Preoperative Nursing care Flashcards
(46 cards)
During the assessment, what do nurses need to identify
a baseline
psychological status
physiological factors that may affect the operation
Drugs taken
Participate in the ID and documentation of the surgical site
Examine preoperative diagnostic studies
ID cultural and ethnic factors that may affect operation
Determine if the client received enough information to be informed
Determine if the informed consent form is signed and witnessed
What does a nurse need to assess in a psychological assessment
Situational Changes
• degree of independence.
• Determine the presence of hope and anticipation of positive results.
• Consider the impact of surgery and hospitalization on
lifestyle.
• Identify support systems
Concerns With the Unknown
• degree of anxiety and fears related to the surgery (e.g.,
pain).
• expectations of surgery
Concerns With Body Image
• Identify current roles or relationships and view of self.
• Determine perceived or potential changes in roles or relationships and their
impact on body image.
Past Experiences
• How they feel about them
What happened
Knowledge Deficit
• Identify the amount and type of preoperative information the patient wants.
• Assess understanding of surgical procedure, including preparation, care,
interventions, preoperative activities, restrictions, and expected outcomes.
• Identify the accuracy of information the patient has received from others,
including health care team, family, friends, and media.
What are the three common psychological factors
anxiety
fear
hope
What are some ways a nurse might be able to decrease anxiety
education like videos
What are the common fears of surgery
pain and discom the unknown mutilation death anesthesia disruption of life patterns
What should the nurse do if any of the commono fears are extreme
notify the PCP
What can the nurse do to reduce fear of pain/disom
assure there are pain medications available, medications that help you to forget, and teach them how to use a pain scale
What should the nurse do when they assess a large amount of hope
support it
Why do people have surgery
Diagnosis (biopsy)
Cure (removal of diseased organ)
Palliation (partial removal of a tumor, cut a nerve to reduce pain)
Cosmetic (revise a scar, breast implant)
Prevention (remove precancerous tumor)
Exploration (determine extent of disease)
What are the two settings for sugery
in and outpatients
What do outpatient surgery do
less complex, shorter procedure and recovery surgeries
Can patients stay the night at outpatient sites
no
Where are outpatient surgery sites located
ER
SDSU
Free-standing clinics
What are some of the main aspects of perioperative care
safety
psych/soc
pt/family responses
staffing
What are the defs of
- Appendectomy
- Electrolysis
- Herniorrhaphy
- Endoscopy
- Colostomy
- Tracheotomy
- Mammoplasty
- Appendectomy – excision/removal
- Electrolysis – destruction of
- Herniorrhaphy repair/suture of
- scopy – looking into
- ostomy – creation of opening
- otomy – cut/incision of
- Mammoplasty – repair/reconstruction of
What are the nurses four main roles of the nurse in perioperative care
Assessment/Teaching/Surveillance and Intervention
What roles of nursing are done in preop
teaching and assessment
What roles are done in intraop
surveillance
What roles are done in postop
surveillance and teaching to prevent comps and promote recov
In general, how long before surgery should a patient stop taking herbs
2-3 weeks
Regarding nutrition that is more medicinal, what should the nurse report about the patient
their vits, herbs, and dietary supps
Which foods can increase BP
astragalus and ginseng
Which foods can increase the risk of bleeding
garlic, vitamin E, ginkgo, and fish oils
Which foods can cause excess sedation
kava and valerian and ginkgo
