uses a laser instead of a scalpel to cut tissue?

    <p>Laser surgery</p> Signup and view all the answers

    Which surgical procedure involves the use of robots and mimics the movements of the surgeon's hands?

    <p>Robotic surgery</p> Signup and view all the answers

    What is the purpose of exploratory laparotomy?

    <p>To obtain tissue samples</p> Signup and view all the answers

    Which of the following is a common risk for older adults during surgery?

    <p>Decreased physiological reserve</p> Signup and view all the answers

    What should nursing interventions focus on before, during, and after surgery for older adults?

    <p>Managing pain</p> Signup and view all the answers

    What should be done postoperatively to reduce respiratory complications in older adults?

    <p>Encouraging deep breathing and coughing</p> Signup and view all the answers

    What can be a sign of deep venous thrombosis (DVT) in older adults after surgery?

    <p>Unilateral swelling of the leg and calf</p> Signup and view all the answers

    Which phase of surgery begins with transfer to the operating room and ends with admission to the perianesthesia care unit (PACU)?

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

    Which of the following is a fear that surgical patients may experience related to anesthesia?

    <p>Fear of not waking up</p> Signup and view all the answers

    What is the primary role of a licensed practical nurse/licensed vocational nurse (LPN/LVN) in the preoperative phase of surgery?

    <p>Assisting in data collection</p> Signup and view all the answers

    What is a factor that can influence surgical outcomes for older patients?

    <p>All of the above</p> Signup and view all the answers

    Which test is done to detect pulmonary and cardiac abnormalities before surgery?

    <p>Chest x-ray</p> Signup and view all the answers

    What is the purpose of obtaining baseline levels of arterial blood gases before surgery?

    <p>To detect pH and oxygenation abnormalities</p> Signup and view all the answers

    Which test is used to identify blood type for possible transfusion during surgery?

    <p>Type and cross-match</p> Signup and view all the answers

    What is the purpose of a urine pregnancy test before surgery?

    <p>To detect early, unknown pregnancy</p> Signup and view all the answers

    Which of the following actions should be taken to minimize delirium in older adults?

    <p>Monitor level of consciousness routinely</p> Signup and view all the answers

    What are the recommended fasting time frames before anesthesia according to the American Society of Anesthesiologists’ guidelines?

    <p>2 hours for clear liquids, 6 hours for a light meal, 8 hours for a meal containing meat or fat</p> Signup and view all the answers

    Why should patients be encouraged to avoid smoking before surgery?

    <p>Smoking increases the action of the lungs’ defense mechanisms</p> Signup and view all the answers

    What can long-term alcohol use cause in surgical patients?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is a potential complication of atelectasis?

    <p>Pulmonary embolism</p> Signup and view all the answers

    What is the purpose of deep breathing exercises in preventing atelectasis?

    <p>To expand and ventilate the lungs</p> Signup and view all the answers

    How often should a patient repeat deep breathing exercises postoperatively?

    <p>Every hour</p> Signup and view all the answers

    What is the purpose of incentive spirometry in preventing atelectasis?

    <p>To increase lung volume</p> Signup and view all the answers

    Who can benefit from incentive spirometry?

    <p>Only the older adult</p> Signup and view all the answers

    Where should the spirometer be kept for easy access by the patient?

    <p>At the bedside</p> Signup and view all the answers

    Which test is used to detect kidney problems before surgery?

    <p>Blood urea nitrogen</p> Signup and view all the answers

    What is the purpose of fasting before surgery?

    <p>To reduce the risks of pulmonary aspiration</p> Signup and view all the answers

    What is the purpose of a urine pregnancy test before surgery?

    <p>To prevent fetal exposure to anesthetics</p> Signup and view all the answers

    Which test is used to detect abnormalities in the urine before surgery?

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

    Which of the following is a key responsibility of a licensed practical nurse/licensed vocational nurse (LPN/LVN) in the preoperative phase of surgery?

    <p>Developing a plan of care</p> Signup and view all the answers

    What can be a common fear experienced by surgical patients related to anesthesia?

    <p>All of the above</p> Signup and view all the answers

    What is one potential complication that can occur in older patients after surgery?

    <p>Deep vein thrombosis (DVT)</p> Signup and view all the answers

    What is one factor that can influence surgical outcomes for older patients?

