Exam (elaborations)
Chapter 31 Perioperative Nursing Questions Graded A+
- Course
- Institution
Chapter 31 Perioperative Nursing
[Show more]
Content preview
Chapter 31 Perioperative Nursingpreoperative phase - answer begins when the patient and surgeon mutually decide that
surgery is necessary and will take place; ends when the patient is transferred to the
operating room (OR) or procedural bed
intraoperative phase - answer begins when the patient is transferred onto the OR table
and ends with admission to the PACU
postoperative phase - answer Begins with admission to the PACU or other recovery
area; ends with complete recovery from surgery and the last follow-up health care
provider visit
postoperative phase I - answer close monitoring is required for management of airway,
ventilation, hemodynamic monitoring, fluid and electrolyte balance, and pain control
postoperative phase II - answer patient no longer requires acute care measures and is
prepared for self-care, for family/caregiver care, or for care in an extended care
environment
postoperative phase III - answerextended care; focused on providing ongoing care for
patients requiring extended observation or intervention after transfer or discharge from
phase I or II
elective surgery - answera procedure that is preplanned and based on patient's choice
and availability of scheduling; e.g., tonsillectomy, hernia repair, facelift, etc.
urgent surgery - answerprocedure that must be done within a reasonably short time
frame to preserve health; e.g., removal of a malignant tumor, amputation, removal of
gall bladder, etc.
emergency surgery - answerprocedure that must be done immediately to preserve life,
a body part, or function; e.g., control of hemorrhage, repair of trauma, intestinal
obstruction, tracheostomy, etc.
diagnostic surgery - answermeant to make or confirm a diagnosis; e.g., breast biopsy,
exploratory laparotomy, laparoscopy
ablative surgery - answerperformed to remove a diseased part; e.g., appendectomy,
colon resection, thyroidectomy, etc.
, palliative surgery - answerperformed to relieve or reduce intensity of an illness; is not
curative; e.g., colostomy, debridement of necrotic tissue, tumor debulking, arthroscopy
reconstructive surgery - answerperformed to restore function to traumatized or
malfunctioning tissue; may also improve self-concept; e.g., scar revision, plastic
surgery, skin graft, breast reconstruction
transplantation surgery - answerperformed to replace organs or structures that are
diseased or malfunctioning; e.g., kidney, liver, cornea, heart, joints
constructive surgery - answerperformed to restore function in congenital anomalies;
e.g., cleft palate repair, closure of atrial-septal repair
pre-anesthetic evaluation (PAE) - answerassesses medical readiness of a patient for
surgery; routinely includes an evaluation of the patient's airway, a review of any
laboratory or other diagnostic results, and a risk analysis
general anesthesia - answeradministration of drugs by inhalation or the IV route to
produce central nervous system depression; desired actions include loss of
consciousness, amnesia, analgesia, relaxed skeletal muscles, and depressed reflexes
phases of general anesthesia - answerinduction, maintenance, and emergence
induction - answerbegins with administration of the anesthetic agent and continue until
the patient is ready for incision
maintenance - answercontinues from the point of incision until near the completion of
the procedure
emergence - answerbegins as the patients begins to awaken from the altered state
induced by the anesthesia and usually ends when the patient is ready to leave the OR;
the length of time depends on the depth and length of anesthesia
regional anesthesia - answeroccurs when an anesthetic agent is injected near a nerve
or nerve pathway in or around the operative site, inhibiting the transmission of sensory
stimuli to central nervous system receptors
nerve blocks - answeraccomplished by injecting a local anesthesia around a nerve trunk
supplying the area of surgery such a the jaw, face, and extremities
spinal anesthesia - answerachieved by injecting a local anesthetic into the subarachnoid
space through a lumbar puncture causing sensory, motor, and autonomic blockage;
used for surgery of the lower abdomen, perineum, and legs
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller jw638729. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79650 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now