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68WM6 Ph 2 Test 3WO

68WM6 Ph 2 Test 3

QuestionAnswer
surgery for the excision or removal of diseased body part ablation
absence of feeling/pain anesthesia
the collapse of lung tissue atelectasis
ill health, malnutrition, and wasting as a result of chronic disease cachexia
tissue breakdown catabolism
the administration of drugs that depress the central nervous system or provide analgesia to relieve anxiety or provide amnesia during surgical diagnostic procedures conscious sedation
the separation of a surgical incision or rupture of a wound closure dehiscence
the removal of fluids from a body cavity, wound, or other source of discharge by one or more methods drainage
a dislodgeed thrombus embolus
protrusion of an internal organ through a wound or surgical incision evisceration
remove endotraceal tube from airway extubate
substances that slowly seep from cells or blood vessels through small pores in cell membranes exudate
use of a device to promote deep breathing incentive spirometry
cuts produced surgically by a sharp instrument to create an opening into an organ or body space incisions
localized area of necrosis infarct
consent of the patient to a surgery that acknowledges the patient's understanding of what is going to happen and why, along with possible complications informed consent
during surgery intraoperative
surgery for relief or reduction of intensity of disease symptoms; will not produce cure palliative
decrease or absence of intestinal peristalsis paralytic ileus
before, during, and after surgery perioperative
after surgery postoperative
artificial replacement for a missing part of the body prosthesis
hiccup, or involuntary contraction of the diaphragm singultus
branch of medicine concerned with diseases and trauma requiring operative procedures surgery
sterile technique surgical asepsis
an accumulation of platelets, fibrin, clotting factors, and cellular elements of the blood attached to the anterior wall of a vessel thrombus
purposes of surgery dignostic, ablation, palliative, reconstructive, transplant, constructive, cosmetic
surgery that is not necessary to preserve life and may be performed at a time the patient chooses elective surgery
surgery required to keep additional health problems from occuring urgent surgery
surgery performed immediately to save the individual's life or preserve the function of a body part emergency surgery
the term referring to the nurse's role throughout the surgical process perioperative nursing
factors influencing an individual's ability to tolerate surgery age, physical condition, nutritional factors
considerations for older adult surgical patient higher morbidity rate, greater stress on the body, recover more slowly, risks are increased, disorientation and toxic reactions to anesthesia, teaching may require extra time, any physical impairment
a list of tasks and assessments to be made before surgery, must be completed before patient is transferred to surgical unit preoperative checklist
why is informed consent important? informed consent verifies that a patient understands the procedure and consents to it; it is protection for the provider against possible legal issues later
4 exercises that are important for all postoperative patients turning, deep breathing, coughing, leg exercises
why is turning important in postoperative patients? to prevent pressure ulcers, atrophy, and improve circulation and ventilation
why is deep breathing important in postoperative patients? to fully expand the lungs following surgery
why is coughing important in postoperative patients? to fully expand the lungs, and expel any sputum accumulated during surgery
why are leg exercises important in postoperative patients? to improve circuation and prevent the formation of a thrombus
this type of anesthesia results in an immobile, quite patient who does not recall the surgical procedure general anesthesia
this type of anesthesia results in loss of sensation in an area of the body regional anesthesia
this type of anesthesia results in loss of sencation only at the desired site local anesthesia
the administration of drugs that depress the central nervous system or provide analgesia to relieve anxiety or provide amnesia during surgical diagnostic procedures concious sedation
role of the scrub nurse during surgery sterile, maintains sterile field and instruments, keeps count of instroments and supplies, identifies and handles surgical specimens
role of the circulating nurse during surgery clean, prepares patient, positions patient, counts supplies with scrub nurse, assists scrub nurse with sterile field, cares for surgical specimens
initial care following transfer from PACU includes: airway, breathing, conciousness, circulation, and system review
