NURS 330 Chapter 5 Perioperative Nursing Practice Questions and Correct Answers
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Course
NUR 330
Institution
NUR 330
Surgical nursing is usually divided into Pre-op: assessment "you need surgery" Intraoperative/perioperative: during surgery Post-op: PACU until discharge
Ambulatory surgery centers (ASC) provide outpatient surgical services not requiring an overnight stay, independent diagnostic and testing facili...
NURS 330 Chapter 5 Perioperative
Nursing Practice Questions and Correct
Answers
Surgical nursing is usually divided into ✅Pre-op: assessment "you need surgery"
Intraoperative/perioperative: during surgery
Post-op: PACU until discharge
Ambulatory surgery centers (ASC) ✅provide outpatient surgical services not requiring
an overnight stay, independent diagnostic and testing facilities, and health providers'
offices
Types of surgical procedures ✅Diagnostic- biopsy, ex. lap.
Curative- excision of a tumor or inflamed appendix
Reparative- multiple wound repair
Reconstructive or cosmetic- mammoplasty or a facelift
Palliative- relieve pain or correct a problem i.e. gastrostomy tube for feeding
Categories of surgery based on urgency (1-5) ✅1. Emergent
2. Urgent
3. Required
4. Elective
5. Optional
Emergent surgery ✅Patient requires immediate attention; disorder may be life-
threatening.
Require surgery immediately.
Ex: GSW, accident, severe bleeding, extensive burns, fractured skull, intestinal or
bladder obstruction
Urgent surgery ✅Patient requires prompt attention within 24-36 hours.
Ex: gallbladder, kidney stones
Required surgery ✅Patient needs to have surgery w/in a few weeks or months.
Ex: thyroid disorders, cataracts
Elective surgery ✅Patient should have surgery; failure to have surgery is not
catastrophic.
Ex: repair of scars, simple hernia, vaginal repair
Optional surgery ✅Decision rests with patient's personal preference.
, Ex: cosmetic surgery
Elderly patients now account for 1/2 of all hospital care days in the US. T/F ✅true
Surgical nursing considerations for elderly patients ✅1. Disease course vs. life
expectancy
2. State of independence
3. Personal motivation
4. Surgical risk factors vs. nonoperative management
Elderly pts have less physiologic reserve than young pts. T/F ✅True; physiologic
reserve= ability of an organ to return to normal after a disturbance in equilibrium
Like age, obesity increases risk and severity of complications associated with surgery.
T/F ✅True; during surgeries, fatty tissues are susceptible to infection, and dehiscence
and wound infections are more common.
Obese patients have high risk of ✅Hypoventilation and post-op pulmonary
complications
Special considerations for patients with disabilities: ✅-Need for appropriate assistive
devices (glasses, hearing aids, braces, etc.)
-Modifications in pre-op teaching (bc may cause decreased effectiveness in teaching)
-Additional assistance w/ & attention to positioning or transferring
Patients with respiratory problems r/t a disability (MS, muscular dystrophy, GB) may
experience pulmonary difficulties if the anesthesiologist/anesthetist is unaware. ✅True
Nursing activities to complete during preoperative phase ✅Establish a baseline
evaluation of pt before surgery by carrying out a preop interview (physical and
emotional assessment, previous anesthetic and medical hx, and identification of
allergies or genetics issues that may affect surgical outcome, ensuring tests have
been/will be performed during preadmission testing (PAT), arranging appropriate
consultations, and providing education about recovery from anesthesia and postop
care.
Informed consent ✅Voluntary and written from pt, necessary before any nonemergent
surgery.
Informed consent consists of ✅-Physician documents pt's capacity to make a medical
decision
-Surgeon tells details of dx and tx options for pt to make informed choice
-Pt demonstrates understanding of disclosed info
-Pt freely authorizes specific tx plan w/o undue influence
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