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The Concept of Perioperative Care Questions with Accurate Answers
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The Concept of Perioperative Care
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The Concept of Perioperative CarePeriod of time from decision for surgery until patient is transferred into operating room -
answer Preoperative Phase
Period of time from when patient is transferred into operating room to admission to post
anesthesia care unit (PACU) – answer Intra-operative
Period of time from when patient is admitted to PACU to follow-up evaluation in clinical
setting or at home - answer post-operative
Two different types of surgical procedures - answer Open
Laparoscopic
Most common type of surgical procedure - answer Laparoscopic
Purpose of surgical procedures - answer Constructive
Diagnostic
Elective
Emergency
Palliative
Transplant
True or False
Intraoperative: The period of time from the decision for surgery until the patient is
transferred into the operating room - answer False
Initiates initial preoperative assessment
Initiates teaching appropriate to patient's needs
Involves family
Verifies understanding
Post-operative care education (breathing spirometer) - answer Preadmission Testing
What should be known in data collection in preoperative care? – answer PMHX (sleep
apnea)
Current meds (including herbal)
Allergies
Assessment for preoperative care should include - answer Data collection
Physical assessment
Psychosocial assessment
Nutritional assessment
, Pain assessment
Client medication review
What are some gerontological considerations for perioperative care? - answer Cardiac
and circulatory compromise
Respiratory compromise
Renal function
Confusion
F&E imbalances
Skin
Comorbidities
Altered sensory
Mobility restrictions
What are some special considers during preoperative Period? - answer Patient who are
obese (BMI > 30)
Patients with disabilities
Patients undergoing ambulatory surgery
Patients undergoing emergency surgery
Patients who are obese have what risk following operative care? And Why? - answer
Dehiscence related to fatty tissue no healing as well
What are some medications that potentially affect a surgical experience - answer
Corticosteroids
Diuretics
Phenothiazines
Tranquilizers
Insulin
Antibiotics
Anticoagulants
Anticonvulsants
Thyroid hormones
Opioids
OTC and herbals (Vitamin C and NSAIDs)
What would a diabetic be told regarding his daily insulin the morning of his surgery? -
answer Hold your insulin dosage the morning of the surgery (scheduled)
Which medication classification must be assessed during the preoperative period
because it can cause an electrolyte imbalance during surgery?
A. Corticosteroids
B. Diuretics
C. Phenothiazines
D. Insulin – answer B. Diuretics
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