Preoperative 2

25 flashcards · Other · by KRYSTEL ANN A MARTIN

1. is a psychologic factor related to surgery that is a positive factor.

   hope

2. is due to knowledge deficit

   anxiety

3. two types of written informed consent

   operative permit and surgical permit

4. When a patient is unable to give an informed consent to a proposed therapeutic intervention, the principal health care provider is legally bound to secure a consent to treatment from the patient's legally authorized guardian or proxy.

   consent by proxy

5. types of anesthesia

   general anesthesia, local infiltration anesthesia, regional block anesthesia

6. who is responsible for obtaining the patient's consent

   physician

7. who is the witness of the written consent

   nurse

8. __________ may cause respiratory deperession

   muscle relaxant

9. ______________ are at risk to have hemorrhage and shock during and after surgery

   blood coagulation disorders

10. three types of preoperative teaching

    sensory information, process information, procedural information

11. the collapse of part or, much less commonly, all of a lung

    atelectasis

12. test to determine renal function

    BUN and creatinine

13. Oral medications are given ___________ before the patient goes to the OR

    60 to 90 minutes

14. IM and SC injections are usually to be given ____________ before transport to the OR

    30 to 60 minutes

15. Intravenous medications are usually administered to the patient ________arrival in the preoperative holding area or OR

    after

16. Preoperative laboratory tests such as ________and _______may be necessary in planning the choice and technique of anesthesia

    ECG, and chest X-Ray

17. what are the two chemicals used in skin markings?

    gentian violet and methylene blue

18. To promote adequate lung expansion and ventilation, and expel mucous secretions.

    Deep breathing and coughing exercises

19. To enhance deep inspiration and promote maximum lung expansion.

    incentive spirometry

20. To promote adequate lung expansion, promote circulation, and prevent pressure sores.

    Turning exercises

21. Flexion and extension exercises of the lower extremities promote circulation, prevent venous stasis, thereby preventing thrombophlebitis

    Foot and leg exercises

22. Provides a rapid and significant reduction in skin microbial counts

    Alcohol

23. Provides rapid reduction in skin microbial counts. Should be removed after 2-3 minutes to prevent skin irritation

    Iodine

24. Does not provide a rapid reduction in skin microbial counts as alcohol, but provides a longer residual effect (5 to 6 hours). This effect remains active in the presence of blood and other organic material.

    Chlorhexidine

25. This agent must be used for several days prior to surgery because it builds up a cumulative antimicrobial effect.

    Hexachlorophene