nurs concepts exam 3 perioperative nursing care ch
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NURS Concepts EXAM 3 Perioperative Nursing
Care Ch. 37, Questions And Answers With Rationale.
With Complete Solution Updated 2024.
(Blank) nursing is the care nurses provide for patients before, during, and after
surgery.
Perioperative nursing
How many phases of surgery are there?
Three
What are the three phases of surgery?
preoperative, intraoperative, postoperative
Preoperative Phase:
Is the (Blank) phase.
Depending on the (Blank) of the patient depends on how long this phase will last.
The patient and/or family decide on if surgery is appropriate understanding the
(Blank).
First
situation
risks and benefits
Preoperative Phase:
In this phase, the nurse is (Blank) the patient to undergo surgery.
(Blank) MUST be signed, diagnostic tests take place, and transfer to the operating
room ensues.
prepping
Consent(s)
In the preoperative phase, will do blood work, check (Blank), and find out if they
are on blood thinners.
platelets
(Blank) have to stop a week before surgery d/t being so powerful.
Plavix (generic: clopidogrel)
Preoperative phase:
(Blank), aspirin, warfarin are held on the day of surgery.
Lovenox
Patients may take a (Blank) before surgery to protect the heart, but only patients
who are already ON (Blank).
beta blocker
beta blockers
Preoperative phase:
Verify patient isn't (blank), talk about surgery in depth, risk, benefits.
,pregnant
Preoperative phase:
You need to get (blank) for blood in emergency situations. A religious group who
will not accept blood transfusions are (Blank).
consents
Jehovas witnesses
To have consent signed:
1. The (Blank) must come to discuss the procedure, risks, benefits, & answer any
questions.
SURGEON
*NOT the RN, NOT the charge.
1. The person having surgery must be of (Blank and blank) stability to sign for
themselves.
A. Family, those directed under (Blank blank) (living will, medical power of
attorney) and in emergency situations, two other (Blank) with no relation to the
case can give consent.
mental and emotional
legal documents
surgeons
In surgery, a DNR order is (Blank).
Rescinded
When writing in the consent all the information, use (blank blank), writing out all
words, and correct spelling of procedures and doctor names.
black ink
Stickers with patient name, DOB, (Blank) number are usually placed on each
(Blank) of a consent document page
MRN
corner
Intraoperative Phase:
Is the (Blank) phase. It includes: (Blank), prep & draping of the patient, and
exposing the surgical site.
Second
anesthesia
The CRUCIAL time period in the intraoperative phase!!!!
Everyone in the operating room (OR) STOPS what they are doing, and
confirmation occurs for the:
correct (Blank),
correct (Blank),
correct (blank blank).
**This time is documented in the patient's chart. (Usually done by the (Blank))
patient
procedure
surgical site
, RN
Positioning is and important factor in the (Blank) phase.
Intraoperative
Intraoperative phase:
Since the patient is not able to notify us of discomfort due to the anesthesia, the
positioning of the patient is crucial to ensure adequate (blank blank) to all parts
of the body. The patient is (blank)% dependent on everyone in the surgical suite.
blood flow
100%
Intraoperative phase:
Bodyweight, position needed for the surgery, straps for stability, and more all
contribute to the need for constant (blank & blank).
assessing and monitoring.
Intraoperative phase:
Place (blank and blank) under bony prominences for extra cushion.
pressure pads and wedges
Positioning also helps the nurse in being able to do the job needed such as
(Blank) monitoring, IV lines, and (Blank).
vital sign
comfort
Supine (horizontal recumbent):
Flat on back
*EX with (thoracic, heart or abdominal surgery)
Dorsal recumbent position:
Flat on back with knees flexed and hips externally rotated
*EX with (thoracic, heart and vaginal surgery)
Prone position:
Flat on abdomen
*EX with (posterior thorax, spine, and back of legs surgery)
Lithotomy:
Flat on back and legs up in stirrups
*EX with (gynecologic, perineal, rectal and genitourinary surgery)
Sitting position:
Upright or semi-reclining with legs elevated to the level of the heart
*EX with (breast, thoracic, head, neck surgery)
Lateral position:
Side-lying
*EX with (thoracic, kidney and hip surgery)
Trendelenburg position:
Flat on back, head down, feet elevated
Jackknife position:
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