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Chap 50
Chap 50, Care of Surgical Clients
| Question | Answer |
|---|---|
| Ambulatory surgery | outpatient surgery, short-stay surgery, or same-day surgery |
| antiembolism stocking | elastic stockings |
| Bariatric | Obese |
| Obstructive sleep apnea | a syndrome of periodic, partial or complete obstruction of the upper airway during sleep. |
| atelectasis | collapse or closure of alveoli resulting in reduced or absent gas exchange. |
| cholecystectomy | surgicial removal of the gallbladder |
| laparoscopic | Many abdombinal surgeries are done this way. |
| Circulating nurse | Must be an RN. Responsiblities are to review preoperative assessments, establish and implement continuity of care postoperative. |
| conscious sedation | routinely used for procedures that do not require complete anesthesia but rather a depressed level of consciousness. |
| General anestheis | results in an immobile, quiet client who does not recall the surgical procedure. |
| Regional anesthesia | results of loss of sensation in an area of the body, such as: spinal, epidural, or a peripheral nerve block. |
| Local Anesthesia | involves loss of sensation at the desired site. (lidocaine) |
| Convalescence | gradual recovery of health. |
| Dermatomes | segmental skin areas innervated by specific segments of the spinal cord. |
| Malignant hperthermia | a life threatening complication of anesthesia, develops. |
| Informed consent | Surgery can not be legally or ethically performed without: |
| Latex sensitivity | local effects ranging from urticaria and flat or raised red patches to vesicular, scaling, or bleeding eruptions. |
| Moribund | A client who is not expected to survive without the surgery. |
| Paralytic ileus | a nonmechanical obsturction due to lack of intestinal peristalsis |
| Perioperative nursing | Care given before, during, and after surgery. |
| Sequential pneumatic compression devices | devices to help the client such as elastic stockings |
| Postanesthesia Recovery Score for Ambulatory Clients | A score for the clients who had ambulatory surgery to assess their function. |
| Postanesthesia Recovery Score | The most widely used scoring tool for a client who has had surgery. |
| Preoperative teaching | A plan that envolves adult learning principles and coupled with the client's unique needs. |
| Scrub Nurse | either an RN, LPN or a surgical tech. The nurse maintains a sterile field during the surgical procedure, assists with applying sterile drapes, hands intruments and other sterile supplies to surgeons. |
| Major Surgery | Involves extensive reconstruction or alteration in body parts; poses great risks to well-being. (Coronary artery bypass) |
| Minor Surgery | Involves minimal alteration in body parts; often designed to correct deformities. (ex. cataract extraction) |
| Elective Surgery | Performed on basis of client's choice; is not essential and is not always necessary. (facial plastic surgery) |
| Urgent Surgery | Necessary for clients health; not necessarily an emergency. (gallbladder for stones) |
| Emergency Surgery | Must be done immediately to life or preserve function of body part.(Repair of appendix) |
| Diagnostic Surgery | Surgical exploration that allows health care providers to confirm diagnosis. (breast mass biopsy) |
| Ablative Surgery | Excision or removal of diseased body part. (removal of appendix) |
| Palliative Surgery | Relieves or reduces intensity of disease symptoms ; will not produce a cure. (Colostomy) |
| Reconstructive/Restorative | Restores function or appearance to traumatized or malfunctioning tissues. |
| Procurement for transplant | Removal of organs and/ or tissues from a person pronounced brain dead for transplant into another person. (kidney transplant) |
| Constructive | Restores function lost or reduced as result of congenital anomalies (repair of cleft palate) |
| Cosmetic | Performed to improve personal appearance. (Rhinoplasy) |