Perioperative Care

Question 1

Before surgery, the patient should receive instructions regarding:​

Answer 1

• marking of surgical site
• type of anesthesia
• expected recovery
• med management
• explanation of surgery

Question 2

On the day of surgery, the patient should receive (or have learned):

Answer 2

• IV
• blood sugar will be monitored pre and post op
• sedatives and pain meds

Question 3

The nurse is developing a plan to teach a patient deep-breathing exercises to expand collapsed alveoli and prevent postoperative atelectasis and pneumonia. What are important steps?

Answer 3

Splint or support the incision to promote maximum comfort​

Inhale slowly through the nostrils, exhale through pursed lips​

Hold the breath for about five seconds to expand the alveoli​

Repeat this breathing method 5–10 times hourly​

Question 4

What should happen before pre-op meds are given?

Answer 4

patient should void

Question 5

Discharge Phase 1 Criteria

Answer 5

1. patient is awake and oriented
2. VS are baseline
3. no excess bleeding/drainage
4. O2 > 90%
5. Pain managed
6. N/V controlled

Question 6

Ambulatory Surgery: Discharge Criteria

Answer 6

1. no IV opioids in past 30 min
2. voided if appropriate
3. able to ambulate
4. adult present to drive home
5. written discharge instructions given

Question 7

GI assessment

Answer 7

• delayed gastric emptying
• distention & flatulence
• hiccups
• N/V
• postop ileus

Question 8

Which of these can result from the stress response of an operation and secretion of antidiuretic hormone (ADH) adrenocorticotropic hormone (ACTH), and activation of the renin-angiotensin-aldosterone system (RAAS)?

Answer 8

Fluid retention