NURS 120 MED SURG. QUIZ 1 REVIEW
Who is included in the interprofessional team? - answer Patient, Surgeon, Anesthesia
Care Provider, Nurse, Other health care team members
Elective Surgery - answera carefully planned event
May be inpatient or outpatient
Emergency Surgery - answer An unexpected, urgent surgery.
Will require admission/inpatient most times
Antagonist for Benzos? - answer Flumazenil
Local or regional anesthesia - answer causes the loss of sensation in a limited area by
injecting an anesthetic solution near that area
Can be topical, local infiltration (directly into tissues), regional nerve block, includes
spinal, epidural
general anesthesia - answerinvolves the total loss of body sensation and consciousness
induced by anesthetic agents administered primarily by inhalation or intravenous
injection
What is the legal preparation duties (w/ the consent form) for surgery with the provider?
- answerObtained inform consent, complete description of procedure/surgery, options &
right to refuse
What is the legal preparation duties (w/ the consent form) for surgery with the nurse? -
answerWitness informed consent and clarify information, we are not to give any new
info
What is the legal preparation duties (w/ the consent form) for surgery with the client? -
answerGive informed consent voluntarily, be competent, of legal age and not under
influence of medications
Preparations for Surgery that the Nurse does - answernPO at least 6h for solid foods &
2h for clear liquids- general anesthesia
(3-4 hrs w/ local) *per ATI
Perform skin preparation as appropriate
, Ensure jewelry, dentures, prosthetics, glasses etc. are removed
Establish large-bone IV access (18 gauge)
Preoperative checklist is complete
Confirm & verify correct surgical site w/ client and all health care team members,
marking surgical site
Preoperative medications - answerBenzodiazepines
Anticholinergics
Opioids
Antiemetics
B-Adrenergic blockers (B-blockers)
Benzodiazepines - answerdrugs that lower anxiety and reduce stress
Antagonist: Flumazenil
Anticholinergics - answerreduce secretions
Avoid aspirations
Opioids - answergiven to decrease pain and intraoperative anesthetic requirements
Watch respiratory status
Antiemetics - answermay be given to decrease nausea and vomiting
Ex. Ondansetron (Zofran)
B-Adrenergic blockers - answerto control BP or reduce the chances of MI and cardiac
arrest
Purpose of antibiotics? - answerProphylactic antibiotics w/in 30-60 min of surgical
incision, preoperative
To prevent & decrease risk of infection
Ex: Butorphanol, Aztreonam, Vancomycin, Tetracycline
Universal protocol - answerStarts the moment the pt enters hospital. Purpose is to
prevent wrong site, wrong procedure and wrong person surgery. 3 phases which begin
with the decision to do a procedure or surgical procedure
Who is included in the interprofessional team? - answer Patient, Surgeon, Anesthesia
Care Provider, Nurse, Other health care team members
Elective Surgery - answera carefully planned event
May be inpatient or outpatient
Emergency Surgery - answer An unexpected, urgent surgery.
Will require admission/inpatient most times
Antagonist for Benzos? - answer Flumazenil
Local or regional anesthesia - answer causes the loss of sensation in a limited area by
injecting an anesthetic solution near that area
Can be topical, local infiltration (directly into tissues), regional nerve block, includes
spinal, epidural
general anesthesia - answerinvolves the total loss of body sensation and consciousness
induced by anesthetic agents administered primarily by inhalation or intravenous
injection
What is the legal preparation duties (w/ the consent form) for surgery with the provider?
- answerObtained inform consent, complete description of procedure/surgery, options &
right to refuse
What is the legal preparation duties (w/ the consent form) for surgery with the nurse? -
answerWitness informed consent and clarify information, we are not to give any new
info
What is the legal preparation duties (w/ the consent form) for surgery with the client? -
answerGive informed consent voluntarily, be competent, of legal age and not under
influence of medications
Preparations for Surgery that the Nurse does - answernPO at least 6h for solid foods &
2h for clear liquids- general anesthesia
(3-4 hrs w/ local) *per ATI
Perform skin preparation as appropriate
, Ensure jewelry, dentures, prosthetics, glasses etc. are removed
Establish large-bone IV access (18 gauge)
Preoperative checklist is complete
Confirm & verify correct surgical site w/ client and all health care team members,
marking surgical site
Preoperative medications - answerBenzodiazepines
Anticholinergics
Opioids
Antiemetics
B-Adrenergic blockers (B-blockers)
Benzodiazepines - answerdrugs that lower anxiety and reduce stress
Antagonist: Flumazenil
Anticholinergics - answerreduce secretions
Avoid aspirations
Opioids - answergiven to decrease pain and intraoperative anesthetic requirements
Watch respiratory status
Antiemetics - answermay be given to decrease nausea and vomiting
Ex. Ondansetron (Zofran)
B-Adrenergic blockers - answerto control BP or reduce the chances of MI and cardiac
arrest
Purpose of antibiotics? - answerProphylactic antibiotics w/in 30-60 min of surgical
incision, preoperative
To prevent & decrease risk of infection
Ex: Butorphanol, Aztreonam, Vancomycin, Tetracycline
Universal protocol - answerStarts the moment the pt enters hospital. Purpose is to
prevent wrong site, wrong procedure and wrong person surgery. 3 phases which begin
with the decision to do a procedure or surgical procedure
