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nur 206 exam 2 Questions and Answers (100%
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surgery definition Ans: the art and science of treating diseases, injuries,
and deformities by operation and instrumentation
what is the total surgical episode called Ans: perioperative period
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includes: preoperative, intraoperative, and postoperative periods
common purposes of surgery Ans: 1. Diagnosis: determination of the
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presence and/or extent of a condition
2. Cure: elimination or repair of pathological condition
3. Palliation: alleviation of symptoms without cure
4. Prevention: removal of something that may be an issue
5. Exploration: surgical examination to determine the nature or extent of
a disease
6. Cosmetic improvement: alter physical appearance
-ectomy Ans: removal of
-lysis Ans: destruction of
-orrhahpy Ans: repair or suture of
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-oscopy Ans: looking into
-ostomy Ans: creating of an opening
-otomy Ans: cutting into
-plasty Ans: repair or construction
elective surgery Ans: planned event, same day admission, for acute or
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chronic medical conditions, same day or outpatient, minimally invasive,
24hr stay (sometimes), decreased cost, can leave with caregiver,
recover at home
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preformed in an ambulatory clinic, physician's office, outpatient surgery
unit
**decreased risk of HAI
general, regional, and local anesthetic Ans: general: whole body
regional: a complete area
local: one specific site
emergency surgery Ans: -unexpected for client and family
-may have more fear and anxiety
patient preoperative interview Ans: -can occur before the surgery
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-notify of any med restrictions (ex stop taking blood thinners 7days
before surgery)
-do not use medical language
-obtain health info, and drug/food allergies
-provide and clarify any info about surgery and anesthesia
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-assess the client's emotional readiness for surgery
**we can tell them what to expect but it is not our job to run thru the
whole surgery
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what is the overall goal of the preoperative patient assessment Ans: -
identify risk factors and plan of care to ensure patient safety
-determine pt psychological status prior to surgery
-identify and document surgical site
-review pre-diagnostic results
-make sure pt has enough information for informed consent
phycological reactions to surgery (subjective data) Ans: -anxiety of the
unknown
-lack of knowledge
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-uncertainty of outcomes
-negative past experiences with self/family
-fear of death
-fear of pain/altered body image
**if the patient has a sense of impending doom, notify HCP
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**do not want a patient going into surgery with a sense of fear or death
outcomes from preoperative teaching Ans: -increased pt satisfaction
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-reduced fear, anxiety, stress
-decreased length of stay
-decreased recovery time
-make sure you are educating at the appropriate learning level and
BEFORE surgery
how does preoperative teaching vary from general surgery compared
to ambulatory surgery Ans: general: using all the equipment postop,
incentive spirometer, pain rating, patient controlled analgesic,
everything
ambulatory: they are discharged with teaching and may follow up with
PCP