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Ch 37 care of the surgical patient Questions &Exam (elaborations) answers 100% satisfaction guarantee
Ch 37 care of the surgical patient Questions &Exam (elaborations) answers 100% satisfaction guarantee
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STUVIA 2024/2025Ch 37 care of the surgical patient
9 or 10 to indicate readiness - ✔✔Aldrete scoring system to determine readiness for transfer activity
respiratory circulation and skin color must be a score of what
Administering a nerve block such as a spinal caudal epidural or pleural block! patient is awake but the
area of surgery is Anesthetized - ✔✔Regional Anesthesia
Administration of an inhalant gas or by medication introduced intravenously. Patient is in a deep sleep
with muscle relaxation and unaware of anything - ✔✔General anesthesia
Admitted- early morning
Discharged- late afternoon - ✔✔Patients having same-day surgery or admitted and discharged when
Age or poor state of health - ✔✔In which situations does General Anesthesia pose an increased risk
of complications
Allows improved visualization and accuracy and a second surgeon and assistance or still next to the
patient - ✔✔Patient teaching for the robotic surgery
%
Allows the use of endoscopes with high resolution video cameras through a very small incision -
✔✔Fiber optic surgery
Alveolar collapse, lung collapse, pulse oximetry - ✔✔What do you want to monitor if the respiratory
system is affected
At home - ✔✔Most patient prep is usually done where
Atelectasis collapsed lungs, pneumonia(aspiration, hypostatic, bacterial) paralytic ileus- no bowel
sounds. 24-36 hours after surgery, IV fluids, NPO until bowel sounds return. May stop opiates.
Thrombophlebitis
Urinary retention- distended bladder (encourage voiding)
UTI, wound infection, pulmonary embolus, hemorrhage and shock, wound dehiscence, fluid
imbalance - ✔✔Possible post operative complications
Aware of one's surroundings. - ✔✔Conscious sedation
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Call a time out and have the operating team verify the correct patient correct site and correct body
part - ✔✔What are appropriate interventions for patient identification if a patient is unsure forgetful or
confused
Cardiovascular, respiratory, Renal, integumentary, neurologic, metabolic - ✔✔The body systems
affected in the elderly or infants for surgery
Care of the patient from decision to have surgery through recovery from the procedure. preparation
for surgery began before admission. the patient has diagnostic tests done in the days just before the
scheduled surgery. teaching for postoperative care must be efficient because time of stay is short to
reduce costs - ✔✔Perioperative nursing
Chronic pain treatment - ✔✔Regional anesthesia is commonly used for what
Colonoscopy, cystoscopy
& to reduce anxiety & induce forgetfulness of an unpleasant event - ✔✔Conscious sedation is
commonly used for what procedures
Complete respiratory depression, patient is maintained by anesthesia machine, which supplies
oxygen and a set rate of breaths. - ✔✔Stage 4 general anesthesia
%
Core temperature alterations and dehydration or over hydration - ✔✔Possible complications in the
infant or elderly for surgery
Curative and palliative - ✔✔Mimi's patient is going for surgery to remove part of a tumor that has
metastasized and is causing pain what type of surgery is Mimi's patient having
Cures problems such as removing stains from a gallbladder or removing an infected appendix -
✔✔Curative
Cutting out/off - ✔✔Ectomy
Deep breathing , coughing, turning, leg exercises. Postoperative pain control (including PCA if used) -
✔✔Preoperative teaching
Diabetes mellitus, chronic disorders, advanced age with inactivity, very young age, malnutrition,
dehydration, obesity. Cardiovascular probs, peripheral vascular disease, substance abuse or alcohol
dependence, smoking, regular use of drugs such as aspirin, excessive fear, - ✔✔Surgical risk factors
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