2024 NUR 155 PERIOPERATIVE
EXAM WITH CORRECT ANSWERS
describe the three phases of periop patient care - CORRECT-
ANSWERSPreoperative
■ Begins when the decision to proceed with surgical intervention is made,
and ends with the transfer of the patient onto the OR table
Intraoperative
■ Begins when the patient is transferred onto the OR table and ends with
admission to the PACU
Postoperative
■ Begins with the admission of the patient to the PACU and ends with a
follow-up evaluation in the clinical setting or home
What is included in the preoperative assessment - CORRECT-ANSWERS-
Health History
- Vital Signs
- Blood Tests, X-rays, etc
-Pregnancy test for all women of child-bearing age
- Identify Risk Factors for Surgery
Describe preoperative nursing measures that decrease the risk for infection
and other post operative complications - CORRECT-ANSWERSNutritional and
fluid status to promote healing
Drug and alcohol use for anesthesia
Smoking cessation 30 days before surgery
Immune function including allergies or underlying conditions
Current medications patient is taking
List the preoperative preparation of the patient - CORRECT-ANSWERSNothing
by Mouth (NPO)
Bowel Preparations-depending on type of surgery (i.e. colon or rectal
surgery)
Skin Preparations / Hair (i.e. chlorhexidine gluconate-antiseptic solution)
Hospital Gown/Hair Cap/No Dentures/No Jewelry/No Assistive Devices/Void
Immediately Before
List the pre-operative education - CORRECT-ANSWERSDeep Breathing,
Coughing,
Incentive Spirometry
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