Med-Surg Exam 4

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Author:
mel26704
ID:
154409
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Med-Surg Exam 4
Updated:
2012-05-22 17:11:32
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Surgical patient care
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Description:
Care of the surgical patient Exam 4
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  1. Surgery that involves the removal and study of a tissue to make an accurate diagnosis:
    Example:
    Diagnostic surgery; biopsy of a skin lesion or a lump in breast tissue
  2. Surgery that is a more extensive procedure than a biopsy and usually requires opening a body cavity to diagnose and find out the extent of a disease process:
    Example:
    Exploaratory surgery; exploratory laparotomy
  3. Surgery that is performed to remove a diseased tissue or to correct defects:
    Example:
    Curative surgery
  4. Term that refers to tissue or to correct defects:
    Ablation
  5. Repair of damaged tissue procedure:
    Reconstructive procedure
  6. Procedure that repairs congenitaly malformed structures:
    Constructive procedure
  7. Degree of risk that may involve risk to life; usually performed with use of general or regional anesthesia:
    Major risk
  8. Surgery that is scheduled in advance because it does not involve a medical emergency
    Elective surgery
  9. Surgery required ASAP:
    Urgent surgery
  10. Surgery that needs to be scheduled ASAP:
    Emergency surgery
  11. Same day surgery:
    Ambulatory surgery
  12. Procedure performed with fiveroptic endoscopes at natural openings or porthole incisions:
    Minimally invasive
  13. Procedure that involves the traditional extensive opening of body cavity; more pain and longer recovery:
    Open procedure
  14. Procedure limited to a defined anatomic location and do not require extensive exposure or dissection of tissue:
    Simple procedure
  15. Procedure that involves removal of extensive tissue and adjacent lymph nodes, muscle, and fascia:
    Radical procedure
  16. Phase of surgery that begins when the decision for surgical intervention is made:
    Pre-op
  17. Phase of surgery that begins with movement of patient to the OR and ends with the patient's transfer to revocer room:
    Intra-op
  18. Phase of surgery that begins with admission to the post-anesthesia care unit (PACU) and ends with complete recovery:
    Post-op
  19. S/s of anxiety:
    • Increase in PR, RR, BP
    • Abdominal distress
    • Increse urinary frequency
    • Can cause protein breakdown
  20. Ways to alleviate anxiety:
    • Assess level
    • Determine coping stratagies used in past
    • Answer questions/pre-op teaching
  21. Components of consent:
    • Must be signed before any sedation/must be alert
    • Must be witnessed
    • Must be mentally competent
    • Comphrehends contents
    • Must sign voluntarily
  22. Who gives the information about the procedure to the patient?
    MD
  23. 2 purposes of a physical examination prior to surgery:
    • To obtain baseline data
    • To identify potential problems
  24. 4 components of functional status assessment:
    • gait
    • ability to transfer
    • ability to perform ADLs
    • assess for any prosthesis- artificial eyes, limbs, dentures, hearing aids
  25. 8 observations that are made of the CV system:
    • VS
    • screen for HTN
    • irregular heart rhythm
    • evailuate extremities for the presence and qualitity of peripheral pulses
    • capillary refill
    • CMS
    • color
    • edema
  26. List the 7 observations made about the patient/s respiratory system:
    • smoking status and chronic illnesses
    • RR, effort, and rhythm
    • chest excursion
    • use of accessory muscles
    • clubbing of fingers
    • breath sounds
    • pulse ox
  27. What are 3 components of renal status?
    • ask about dysuria, nocturia, oliguria, and continence
    • observe urine for color, clarity, qualitiy, amount and oror
    • check renal function tests

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