Pre and Post-Op Care

Question 1

Why would a surgery be performed?

Answer 1

Diagnostic, cure, palliation, prevention, cosmetic improvement, exploration

Question 2

Nursing management for pre-op surgery

Answer 2

Assessing the patient, pre-op teaching, legal consent

Question 3

If a patient has an allergy, what is something appropriate to ask them?

Answer 3

“What happens when you take ______?”
“Do you have any other allergies or allergies to latex, tape, pollen?”

Question 4

What should be included in a pre-op neuro and CV assessment?

Answer 4

• AAOx3, AAOx4
• Hx of strokes
• Baseline HR, heart sounds, edema
• Hx of cardiac issues

Question 5

What should be included in a pre-op respiratory assessment?

Answer 5

• Chronic problems (asthma, COPD)
• Infection (pneumonia)
• Hx of smoking
• RR
  Breath sounds

Question 6

What should be included in a pre-op GU assessment?

Answer 6

• Infections
• Pre-exisiting diseases
• Ability to void
• Urine characteristics
• Are they pregnant

Question 7

What should be included in a pre-op GI assessment?

Answer 7

• Food or fluid intake
• Recent weight changes
• Weight changes
• Inspect abdomen
• Bowel sounds
• Dentures, bridges

Question 8

What should be included in a pre-op psych assessment?

Answer 8

• Anxiety and coping mechanisms
• Common fears (pain, mutilation)

Question 9

What should be included in a pre-op skin assessment?

Answer 9

• Skin disorders (eczema, pressure ulcer)
• Skin status

Question 10

What should be included in a pre-op musculoskeletal assessment?

Answer 10

• Assess joints, mobilitty, gait, and balance

Question 11

What should be included in a pre-op immune assessment?

Answer 11

• History of autoimmune/immunodeficinecy diseases
• Asses for use of corticosteroids or other immunosuppressive drugs

Question 12

What should be included in a pre-op PMHx assessment?

Answer 12

• Previous surgeries/procedures and why (with dates)
• Current medical conditions (diabetes, HTN, etc)
• Obstetrical history (females)
• Experience w/ anesthesia
• FHx

Question 13

Record any family cardiac history or endocrine diseases ESPECIALLY:

Answer 13

Heart attack before the age of 50

Question 14

What should be included in a pre-op medication assessment?

Answer 14

• What do they take/why do they take it
• Routine herbal treatments
• Routine OTC treatments
• Recreational drugs (cigs, marijuana)
  (Ask if they took it the day of surgery/time)

Question 15

What should be included in a pre-op medication assessment?