nursing interventions that help prevent postoperative complications proper vitals monitoring, observation and care of the incision(s), assuring proper ventilation (deep breathing, coughing), managing pain, monitoring urinary function, preventing venous stasis (exercise), early ambulation
assessment data for the surgical patient prior surgery, allergies, medication, drugs/alcohol, smoking status, physical condition, at risk data, emotional status
information needed for discharge of a postoperative patient wound care, action and side effects of medications, activity restrictions, dietary restrictions, symptoms to be reported, where and when to followup
surgical exploration that allows physician to confirm diagnosis; may involve removal of tissue for further diagnostic testing diagnostic
surgery to restore function or appearance to traumatized or malfunctioning tissue reconstructive
surgery to replace malfunctioning organs transplant
surgery to restore fuction lost or reduced as a result of congenital abnormalities constructive
surgery for the alteration of personal appearance cosmetic
before surgery preoperative
surgical joining of two ducts or blood vessels to allow flow from one to another; to bypass an area anastomosis
surgical removal of -ectomy
destruction or dissolution of lysis
surgical repair of -orrhaphy
direct visualization by a scope -oscopy
opening made to allow the passage of drainage -ostomy
opening into -otomy
fixation of -pexy
plastic surgery -plasty
surgeries in which coughing postsurgically is contraindicated intracranieal, eye, ear, nose, throat, and spinal surgeries
the process that removes drugs from the body elimination
the time required to reduce the concentration of a drug in the body by 50% half-life
relative sympathetic and parasympathetic nervous system homeostasis autonomic stability
inability of muscles to contract or maintain resting tone muscle relaxation
medication that reverses the effects of narcotics naloxone
medication that reverses the effects of benzodiazepenes romazicor/flurazenil
anesthesia achieved by placing local anesthatic into the subarachniod space spinal anesthesia
anesthesia achieved by placing local anesthetic in the epidural space epidural anesthesia
anesthesia achieved by placing local anesthetic in the region of the nerve enervating the area nerve block
anesthetis is infused into the veins of an extremity distal to a tourniquet bier block
who is responsible for monitoring of a consciously sedate patient? an RN
potential intraoperative complications infection, burns, hypothermia, hyperthermia, bleeding, pressure sores, trauma
the most important vital signs in monitoring a patient after spinal anesthesia respiratory rate, blood pressure
strip or roll of cloth or other material that can be wound around a part of the body in a variety of ways for multiple purposes bandage
bandage made lf large pieces of material to fit a specific body part binder
soft, pink, fleshy tissue consisting of capillaries surrounded by fibrous collagen granulation
the process of invasion of the body by pathogenic microorganisms infectious process
tissue reaction to injury inflammatory response
gentle washing of an area with a stream of solution irrigation
this type of healing is possible in wounds where skin edges are close together and little tissue is lost; results in minimal scarring primary intention
stab wound, sometames created surgically for a drainage system puncture
producing or containing pus purulent
composed of or pertaining to blood sanguineous
this type of healing is necessary when skin edges are not close together, or when pus has formed in the wound; the wound must granulate and heal from the inside out secondary intention
composed of serum and blood; thin, red drainage serosanguineous
thin and watery drainage, composed of the serum portion of the blood serous
trainage tube inserted into the bile duct following cholecystectomy T-tube
delayed primary intention wound closure tertiary intention
device that assists in wound closure by applying localized negative pressure to draw the edges of a wound together vacuum assisted closure
any injury to the body's tissues involving a break in the skin wound
the first phase of wound healing; termination of bleeding hemostasis
the second phase of wound healing; initial increase in the flow of blood elements out of the blood vessel into the vascular space; results in redness, heat, swelling, pain, and tissue dysfunction inflammatory phase
what phase of the wound healing process does collagen formation occur in? reconstruction phase
what phase of the wound healing process does dehiscence most commonly occur in? reconstruction phase
an overgrowth of collagenous scar tissue at the site of a wound keloid
