Preoperative Care- EXAM 4

Question 1

What is it

Answer 1

3 phrases of surgical procedure
Preop
Intra
Postop

Question 2

Preop

Answer 2

Patient is identified to have surgery, surgical site is prepared
Surgeon is responsible to assess patient and get consent!!! Nurse only witnessess and can paraphrase what was said
Lab tests are done, Allergies are collected, medication admin occurs:
NSAID’s, Blood thinners, and OTC meds are stopped

Question 3

Postop

Answer 3

Recovery phase
Begins when the patient leaves surgical suite
Ends when patient meets all discharge needs:
Patient is able to void, Airway and circulation are perfect, Vitals are all stable and all and any teachings are done and understood

Question 4

Intra

Answer 4

Surgery is done and procedure within operating room and procedure room is done
Anesthesia is given, prep is done, draping and then surgical procedure
Preparation for the post op phase

Question 5

Circulating nurse

Answer 5

Ensure sterile field isn’t broken
Counts instruments
Mouthpiece for the patient
Verify everything before surgery

Question 6

Universal Protocol

Answer 6

Ensures safety!
Procedure verification process
Time-outs
Handoff report

Question 7

antimetics

Answer 7

zofran
For nausea and vomitting

Question 8

Nonopoioid

Answer 8

Tramadol
Tylenol

Question 9

Anxlolytics

Answer 9

For anxiety, Calms them down, go to sleep, sedation

Question 10

opioids

Answer 10

Morphine,

Question 11

General anesthesia

Question 12

Antibacterial

Answer 12

Used as prevention
Saline, Antibacterial soap, prophylactic

Question 13

Types of surgical procedure

Answer 13

Open and Laparoscopy
‘ectomy’ removal of organ
‘oscopy’ part of the body is being viewed

Question 14

Patients with high BMI during preop

Answer 14

At risk for poor wound healing, surgical site infections!
Over BMI 30

Question 15

High alert medications

Answer 15

Beta-blockers: affect blood pressure
Coumadin: places the patient at risk

Question 16

Teachings to be done postop

Answer 16

How to use spiromator, ambulation, infections that can occur, follow up visits, home care plans, medication regimen, coughing and deep breathing, diet

Question 17

Post Wound managment

Answer 17

Surgeon is in charge of first dressing change
Nurse only reinforces dressing if necessary!
Once they leave, we are in charge of giving bathing instructions and suture/staples care

Question 18

What patient info would you expect after a patient is handed off to you from surgery

Answer 18

Name, age, Who the surgeon is, what surgery they had
Indication for surgery, Medical history, Current medication, Allergies, Vitals, Blood loss, urine output, unexpected surgical events or anasthesia reactions

Question 19

What assessments should be performed in postop

Answer 19

ABCNGS
Airway check,
Breathing: quality, breath sounds, what oxygen they take, contionius pulse ox
Circulation: ECG, pulses, capillary refil, skin color and temp
Neurological checks: Orient, LOC, sensory and motor, pupil size and reaction
GI/GA: I&O, Bowel sounds, Nausea
Surgical site!!! Dressing, Pain, Lab tests if needed

Question 20

What complications are at risk for following a subtotal gasterectomy

Answer 20

Airway obstruction
Hypoxemia
Aspiration
Bronchospasm
Hypoventilation

Question 21

Neuromuscular assessment

Answer 21

Includes
LOC, Orientation, Sensory and motor status and pupil size and reaction