Science Quiz / Surgical Nursing Exam 3

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Can you name the Surgical Nursing Exam 3?

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type of wound closure: 'first intention healing', sutured or grafted soon after injury, fresh clean wound
pain felt despite adequate analgesic therapy
Liquid anesthetics with _____ to _____ vapor pressures require precision vaporizers
conversion of chemical, thermal, or mechanical energy into nerve impulses
type of wound closure: wound sutured 1-3 days post injury, require cleaning and debridement, wounds 6-8 hrs old
type of wound closure: contraction and epithelialization, granulation tissue fills defect, needs loose skin
____ ______ is the amount of liquid anesthetic that will evaporate at 20°C/68°F
Type of surgical drain that is thin-walled, fluids drain around outside of tube
this nonadherent primary bandage layer is used for moderately to copiously exudative wounds, must be changed often
low solubility = _____ induction/recovery
which has faster recovery, inhalent or injectable?
lavage fluid pH should be _____
first phase of wound healing
part 2 of repair phase: _________ occurs
sensory nerve endings continuously fire pain signals, these travel to spinal cord and increase firing of SC neurons
The most common gas used for sterilization
type of heat sterilization with lower temp for shorter time
Multimodal anesthesia (reduces or increases) the dose of general anesthetic needed
The prupose of lavage is to ____ and _____ bacteria, blood, and irritating fluids or solids
Place in correct order: A. transmission, B.modulation, C.perception, D.transduction
hypertonic lavage fluids can cause _______
naturally occurring chemicals in the brain are released by neurons in response to pain and provide analgesia, this is what?
the source of microorganisms that surgical team can control is ___genous
complete abscence of organisms
second phase of wound healing
Agents with ____ vapor pressures can use a nonprecision vaporizer
what is it that contracts and pulls skin inward during the wound contraction part of the repair phase
The biggest route of exposure to waste gas is ______, either from the patient, filling/emptying vaporizer, or spills
Type of surgical drain that is thick-walled, one end is in body cavity while other is attached to suction device
if patient is extremely light or deep the vaporizer should be changed in max increments of ___-___%
absence of pain sensation without loss of consciousness
method of debridement: used for small wounds in areas with loose skin
destruction of organisms but not spores on an object
lavage fluids should be ___tonic
Somatic pain sensation is in tissues with ____ numbers of nociceptors and is transmitted by A delta, C, or both fibers?
type of antiseptic with residual time of 4-6 hours
method of debridement: used for minimally contaminated wounds and as an adjunct to surgical debridement
chemical methods of sterilization can use ____ or ___
third phase of wound healing
fourth phase of wound healing
This type of disinfectant has no residual effect
A lower MAC number means a gas is ____ potent than another with a higher number
tendency of a gas to dissolve in the blood and tissues
The one major disadvantage of sevo and iso is that there is no what?
exaggerated pain sensation
This is a measure of anesthetic potency used as a guide to determine adequate concentrations for Sx
type of heat sterilization with high temp, long duration
part 1 of repair phase: ________ tissue forms
To prevent diffusion hypoxia with nitrous oxide we can run a ____ Oxygen flow rate
liquid anesthetics that evaporate easily are considered volatile, do these have a high or low vapor pressure?
solubility determines the _____ if induction and recovery
MAC= lowest % producing no response to painful stimulus in __% of patients tested
The most common liquid used for sterilization
type of wound closure: third intention healing, wound sutured closed 3-5 days post injury after granulation bed formed
perception of pain
which autoclave type is better?
____ solubility means most of the gas remains as a gas in the alveoli
filler separates particles from liquids/gases- physical method of sterilization
_______ release factors that initiate wound healing
all anesthetic gases cause decreased ___ ____ and ____ ___
amount of force suture can withstand before breaking
during which wound healing phase is there a LARGE increase in wound strength
destroys microbes without heat- physical method of sterilization
high solubility = ____ induction/recovery
unpleasant sensory or emotional experience due to injury, illness, etc.
nerve cells that detect noxious stimuli (pain)
_ ____ are small, unmyelinated, conduct pain sensation slowly, source of pain is hard to localize, and cause dull and aching or throbbing pain
prevacuum autoclaving uses __psi, ____°F, and ___ min of sterilization, which takes __ total min
which has faster recovery, IV or IM?
what is smaller, 3-0 or 0
What is the calculation for medium depth anesthesia? ____ X ____
can we add antibiotics to lavage solutions?
this type of suture (braided/monofilament) has a lower risk of infection
antiseptic solutions added to lavage must be ______
gravity displacement autoclaving uses __-__psi, ____°F, and ___ min of sterilization, which takes __ total min
_______ enter the wound during granulation
lavage fluids should be what temp?
nerve impulses travel along sensory neurons from peripheral tissue to spinal cord and then to brain, this is what?
does mono or multi filament usually have no memory
____ solubility means much of the gas dissolves into the blood and tissues
All anesthetic gases are eliminated by ______
pain that results from a non-injurious stimulus
part 3 of repair phase: wound __________
_ _____ _____ are large, myelinated, conduct sensation of pain rapidly, source of pain is easily localized, and cause sharp discrete pain
destruction of organisms and spored on an object
destroys organisms on living tissue
______ within the blood clot provides minimal wound strength
this nonadherent primary bandage layer is used for minimally exudative wounds, promotes epithelialization, and requires fewer changes
maintaining anesthesia using a combination of inhalent and injectable is common in what species?
microbe that causes disease
pathogens/toxins in blood/tissues
skin coming open is called _________
tissues should be kept _____ to prevent dessication
this type of suture is broken down and resorbed, loses tensile strength by 60 days, used in quick healing tissues
The two types of autoclave are ____ ________ and _____
To prevent inhaling waste gas you should stay _ feet from the patients nose
Visceral pain sensation is in tissues with ____ numbers of nociceptors and is transmitted by A delta, C, or both fibers?
steps taken to prevent contamination of the surgical site by infectious agents
do not use _____ preparations for lavage as they are very irritating to tissues
a higher blood:gas solubility coefficient means (more/less) soluble in blood and tissues
this type of suture is not broken down with time or takes >60 days, used in slow healing areas
using two or more analgesic drug classes is known as ______ analgesia
method of debridement: used for large wounds with substantial trauma and heavy contamination
if patient is slightly light or deep the vaporizer should be changed in increments of ___-___%
burying beneath skin
death by protein destruction, susceptibility of microbes varies physical method of sterilization
hypotonic lavage fluids can cause tissue _____
type of antiseptic with long residual time of ~2 days

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