    <p>All of the above</p> Signup and view all the answers

    Which type of surgery is less damaging to tissues than traditional open incision surgery?

    <p>Endoscopic surgery</p> Signup and view all the answers

    What is the purpose of robotic surgery?

    <p>To mimic the movements of the surgeon's hands</p> Signup and view all the answers

    What is the purpose of exploratory laparotomy?

    <p>To obtain tissue samples for diagnosis</p> Signup and view all the answers

    Which phase of surgery begins with transfer to the operating room and ends with admission to the perianesthesia care unit (PACU)?

    <p>Intraoperative phase</p> Signup and view all the answers

    What is the purpose of obtaining informed patient consent before surgery?

    <p>To ensure the patient is fully aware of the risks and benefits of the procedure</p> Signup and view all the answers

    What is the purpose of preventive surgery?

    <p>To remove tissue before it causes a problem</p> Signup and view all the answers

    What is the term for the separation of the layers of a surgical incision?

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

    What are the recommended fasting time frames before anesthesia according to the American Society of Anesthesiologists’ guidelines?

    <p>8 hours for clear liquids, 12 hours for solid foods</p> Signup and view all the answers

    What is the purpose of obtaining baseline levels of arterial blood gases before surgery?

    <p>To assess the patient's respiratory function</p> Signup and view all the answers

    What is the term for the abnormal accumulation of blood within tissues or a body cavity?

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

    Which surgical procedure uses a laser instead of a scalpel to cut tissue?

    <p>Laser surgery</p> Signup and view all the answers

    What can be a sign of deep venous thrombosis (DVT) in older adults after surgery?

    <p>Swelling and pain in the affected leg</p> Signup and view all the answers

    What is a common risk for older adults during surgery?

    <p>Increased risk for complications due to age-related loss of blood vessel elasticity</p> Signup and view all the answers

    What should be done postoperatively to reduce respiratory complications in older adults?

    <p>Encourage deep breathing and coughing exercises</p> Signup and view all the answers

    What is the purpose of incentive spirometry in preventing atelectasis?

    <p>To encourage deep breathing and coughing exercises</p> Signup and view all the answers

    What can be a sign of deep venous thrombosis (DVT) in older adults after surgery?

    <p>Unilateral swelling of the leg and calf or groin pain</p> Signup and view all the answers

    Which of the following is the purpose of deep breathing exercises in preventing atelectasis?

    <p>To increase lung volume and alveoli expansion</p> Signup and view all the answers

    What is the recommended frequency of deep breathing exercises postoperatively?

    <p>Every 2 hours</p> Signup and view all the answers

    Where should the incentive spirometer be kept for easy access by the patient?

    <p>On the bedside table</p> Signup and view all the answers

    Who can benefit from incentive spirometry?

    <p>All patients</p> Signup and view all the answers

    What is the purpose of incentive spirometry in preventing atelectasis?

    <p>To increase lung volume and alveoli expansion</p> Signup and view all the answers

    What is the purpose of sitting upright at a minimum of 45° during deep breathing exercises?

    <p>To increase lung capacity</p> Signup and view all the answers

    Which of the following is a potential complication of dehiscence?

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

    What is the purpose of débridement during surgery?

    <p>To remove necrotic tissue</p> Signup and view all the answers

    Which of the following is the LPN/LVN role in obtaining informed patient consent for surgery?

    <p>All of the above</p> Signup and view all the answers

    Which phase of surgery begins with admission to the perianesthesia care unit (PACU)?

    <p>Postoperative phase</p> Signup and view all the answers

    Which of the following nutrients is required for tissue growth, skin integrity, and cell-mediated immunity?

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

    What is the recommended fasting time before anesthesia for a meal containing meat or fat?

    <p>8 hours</p> Signup and view all the answers

    What is the purpose of obtaining a urine pregnancy test before surgery?

    <p>To ensure the patient is not pregnant</p> Signup and view all the answers

    What is the primary role of a licensed practical nurse/licensed vocational nurse (LPN/LVN) in the preoperative phase of surgery?

    <p>Conducting preadmission interviews</p> Signup and view all the answers

    What is the primary role of a licensed practical nurse/licensed vocational nurse (LPN/LVN) in the preoperative phase of surgery?

