Perioperative Care

Question 1

Antibiotic, antiemetic, PPI, and anxiety meds

Answer 1

Peri operative medications

Question 2

Peri operative Education

Answer 2

may need to change diet after surgery, exercise after, use of an incentive spirometer for deep breathing, if they have a cough they need to keep coughing.

Question 3

clean the body so no bacteria is present on skin

Answer 3

Physical Preparation of Peri Operative

Question 4

Peri operative Saftey

Answer 4

is the correct site marked

Question 5

peri operative Gerontologic considerations

Answer 5

-Diminished abilities to hear, see, and understand may interfere with preoperative/postoperative teaching.
-Nurses need to repeat explanations and demonstrations.
-Include family members
-Awareness of cognitive changes due to pain, medications, or change in environment
-Teach back technique to help understand needs to be clarified

Question 6

-Decrease anxiety
-Prepare for surgery: Reviews preoperative instructions and clients understanding of the procedure, identifies client specific risk factors (age, nutritional status, alcohol/drug use, physical condition). Assess and take a detailed H&P.
-Monitor for complications before/during/after surgery
-Recover after surgery

Answer 6

Peri operative nursing goals

Question 7

-Required for invasive procedures that require anesthesia and risks of complications.
-Criteria for valid informed consent: voluntary, competent client
-Minor clients: signed by parent or guardian
-Must sign before receiving preoperative sedatives, and must be witnessed by an adult.
-Nurse is responsible to have signed consent on the client’s chart.
-The nurse is not responsible for obtaining consent! The client must be informed of any risks, benefits, or other procedures by the provider. Obtaining consent is not within your scope of practice.

Answer 7

Consent

Question 8

Is the nurse responsible for getting consent?

Answer 8

no, the provider is

Question 9

-Preoperative medications, postoperative pain control
-Description of postanesthesia area
-Discuss frequency of vital signs/monitoring equipment
-Explains and demonstrates deep-breathing and coughing, incentive spirometry, splints, leg and feet exercises
-Inform of IV fluids, other lines, and tubes
-Express anxieties and fears
-Include family members in preoperative explanations

Answer 9

Preoperative Teaching

Question 10

Preoperative Physical Preparation

Answer 10

-Skin preparation; germicide soap, hair removal
-Elimination: inserts indwelling catheter, enemas, and laxatives
-Foods and fluids: NPO or clear liquids, adequate intake of protein and ascorbic acid; wound healing
-Care of valuables
-Attire/grooming: makeup and nail polish removed; anti-embolism stockings
-Prosthesis: dentures, artificial limbs

Question 11

Antibiotics, anticholinergics, histamine2-receptor antagonists, opioids, sedatives, tranquilizer

Answer 11

Preoperative Medications

Question 12

Preoperative Saftey

Answer 12

Identification bracelet, drug allergies, vital signs, asks client to void, Surgical consent is signed

Question 13

Preoperative Patient Instructions

Answer 13

Remains in bed, side rails and call button

Question 14

-Preoperative teaching and listening can help allay fears and anxieties.
-Assess coping methods; religious sources; clergy or chaplain
-Preoperative checklist
-Nurse’s roles: assessment, preoperative medications, IV, preoperative preparations, medical record
-Emphasis on right procedure at the right site

Answer 14

Preoperative Psychosocial Preparation

Question 15

General Anesthesia

Answer 15

loss of sensation, reflexes, and consciousness; 4 stages; endotracheal tube

Question 16

Regional/Local Anestesia

Answer 16

loss of sensation and decreased mobility to specific anesthetized area; risk for injury and burns

Question 17

Conscious sedation

Answer 17

Procedural sedation

Question 18

Side effects of procedural sedation

Answer 18

respiratory depression antagonists

Question 19

used to see how the anesthesia us wearing off

Answer 19

Aldrete Scale

Question 20

-Infection: strict aseptic technique, risk for retention of foreign objects in wound
-Fluid volume excess or deficit: recording IV fluids, urine output
-Injury related to positioning: prolonged pressure, nerve injury
-Hypothermia: low temps in OR, cold IV fluids, inhalation of cool gas, exposure of body surfaces, open wounds, prolonged activity

Answer 20

Prevention Of Intraoperative Complications

Question 21

-surgical site assessment: if green drainage call the physician or if signs of infection; always do a head to toe assessment right after the operation.
-Airway patency, effective respirations, artificial airways, mechanical ventilation, oxygen
-Circulatory status; wound condition, dressing, and drains
-Fluid balance: IV fluids, catheter and drain output. Make sure they are not overloaded and they are urinating enough
-Level of consciousness and pain
-Later postoperative nursing management
-Respirations, circulation, pain management
-Fluids and nutrition: IV fluids, dietary progression; assess for nausea and vomiting, nasogastric tube
-Nursing guidelines for resuming oral fluids
-NPO/assess bowel sounds
-Assess swallowing/sips of water/ice chips
-Administer antiemetic medications
-Check GI for bowel sounds and that the muscles are waking back up. They are passing gas and can pass a BM within a couple of days.

Answer 21

Initial Postoperative nursing management