WITH ALL CORRECT ANSWERS
Preop respiratory assessment - Answer-History of dyspnea, coughing, or hemoptysis
Stop smoking at least 6 weeks before surgery
Sleep apnea, obesity, and airway deformities
Preop immune assessment - Answer-Diabetes:
Hypo/hyperglycemia
Ketosis
Cardiovascular alterations
Delayed wound healing
Infection
Thyroid dysfunction: altered metabolic rate
Addison's disease: Abruptly stopping replacement corticosteroids could cause
Addisonian crisis
Types of information for nurse to teach preop - Answer-•Sensory (see, hear, smell, feel,
during surgery)
•Process (general flow of what will happen)
•Procedural (details-IV, SCD, monitor)
Unrestricted Zone of OR - Answer-- street clothing allowed
- patients family /friends
semirestricted zone - Answer-area in the operating room where scrub attire is required;
may include areas where surgical instruments are processed
Restricted Zone of OR - Answer-- wear PPE
- Sterile
- Minimal Noise
- Long Sleeves
Classic symptom of PVD - Answer-Intermittent claudication - ischemic leg pain
precipitated by activity and relieved by rest - classic symptom of PVD.
Early sign of kidney damage - Answer-Nocturia
HTN in blacks - Answer-•Highest prevalence; more resistant HTN; develop at younger
age; female greater than male; more nocturnal nondipping BP; more end-organ
damage; highest death rate
•Less response to renin inhibiting meds; better control with calcium channel blockers
and diuretics