    <p>Assist in data collection for developing the patient's plan of care</p> Signup and view all the answers

    What is one potential fear that surgical patients may experience related to anesthesia?

    <p>Fear of not waking up</p> Signup and view all the answers

    What is a common risk for older adults during surgery?

    <p>Previous health status</p> Signup and view all the answers

    What is the purpose of listening to music before surgery according to the evidence?

    <p>To reduce anxiety</p> Signup and view all the answers

    Which surgical procedure is considered less damaging to tissues than traditional open incision surgery?

    <p>Endoscopic surgery</p> Signup and view all the answers

    What is the purpose of robotic surgery?

    <p>To mimic the movements of the surgeon's hands</p> Signup and view all the answers

    What is the term for the process of removing foreign material and dead or damaged tissue from a wound?

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

    What is the purpose of deep breathing exercises in preventing atelectasis?

    <p>To improve lung function and prevent lung collapse</p> Signup and view all the answers

    What is the purpose of a urine or serum pregnancy test before surgery?

    <p>To prevent fetal exposure to anesthetics</p> Signup and view all the answers

    What is the purpose of obtaining baseline levels of arterial blood gases before surgery?

    <p>To detect pulmonary and cardiac abnormalities</p> Signup and view all the answers

    What is the purpose of incentive spirometry in preventing atelectasis?

    <p>To improve lung function and prevent lung complications</p> Signup and view all the answers

    What is the primary role of a licensed practical nurse/licensed vocational nurse (LPN/LVN) in the preoperative phase of surgery?

    <p>To assist with preoperative teaching and preparation</p> Signup and view all the answers

    Which of the following is a potential complication of surgery in older adults?

    <p>Decreased blood vessel elasticity</p> Signup and view all the answers

    What should be done postoperatively to reduce respiratory complications in older adults?

    <p>Encourage deep breathing and coughing exercises</p> Signup and view all the answers

    What is a common risk for older adults during surgery?

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

    What can be a sign of deep venous thrombosis (DVT) in older adults after surgery?

    <p>Unilateral swelling of the leg and calf or groin pain</p> Signup and view all the answers

    Which of the following is the purpose of deep breathing exercises in preventing atelectasis?

    <p>To expand and ventilate the lungs</p> Signup and view all the answers

    What is the purpose of incentive spirometry in preventing atelectasis?

    <p>To increase lung volume, alveoli expansion, and venous return</p> Signup and view all the answers

    Who can benefit from incentive spirometry?

    <p>All patients</p> Signup and view all the answers

    What is a common risk for older adults during surgery?

    <p>Deep venous thrombosis (DVT)</p> Signup and view all the answers

    What can be a sign of deep venous thrombosis (DVT) in older adults after surgery?

    <p>Abnormal accumulation of blood within tissues or a body cavity</p> Signup and view all the answers

    What is the recommended frequency of deep breathing exercises postoperatively?

    <p>Hourly while awake, in sets of five, for 24 to 48 hours</p> Signup and view all the answers

    Which test is used to detect potassium, sodium, and chloride imbalances before surgery?

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

    What is the purpose of obtaining a fasting blood glucose test before surgery?

    <p>To detect abnormalities in blood sugar levels</p> Signup and view all the answers

    What is the primary purpose of obtaining a chest x-ray before surgery?

    <p>To detect pulmonary and cardiac abnormalities</p> Signup and view all the answers

    What is the purpose of obtaining a urine pregnancy test before surgery?

    <p>To detect early, unknown pregnancy</p> Signup and view all the answers

    What is the recommended fasting time before anesthesia for a patient who had a light meal containing meat or fat?

    <p>8 hours</p> Signup and view all the answers

    Which nutrient is required for tissue growth, skin integrity, and cell-mediated immunity?

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

    What is the purpose of preoperative fasting time?

    <p>To minimize bowel contents</p> Signup and view all the answers

    What is the primary role of a licensed practical nurse/licensed vocational nurse (LPN/LVN) in the preoperative phase of surgery?

    <p>Conducting a health history interview</p> Signup and view all the answers

    Which phase of surgery begins with admission to the perianesthesia care unit (PACU)?

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

    What is one potential fear that surgical patients may experience related to anesthesia?

    <p>Fear of not waking up</p> Signup and view all the answers

    What is the primary role of a licensed practical nurse/licensed vocational nurse (LPN/LVN) in the preoperative phase of surgery?

