Exam (elaborations)
Perioperative Nursing Management Questions with Accurate Answers 2024
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Perioperative Nursing Management
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Perioperative Nursing ManagementWhat are the 3 phases of preoperative patient care? - answer1) Preoperative
2) Intraoperative
3) Postoperative
What is the Preoperative Phase? - answer When the decision to proceed with surgical
intervention is made and ends with the transfer of the patient on to the operating room
bed
What is the Intraoperative Phase? - answer When the patient is transferred onto the OR
bed and ends with admission to the PACU
What is the Postoperative Phase? - answer Begins with the admission of the patient to
the PACU and ends with a follow-up evaluation in the clinical setting or home
Describe a comprehensive preoperative assessment to identify surgical risk factors. -
answer1) Nutritional, fluid status - malnutrition/obesity
2) Dentition
3) Drug or alcohol use
4) Respiratory status - Resp rate, lung sounds, clubbing
5) Cardiovascular status - BP, apical, peripheral pulses
6) Hepatic, renal function - Urinary problems
7) Endocrine function - Glucose levels
8) Immune function - allergies
9) Drug history - prescription, OTC, herbal, and recreational use
10) Psychosocial factors
11) Spiritual, cultural beliefs
12) Musculoskeletal - joints, movement
13) Signs of abuse
What are some nursing responsibilities during the Preadmission Testing (PAT) phase? -
answer1) Initiates initial preoperative assessment
2) Initiates teaching appropriate to patient's needs
3) Involves family in interview
4) Verifies completion of preoperative diagnostic testing
5) Verifies understanding of surgeon-specific preoperative
orders
6) Discusses, reviews advanced-directive document
7) Begins discharge planning by assessing patient's need for
postoperative transportation, care
, Describe the gerontologic considerations related to preoperative management -
answer1) Cardiac and circulatory compromise
2) Respiratory compromise
3) Renal function
4) Confusion
5) Fluid & electrolyte imbalances
6) Skin
7) Comorbidities
8) Altered sensory
9) Mobility restrictions
What are some health factors that affect patients preoperatively? - answer1) Obesity
2) Nutritional deficits
3) Anxiety
4) History of smoking
5) Hearing/vision impairment
What are the legal and ethical considerations related to obtaining informed consent for
surgery? - answer1) It should explain the procedure and the risks
2) It should have benefits and alternate procedures identified
3) It should answer any patient questions about the procedure
4) It should contain instructions that the patient may withdraw consent
5) A statement informing the patient if the protocol differs from customary procedure
Describe preoperative nursing measures that decrease the risk for infection and other
postoperative complications? - answer1) Prepping the skin
2) Managing nutrition and fluids
3) Prepping the bowel
4) Maintaining patient safety
Describe the immediate preoperative preparation of the patient - answer1) Making sure
patient changes into a hospital gown with the back open
2) For patients with long hair, make sure it is pulled away from face and covered with
disposable cap
3) Making sure no jewelry is worn for surgery
4) All valuable articles are given to a family member
5) Making sure patient voids before surgery
What are the actions of Anticholinergics? - answerStimulates beta-1 and beta-2
receptors in the nervous system
What are the side effects of using Anticholinergics? - answer1) Palpitations
2) Tachycardia
3) Dizziness
4) Tremors
5) Orthostatic Hypotension
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