Exam (elaborations)
Perioperative Nursing Care Questions and Answers 2024
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Perioperative Nursing Care
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Perioperative Nursing Careperioperative care looks at three phases of the surgical experience - answer1)
preoperative
2) intraoperative
3) postoperative
The surgical experience begins, except in extreme emergencies, - answer after patient
has given consent
the consent must be - answer voluntary and written (informed consent)
in all cases for surgery there must be an informed consent form signed and in the
patient’s chart prior to surgery. All except one case which is - answer emergency
the purpose of this is to ensure that the patient or patients’ representative has - answer
been given necessary information to be able to make the decision about undergoing
surgery
whose responsibility is to to get informed consent? - answer physician or performing
surgeon
the consent is then good for how many days? - answer30 days
the informed consent must have - answer patient has capacity to sign, surgeon
discloses purpose, risks, & benefits, the patient demonstrates understanding, and the
patient makes a decision without influence
procedures which require informed consent - answer invasive procedures (surgery,
biopsy), procedures with sedation/anesthesia, radiation, and nonsurgical procedures
which carry a high risk for patient
in all areas of the perioperative process what is going to occur? - answer there will be
collaboration between team members. Team work provides the best care to patients
surgery may be performed for various reasons. These include (4) - answer1) diagnostic
2) curative
3) exploratory
4) palliative
diagnostic surgeries are done in order to - answer confirm a diagnosis
, exploratory surgeries are done - answer to estimate the extent of disease (often done
with appendicitis)
curative surgeries are done to - answer remove or repair damaged diseased tissue or
organs
There are three different surgeries within the class curative. These include: - answer1)
ablative
2) reconstructive
3) constructive
ablative involves - answer removal of diseased organ
reconstructive means - answer partial or complete restoration of damaged organ or
tissue to original appearance and function
constructive involves - answer repair of congenitally defective organ by improving its
function and appearance
palliative surgeries are done to - answer relieve symptoms of a disease but does not
cure the underlying disease
surgeries can also be classified based on the urgency involved. emergent means that -
answer patient requires immediate attention; disorder may be life threatening; no delay
urgent means that - answer patient requires prompt attention but there is a delay ; within
24-30 hours
required is when that patient - answer needs to have surgery; usually is planned within
weeks to months
elective - answer patient should have surgery but failure to have surgery is not
catastrophic
optional is when the patient - answerhas the choice, it is patients preference
in an emergency situation if the patient is unconscious who do you obtain informed
consent and allergies from? - answerfamily member if present
the first phase to perioperative care is the - answerpreoperative phase.
the preoperative phase begins ___ and ends___ - answerdecision to proceed with
surgery is made and ends when the patient is transferred onto the OR table
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