    <p>Assisting in data collection for developing the patient's plan of care</p> Signup and view all the answers

    What is the purpose of obtaining baseline levels of arterial blood gases before surgery?

    <p>To assess the patient's respiratory function</p> Signup and view all the answers

    Which surgical procedure is considered less damaging to tissues than traditional open incision surgery?

    <p>Laparoscopic surgery</p> Signup and view all the answers

    What is the purpose of robotic surgery?

    <p>To reduce the invasiveness of surgical procedures</p> Signup and view all the answers

    What is the primary role of a licensed practical nurse/licensed vocational nurse (LPN/LVN) in the preoperative phase of surgery?

    <p>Assisting with obtaining informed patient consent for surgery</p> Signup and view all the answers

    Which phase of surgery begins with transfer to the operating room and ends with admission to the perianesthesia care unit (PACU)?

    <p>Intraoperative phase</p> Signup and view all the answers

    Which of the following is a potential complication of surgery in older adults?

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

    What is the purpose of obtaining baseline levels of arterial blood gases before surgery?

    <p>To evaluate respiratory function</p> Signup and view all the answers

    What can be a sign of deep venous thrombosis (DVT) in older adults after surgery?

    <p>Unilateral swelling of the leg and calf</p> Signup and view all the answers

    What is the purpose of incentive spirometry in preventing atelectasis?

    <p>To promote deep breathing</p> Signup and view all the answers

    Which of the following is a potential complication of evisceration?

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

    What is the LPN/LVN role in the perioperative phase of surgery?

    <p>Obtaining informed patient consent</p> Signup and view all the answers

    What is the LPN/LVN role in obtaining informed patient consent?

    <p>Witnessing the patient's signature on the consent form</p> Signup and view all the answers

    What is the purpose of debridement in wound care?

    <p>To remove foreign material and dead or damaged tissue</p> Signup and view all the answers

    Which of the following is the purpose of deep breathing exercises in preventing atelectasis?

    <p>To increase lung volume and alveoli expansion</p> Signup and view all the answers

    What is the purpose of incentive spirometry in preventing atelectasis?

    <p>To increase lung volume, alveoli expansion, and venous return</p> Signup and view all the answers

    Who can benefit from incentive spirometry?

    <p>All patients, especially older adults and those at increased risk for lung complications</p> Signup and view all the answers

    Where should the incentive spirometer be kept for easy access by the patient?

    <p>At the patient's bedside for hourly use while awake</p> Signup and view all the answers

    What is the recommended frequency of deep breathing exercises postoperatively?

    <p>Hourly while awake, in sets of five, for 24 to 48 hours</p> Signup and view all the answers

    What can long-term alcohol use cause in surgical patients?

    <p>Increased risk of respiratory complications</p> Signup and view all the answers

    Deep breathing helps prevent the development of atelectasis.

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

    Atelectasis is caused by hyperinflation of the lungs.

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

    The patient is taught to inhale fully through the mouth.

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

    Incentive spirometry can prevent atelectasis by increasing lung volume.

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

    The older adult population is not at increased risk for lung complications.

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

    The spirometer should be kept on the window sill for easy access.

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

    Patients should be encouraged to sit upright at a minimum of 45° during deep breathing exercises.

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

    Two normal breaths should be taken before using the spirometer.

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

    The purpose of incentive spirometry is to prevent pneumonia.

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

    Deep breathing exercises should be repeated every 2 hours postoperatively.

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

    True or false: Deep breathing helps prevent the development of atelectasis.

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

    True or false: Atelectasis is caused by hypoventilation or mucous obstruction.

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

    True or false: Incentive spirometry can be used to prevent atelectasis.

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

    True or false: Incentive spirometry increases lung volume and alveoli expansion.

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

    True or false: All patients can benefit from incentive spirometry.

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

    True or false: The spirometer should be kept on the window sill for easy access.

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

    True or false: Deep breathing exercises should be repeated every 2 hours postoperatively.

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

    True or false: The older adult population is not at increased risk for lung complications.

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

    True or false: Obtaining baseline levels of arterial blood gases before surgery is important.

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

    True or false: Inhaling until the target on the spirometer is reached is recommended.

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

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser