Fundamentals of Nursing Final Exam: Chapter 31
This flashcard set outlines key nursing responsibilities and knowledge areas related to surgical safety and classification. It covers National Patient Safety Goals, types of surgery based on urgency, risk, and purpose, and the legal requirements for informed consent—all essential for safe and effective perioperative care.
nursing pt safety goals include (1) surgery is done (2) operative site (3) __ before surgery to make sure a mistake is not made
correct; mark; time out
Key Terms
nursing pt safety goals include (1) surgery is done (2) operative site (3) __ before surgery to make sure a mistake is not made
correct; mark; time out
surgery classification based on urgency includes: (1) (2) and (3) __
elective - pre planned; urgent - w/in short time period; emergency - now
surgery classification based on risk is divided into and
major - any urgency (remove/repair body part, restore, function, improve or maintain health); minor - primarily elective (teeth extraction, arthros...
surgery classification based on purpose includes: __ (daprtc)
diagnostic | ablative | palliative | reconstructive | transplantation | constructive
informed consent is NOT legal if pt is (1)__ (2)__ (3)__ or (4)__
confused; sedated; mentally incompetent; minor
advanced directives can either be given through or
living will; durable power of attorney for health care
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| Term | Definition |
|---|---|
nursing pt safety goals include (1) surgery is done (2) operative site (3) __ before surgery to make sure a mistake is not made | correct; mark; time out |
surgery classification based on urgency includes: (1) (2) and (3) __ | elective - pre planned; urgent - w/in short time period; emergency - now |
surgery classification based on risk is divided into and | major - any urgency (remove/repair body part, restore, function, improve or maintain health); minor - primarily elective (teeth extraction, arthroscopy, etc.) |
surgery classification based on purpose includes: __ (daprtc) | diagnostic | ablative | palliative | reconstructive | transplantation | constructive |
informed consent is NOT legal if pt is (1)__ (2)__ (3)__ or (4)__ | confused; sedated; mentally incompetent; minor |
advanced directives can either be given through or | living will; durable power of attorney for health care |
outpt/same day surgery is conducted in __ care settings | ambulatory |
outpt/same day surgery length of hospital stay & costs | reduces; cuts |
outpt/same day surgery pts receive __ sedation | moderate |
older adults, chronically ill pts, and ppl who do not have support at home may require __ teaching or home health care | additional |
are these all of the outcomes for the surgical pt? | yes |
pre-op nursing care includes: | assessment | client teaching | informed consent | prep for or |
hlth hx & physical assessment, identifying risk factors & allergies, identifying meds, determining teaching & psychosocial needs, and determining post-surgical support & referral needs are part of the __ part of pre-op care | assessment |
deep breathing are all part of __ | client teaching |
surgery can cause absence of peristalsis for to hours | 24; 48 |
standard npo is | 8 hours |
can be on clear liquid diet up to __ hours before surgery | 2 |
respiratory status includes airway and for immediate pacu nursing care | patency; oxygenation |
the endotracheal tube/airway __ (is/is not) removed until gag reflex returns | is not |
some interventions to take are: (1) assess every to mins (2) admin humidified O2, __, and suctioning | 10; 15; deep breaths |
compare cardiovascular to __ | pre-op baseline |
typical post-op orders include: |
|
typical post-op orders include: |
|
__: restlessness, anxiety, hypotension, tachycardia, cool extremities, decrease urine output | shock |
hemorrhage and shock: you must the surgeon and medical team, airway, pt in position w legs , line, administer and , monitor , , and __ | notify; establish; flat; elevated; iv; oxygen; meds; vs; labs; abgs; urine output |
you find a pt's calf to be red, swollen, warm, and hypertrophied. they complain of pain. what cv complication is this? | thrombophlebitis |
what must you not do if the pt has thrombophlebitis? | massage legs (don't want clot to move) |
what is the first priority for a thrombophlebitis? | prevent dislodgement |
a pt experiences dyspnea, chest pain, is coughing, exhibits cyanosis, and has increased rr, hr and anxiety. what is your first priority? | stabilize cv & resp function |
a pt has pneumonia, what must you do first? | treat the infection |
a pt has atelectasis, what must you do first? | oxygenation & expand involved lung tissues |
activity restrictions | diet restrictions | follow-up appt | meds | pain management | and transportation are all things needed to be discussed for __ | discharge |