Perioperative Nursing

Question 1

4 Ps of Post Op care

Answer 1

1. Promote nutrition and ambulation
2. Prevent thrombus formation - early mobilization/ foot/leg exericises
3. Preform wound management
4. Prevent atelectasis - deep breathing and incentive spirometery

Question 2

Post Op Complications: Urinary Retention

Answer 2

A involuntary accumulation of urine in the bladder as a result of loss of muscle tone. Is usually caused by the effects of anesthesia or opioids and appears 6-8hrs after surgery

Question 3

Post Op Complications: Constipation

Answer 3

An abnormally infrequent passasge of stool. May be a result of anesthesia or opioid use, decreased activity and decreased oral intake. Failure to pass stool within 48hrs may indicate constipation

Question 4

Post Op Complications: Paralytic Ileus

Answer 4

Paralytic Ileus is failure of appropriate forward movement of bowel contents. The condition may occur as a result of anesthetics or manipulation of the bowels during surgical procedure. Symptoms include vomiting, distention, and little to no BS. The nurse should maintian NPO status until BS return

Question 5

Sx Consent

Answer 5

• Obtained by surgeon
• Nurse can witness signature, and can call surgeon for additional instructions/education if needed