Exam (elaborations)
Perioperative Care ~ Theory Questions and Answers
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Perioperative Care ~ Theory
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Perioperative Care ~ TheoryYou're assessing the patient pre-op. What components does your assessment include?
- answer Health history
Current physical status & vitals (ESTABLISH A BASELINE)
Psychosocial issues (anxiety, financial concerns, body image concerns, etc.)
Nutritional assessment
Medication review
What medications are considered "high risk" for a pre-op patient? - answer Beta
blockers
Anticoagulant medications
*this is just what the book said; I'm sure there's a bunch of crap that could be
considered high-risk that’s not listed
You're preparing to provide pre-op education to a patient. What information is important
to include? - answer Nature of procedure
Anticipated length of procedure
What patient should expect re: recovery time
Info regarding medications (for instance, if you're holding a med prior to procedure,
explain why)
Communication the patient should expect with surgical team before procedure
Deep breathing/coughing exercises
How to care for surgical incision/ostomy
How to prevent post-op constipation
How their pain will be controlled post-op
How clots will be prevented post op
What diagnostic tests would you anticipate being done prior to surgery? -
answerAssessment of bleeding risk (PT, PTT, bleeding time)
Determining what type of blood/blood products they would need (HCT, Hgb, RBC,
platelet)
Sodium & potassium levels
Pregnancy test
ABGs
Chest X-Ray
ECG
Serum proteins
Blood glucose
, What three conditions must be met for a consent to be valid? - answer-Adequate
disclosure provided
-Patient demonstrates clear understanding & comprehension
-Patient gives consent voluntarily
What is the nurses role in the OR? - answerADVOCATE FOR THE PATIENT. Be a
hardass. help prevent infection & complications. provide continuous surveillance.
The patient is returning to you after their surgical procedure. What does your return
assessment include? - answerAirway potency (O2 sats, ventilation)
CV status (BP, HR, etc.)
Assess operative site for dressing, drainage, signs of bleeding, etc.
Assess pain, nausea, vomiting
Fluid status
IV tubing/fluids
Skin assessment
Why is it bad if the patient had voided for several hours after surgery? - answerIndicates
third-spacing or kidney issues. Something should probably be done about this.
A 26-year-old client comes into the clinic prior to a tonsillectomy. Which action is priority
during this phase of surgery?
A.) Postoperative assessment
B.) Preoperative assessment
C.) Intraoperative consent signed
D.) Intraoperative medication - answerAnswer: B
The client is in the preoperative phase of surgery and must be assessed and prepared
for surgery. The client may have labs drawn, medication administered, and consent
forms signed. The intraoperative phase is the actual surgery; the client is anesthetized,
prepped, draped, and surgery performed. The postoperative phase is the recovery
phase of surgery where the client continues to recover until maximum health is
achieved.
A 76-year-old client is to undergo a hernia repair. The nurse knows that in order to aid in
the healing process, the perioperative nurse must assist the client with which concept
during what surgical phase?
A.) Infection during the postoperative phase
B.) Wound healing during the preoperative and intraoperative phase
C.) Wound healing during the postoperative phase
D.) Perfusion therapy during the intraoperative phase - answerAnswer: B
Inadequate control of stress and coping mechanisms can prolong the perioperative
healing process and a client's prognosis. Perioperative care includes assessing client
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