Unit 8Surgicalservices

REVIEW

Preoperative care includes:

A.) all care & teaching done after the surgery

B.) lab tests & x-rays done before surgery

C.) all care & teaching done before surgery

D.) teaching about post op pain

A consent form that is signed after all risks and complications have

been explained is called

A.) verbal consent

B.) expressed consent

C.) informed consent

D.) surgical permission

A 25 yr old comes to the ED under the influence of alcohol & drugs. He needs a craniotomy to relieve swelling in the brain. He cannot sign a

consent for surgery because he has a

A.) head concussion

B.) legal disability

C.) no other relatives nearly

D.) a positive drug test

Medications that need to be included in the pre op questionnaire

areA.) antihypertensives

B.) insulin

C.) Herbal & OTC meds

D.) all of the above

The main post- op concern for many people is

A.) size of incision

B.) coughing & deep breathing

C.) post op pain

D.) not waking up from surgery

An Epidural is an example of

A.) General Anesthesia

B.) Local Anesthesia

C.) Regional anesthesia

D.) Spinal Anesthesia

N/V, throat pain, hoarseness, & pneumonia are possible

risks ofA.) Local Anesthesia

B.) General Anesthesia

C.) Regional anesthesia

D.) Spinal anesthesia

Post operative assessments should be made for

A.) 24-48 hrs after surgery

B.) 72-96 hrs

C.) The entire time the pt is in the HCF

D.) only 2-3 times

Post op assessment includes

A.) TPR & pain evaluation

B.) Measuring urine output & oxygen saturation

C.) B/P & pain evaluation

D.) all of the above

Joe had open heart surgery. His pulse oximetry reading is 87%. This

requires you toA.) Increase the amount of oxygen thru the nasal cannula

B.) no action is required

C.) Watch his respirations for awhile

D.) Check pulse more frequently

The 3 phases of wound healing are

A.) Maturation, Inflammation, healing

B.) Inflammatory, proliferative, remodeling

C.) Hemastasis, Inflammation, Proliferative

Three Factors that influence healing include

A.) Diet, degree of pain, amount of bleeding

B.) Location of wound, duration of surgery, stage of life

C.) Medications, Diet, lifestyle

D.) Sex, Age, wound size

An embolus is a blood clot that is lodged in a vein

A.) True

B.) False

Dehiscence occurs when internal organs are pushed

outside the bodyA.) True

B.) False

When changing a sterile dsg, sterile gloves are used to

remove the old dsgA.) True

B.) False

Patients are NPO before surgery due to the possibility of

vomiting from the anesthesia

A.) True

B.) False

TEDS are used to prevent thrombus formation in post

surgical patientsA.) True

B.) False

Serosanguineous drainage contains only blood

A.) True

B.) False

Things you should chart after changing a dressing include size,

color, drainage, skin condition, and pain

A.) True

B.) False

An important way to prevent pneumonia and other complications

in the post operative patient is

A.) Good pre-operative teaching

B.) Give adequate pain medications

C.) TCDB q2h

D.) all of the above