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Med-Surg. Perioperative Care Questions with correct Answers
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Med-Surg. Perioperative Care
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Med-Surg. Perioperative CarePerioperative Care refers to the time: - answer-When the patient is scheduled for
surgery until the patient's condition stabilizes and patient is d/c from facility.
-*Preoperative, intraoperative, and perioperative*
What 3 things will you, as a nurse, function as to the patient in perioperative process? -
answer An educator, advocate, and a promoter of health.
The peri operative emphasis on: - answer Safety, advocacy, patient education, and a
culture of safety.
Objective to Perioperative Care: - answer-Provide care for the perioperative client
-Provide nursing care for clients experiencing signs and symptoms of commonly
occurring complications, shock, and hemorrhage.
-Manage the pain of the perioperative client
-Develop age-related teaching/learning strategies for the perioperative client.
The preoperative period begins when: - answer The patient is scheduled for surgery
and ends at the time of transfer to the surgical suite.
Reason for Surgery, Diagnostic: - answer*Description:* Performed to determine the
origin and cause of a disorder or the cell type for cancer.
*Condition of Surgical Procedure:* breast biopsy, exploratory laparotomy, arthroscopy.
Reason for Surgery, Curative: - answer*Description:* Performed to resolve a health
problem by repairing or removing the cause.
*Condition of Surgical Procedure:* Cholecystectomy, appendectomy, hysterectomy.
Reason for Surgery, Restorative: - answer*Description:* Performed to improve a
patient's functional ability.
*Condition of Surgical Procedure:* Total knee replacement, finger re-implantation.
Reason for Surgery, Palliative: - answer*Description:* Performed to relieve symptoms of
a disease process, but does not cure.
*Condition of Surgical Procedure:* Colostomy, nerve root resection, tumor de-bulking,
ileostomy.
Reason for Surgery, Cosmetic: - answer*Description:* Performed primarily to alter or
enhance personal appearance.
*Condition of Surgical Procedure:* Liposuction, revision of scars, rhinoplasty,
blepharoplasty.
, Urgency of Surgery, Elective: - answer*Description:* Planned for correction of a
nonactive problem.
*Condition of Surgical Procedure:* Cataract removal, hernia repair, hemorrhoidectomy,
total joint replacement.
Urgency of Surgery, Urgent: - answer*Description:* Requires prompt intervention; may
be life threatening if treatment is delayed more than 24-48hrs.
*Condition of Surgical Procedure:* Intestinal obstruction, bladder obstruction, kidney or
ureteral stones, bone fracture, eye injury, acute cholecystitis.
Urgency of Surgery, Emergent: - answer*Description:* Requires immediate intervention
because of life-threatening consequences.
*Condition of Surgical Procedure:* Gunshot or stab wound, severe bleeding, abdominal
aortic aneurysm, compound fracture, appendectomy.
Degree of Risk of Surgery, Minor: - answer*Description:* Procedure without significant
risk; often done with local anesthesia.
*Condition of Surgical Procedure:* Incision and drainage (I&D), implantation of a venous
access device (VAD), muscle biopsy.
Degree of Risk of Surgery, Major: - answer*Description:* Procedure of greater risk;
usually longer and more extensive than a minor procedure.
*Condition of Surgical Procedure:* Mitral valve replacement, pancreas transplant, lymph
node dissection.
Extent of Surgery, Simple: - answer*Description:* Only the most overtly affected areas
involved in the surgery.
*Condition of Surgical Procedure:* Simple/partial mastectomy.
Extent of Surgery, Radical: - answer*Description:* Extensive surgery beyond the area
obviously involved; is directed at finding a root cause.
*Condition of Surgical Procedure:* Radical prostatectomy, radical hysterectomy.
Extent of Surgery, Minimally Invasive Surgery (MIS): - answer*Description:* Surgery
performed in a body cavity or body area through one or more endoscopes; can correct
problems, remove organs, take tissue for biopsy, re-route blood vessels and drainage
systems; is a fast-growing and ever-changing type of surgery.
*Condition of Surgical Procedure:* Arthroscopy, tubal ligation, hysterectomy, lung
lobectomy, coronary artery bypass, cholecystectomy.
Risk Factors the Acknowledge In The Preoperative Phase: - answer*Age* (older than
65), *nutritional, health status, fluid and electrolyte imbalances, radiation,
cardiopulmonary, chemotherapy, meds* (antihypertensives, tricyclic antidepressants,
anticoagulants, NSAIDs), *family history* (malignant hyperthermia, cancer, bleeding
disorder), *prior surgical experience* (less than optimal emotional reaction, anesthesia
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