keloids occur in what stage of wound healing? maturation phase
the four phases of wound healing hemostasis, inflammatory, reconstruction, maturation
role of nutrition in wound healing porteins, carbs, fats, and vitamins are essential in promoting the wound healing process
common factors that complicate wound healing age, malnutrition, obesity, impaired oxygenation, smoking, drugs, diabetes mellitus, radiation, wound stress
common complications of wound healing abcess, adhesion, cellulitis, dehiscence, evisceration, extravasation, hematoma
cavity containing pus and surrounded by inflamed tissue abcess
band of scar tissue that binds together two anatomical surfaces normally separated; most commonly found in the abdomen adhesion
infection of the skin characterized by heat, pain, erythema, and edema cellulitis
separation of a surgical incision or rupture of a wound closure dehiscence
protrusion of an internal organ through a wound or surgical incision evisceration
blood, serum, or lymph escaping from the vessel into the tissue extravasation
collection of extravasated blood trapped in the tissues or in an organ resulting from incomplete hemostasis after surgery or injury hematoma
CDC classifications of wounds clean, clean-contaminated, contaminated, dirty or infected
CDC class of an unifected surgical wound clean wound
CDC class of a surgical incision made into the respiratory, GI, or GU tract clean-contaminate wound
CDC class of incision in the presence of GI products from an acute, nunpurulent inflammation; or if aseptic technique is broken during surgery contaminated
CDC class of a wound that was infected before surgery (ie gangrene) dirty or infected
special nursing interventions for wound care in older patients instruct patient on safety precautions, provide wound care instruction to home caregiver
to promote wound healing in malnourished patients, what should a patient be encouraged to increase their intake of? protein, carbs, lipids, vitamins A and C, minerals, and B vitamins
what are some interventions to promote wound healing in patients with impaired ability to oxygenate? diet high in iron, vitamin B, and folic acid; monitor hematocrit and hemoglobin levels
what are some nursing interventions to promote wound healing in pationts who are on steroids or other antiinflammatory drugs? obeserve more closely for signs of infection; diet high in vitamin A
what is the primary purpose of a wet to dry dressing? to mechinically debride a wound
this drain is used when 100-200 ml of drainage is expected jackson-pratt drain
this drain is used when more than 100, up to 500ml, of drainage is expected hemovac
this class of medication is used for the treatment and prophylaxis of various bacterial infections antiinfectives
kill bacteria bactericidal
inhibit the growth of bacteria bacteriostatic
a sensitivity to one substance that predisposes an individual to sensitivity to other substances that are related in chemical structure cross-sensitivity
penicillins are chemically inactivated by aminoglycosides
dosages of antiinfectives may need to be reduced in patients with these to conditions hepatic and renal insufficiency
these antiinfectives can reduce the ability of the liver to metabolize other drugs erythromycins
this medication can increase serum levels of penicillins probenecid
the absorbtion of these antiinfectives is decreased by antacids, bismuth subsalicylate, iron salts, sucralfate, and zinc salts fluoroquinolones
assessment for patients receiving antiinfectives should include s/s of infection, previous hypersensitivites, culture and sensitivity
potential nursing diagnoses for patients receiving antiinfectives risk for infection, deficient knowledge (med education), noncompliance
how should most antiinfectives be administered to maintain therapeutic serum levels around the clock
patient teaching related to antiinfectives take med as directed until gone, report signs of superinfection, reasons to follow up
black, furry overgrowth on tongue, vaginal itching or discharge, and loose or foul smelling stools are signs of superinfection
this class of medications is used for the treatment of fungal infections antifungals
kills fungi fungicidal
stops growth of fungi fungistatic
systemic antifungals have adverse effects on the function of this bone marrow
this antifungal commonly causes renal impairment amphotericin B
the dosage of this antifungal should be adjusted in patients with this dysfunction renal impairment
HIV positive patients may have more severe adverse reactions to this antifungal fluconazole
possible nursing diagnoses related to antifungals risk for infection, impaired skin integrity, deficient knowledge
Created by: ewoff85 on 2011-06-22



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