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The Concept of Perioperative Care DSM Questions and Answers
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The Concept of Perioperative Care DSM
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The Concept of Perioperative Care DSMThe nurse mentor is helping a graduate nurse care for postoperative patients.
Which statement by the graduate nurse indicates the need for additional teaching? -
answer"Antiemetics can only be administered in the preoperative period."
The postoperative nurse is reviewing the interoperative documentation of a patient.
Which information should the nurse find in this documentation? - answerAnesthesia
stop time
Anesthesia stop time should be documented intraoperatively. Postoperative
documentation should include dressing changes, pain assessment, and drain output.
The nurse learns that the patient's artery was nicked during a surgical procedure.
The nurse should monitor the patient for which condition? - answerHypovolemia
Hypovolemia is the decreased fluid volume (e.g., blood loss) that results in decreased
blood pressure, decreased urine output, increased heart rate, and increased respiratory
rate. Hyponatremia is used to describe decreased sodium. Hypokalemia is used to
describe decreased potassium. Hypothermia is used to describe decreased body
temperature.
The nurse is reviewing the list of a patient's medications prior to surgery.
Which medication should the nurse report to the surgeon immediately? -
answerWarfarin
A patient who is scheduled for surgery is concerned about wrong-site surgery incidents.
Which guideline addresses the patient's concern? - answerPreprocedure verification
process
The preprocedure verification process ensures that the correct procedure is being done
on the correct patient at the correct site. A time-out momentary pause and accuracy
check is done by all members of the surgical team before an invasive procedure. A
handoff report is a standardized communication process that captures all essential
patient information for healthcare providers exchanging responsibility (e.g., SBAR).
Universal protocol guidelines for healthcare professionals help to prevent errors.
The nurse is preparing a patient for discharge from the postanesthesia care area.
Which assessment finding should cause the nurse to postpone the discharge? -
answerAldrete score of 7
, The patient should have an Aldrete score of at least 8 to be discharged from the
postanesthesia care area. A consciousness score of 2 means that the patient is fully
awake. A respiration score of 2 means that the patient can take a deep breath and
cough. An activity score of 2 means that the patient is able to move all four extremities.
The nurse completed discharge teaching for a patient who just had surgery.
Which patient statement indicates to the nurse that further teaching is required? -
answer"I cannot wait to take a shower tonight."
The patient should not shower for 24 hours after surgery. The patient should allow the
dressings to fall off naturally and should not soak in a bath until the dressings have
fallen off. Sutures or staples will be removed at postoperative follow-up appointments.
The nurse completed preoperative teaching with a patient scheduled for total hip
replacement surgery the next morning.
Which patient statement indicates that the teaching has been effective? - answer"I will
use chlorhexidine gluconate in the shower tonight and tomorrow morning."
Preoperative
Procedure Verification Process - answerWho
-Preoperative nurse
-Circulating nurse
-Anesthesia team
-Interpretation services, if applicable
What
-Correct patient
-Correct surgical procedure
-Correct surgical site
-Surgical site marked by healthcare provider
-Review of pertinent patient history to include:
Medications
Allergies
Health history
Abnormal labs
Interoperative
Procedure Verification Process - answerWho
-Entire surgical team
What
-Prior to surgical incision, change in surgeon, and/or change in position:
Name of patient
Consented procedure
Allergies
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