Perioperative Quiz
-A perioperative nurse is a term used to describe the nursing functions in the TOTAL surgical
experience of the patient (pre-operative, intra-operative, and post-operative) - ANS-What is a
perioperative nurse?
-ABC's (check airway, breathing, circulation) - ANS-First thing PACU nurse does when receiving
patient from the OR:
-Additional problem of malnutrition
-The patient may also have an increased tolerance to anesthetics - ANS-Presence of
Alcoholism Danger: (2)
-ADVOCATES FOR THE PATIENT (we are the eyes and the ears of the patient while they are
sleeping) - ANS-What does a perioperative nurse do?
-Answer: B (maintaining airway) - ANS-During the immediate postoperative period, the nurse
should give highest priority to:
A. Observing for signs of infection
B. Maintaining a patent airway
C. recording the intake/output
D. Checking vital signs every hours
-Anxiety r/t surgery and anesthesia
-Risk for injury r/t positioning
-Ineffective airway clearance r/t anesthesia. - ANS-What is the Nursing Diagnosis for the
operative phase
-Preoperative:
-Intraoperative:
-Postoperative:
-Begins from the time the patient is RECEIVED in the operating room until ADMITTED to the
recovery room.
-The intraoperative phase of the surgical intervention is the PRIMARY FOCUS of perioperative
nursing - ANS-Intra-operative nursing: (2)
-Begins when the patient enters the PACU and lasts through some degree of convalescence
(the patient is still recovering even when the patient is home, or admitted back to the floor) -
ANS-Post-operative nursing:
-Dehydration and electrolyte imbalances can have adverse effects in terms of general
anesthesia and the anticipated volume losses associated with surgery. This can cause shock
and cardiac dysrhythmias. - ANS-Fluid and Electrolyte Imbalance Danger:
-DISCUSS PAIN MANAGEMENT (PCA pump, and oral pain medications)
-tubes, drains
-Reinforce physician's explanation and insturction - ANS-Pre-Operative Teaching: (3)
-Fear of the unknown - ANS-Pre-operative common anxieties:
-Hemoglobin and Hematocrit
-White blood cell count
-Blood typing and cross matching
-Serum electrolytes
-PT and PTT
-Bilirubin
-Liver enzymes
-Urine analysis (in women it is used to check for pregnancy)
-BUN and creatinine - ANS-Common Pre-operative Laboratory Tests:
-Hyperglycemia is potentiated by increased catecholamines and glucocorticoids due to surgical
stress - ANS-Presence of Diabetes Mellitus Danger:
-Increases the risk of infection and shock
-Greatly impairs wound healing - ANS-Poor nutrition danger: (2)
-Is a nursing language which describes nursing process in the perioperative setting by utilizing
four domains. The focus of perioperative nursing is on SAFE surgical outcomes.
-Uses a structured vocabulary that includes the nursing process and representation of each
phase. - ANS-PNDS (Perioperative nursing data set): (2)
-It is the surgeon's responsibility to explain the surgical procedure, alternatives, risks, and
benefits. - ANS-Informed consent:
-Many surgical problems may be complicated in the presence of cardiovascular compromise
and/or any comorbidities. - ANS-Presence of Cardiovascular Disease Danger:
-Preoperative (doesn't have to take place in the operating room for example doctor's office)
-Intraoperative (inside the OR, there needs to be one RN in each OR room)
, -Postoperative (recovery room, has to be an RN, PACU) - ANS-Three phases of perioperative
nursing: (3)
-providing perioperative patient care is based entirely on MULTIDISCIPLINARY TEAMWORK. -
ANS-Perioperative team:
-psychosocial needs as well as immediate physical needs. - ANS-Perioperative nursing is client
oriented and must be geared to meet the clients ________
-S/S of infection before surgery - ANS-Monitor immunocompromised patient closely for
________
-Surgeon
-Anesthesiologist/ Nurse Anesthetist
-Registered Nurse
-Scrub Person
-Surgical Assistant (MD, PA, RNFA) - ANS-Surgical team members: (5)
-Surgeon
-First assistant (assists surgeon, controls patient bleeding, provides wound exposure, suturing,
requires additional education)
-Scrub nurse (prepares and maintains integrity, safety, and efficiency of the sterile field) -
ANS-Sterile members of the surgical team: (3)
-Surgery is scheduled completely at the preference of the patient (eg. cosmetic surgery)
-The approximate time for surgery is at the convenience of the patient; failure to have surgery is
not catastrophic
-The condition requires surgery within a few weeks
-The surgical problem requires attention within 24-48 hours (cancer)
-Situation requires immediate surgical attention without delay (intestinal obstruction) -
ANS-Types of surgery
-Optional:
-Elective:
-Required:
-Urgent:
-Emergency:
-Surgery may be contraindicated because it might potentiate a more serious illness such as
pneumonia. - ANS-Presence of Pulmonary and Upper Respiratory Disease Danger:
-SURGICAL INFORMED CONSENT (make sure it is signed and filed)
-SITE VERIFICATION CHECKLIST
-blood transfusion consent
-lab results
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