NUR 1600 Exam 1 - Perioperative 2. Name three things that periope...

NUR 1600 Exam 1

• The period of time surrounding a surgical procedure?

Perioperative

• Name three things that perioperative includes?

• Peroperative

• Intraoperative
• Postoperative
• The term used for before surgery?

What is the nurses responsibility for this term?

Peroperative Educator, advocate and health promotion.

• What is the term used during surgery?

What is the nurses responsibility for this term

Intraoperative Safety and advocacy.

• What is the term used after surgery?

What is the nurses responsibility for this term?

Postoperative

On going evaluation and stabilization of clients, prevention of post-op complications.

• What are these things
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• Diagnostic

exploratory laparotomy.

• Curative

fibroid tumors-hysterectomy.

• Restorative

hip replacement.

• Palliative surgery makes the client more comfortable. Does not cure, ex. suprapubic catheter.

• Cosmetic surgery reconstructs the skin and underlying structures, ex. scar revision.

Purpose of surgery

• When would you collect these things

-Hx and data collection.-Age.-Drugs and substance use (look for withdrawls) -Medical hx, including cardiac and pulmonary hx (specifically comorbities ex. DM and CAD).-Previous surgeries and anasthesia.-Blood donations (this will tell you if they may have a disease like HIV)

-Discharge planning.

Collaborative management assessment

• What are these things? 2 / 4

-Age.-Medications.-Lifestyle.-Chronic illness-inc. risk -Prior surgical experiences-ex. anesthesia rx.

-Type of surgical procedure-ex. exploratory laparotomy inc. risk for paralytic ileus.

Risk factors based on assessment

• What are these things

-Baseline vital signs.-Focus on problem areas identified by the clients hx on all body systems affected by the surgical procedures.

-Report any abnormal assessment findings to the surgeon.

Physical Assess- ment/Clinical Manifestations

• What is the common NRS Dx for pt's who are preoperative?

Lack of knowl- edge secondary to lack of surgical experience.

• Who is responsible for obtaining a signed consent before sedation is given and surgery is

performed?

The surgeon

• What is the nurses role when a consent is being signed?

Clarify facts and witness client signature. 3 / 4

• The nurse is responsible for making sure pt is NPO b/f surgery, what happens if pt eats?

Surgery get CX and by eating increases the risk for pt to have aspiration.

• How many hours does a pt have to be NPO b/f surgery?

Usually after midnight for 6-8 hours.

• Can pt still take his meds even if he is NPO b/f his surgery?

Consult the physician and anesthesia for instructions, especially for meds for DM, CAD, glaucoma, anticonvulsants, antihypertensives, anticoagulants, antidepressants, or corticosteroids.

• Why are bowel or intestinal preperation performed b/f surgery?

to prevent injury to the colon and to reduce the number of intestinal bacteria. An enema or laxative may be ordered by the physician.

• Do we shave the patient b/f surgery?

It is viewed as controversial.

• Name things that you would teach the pt for postoperative.

-Breathing ex- cerises, incentive spirometry, coughing and splinting, leg procedures and exercises, antiembolism stockings, and elastic wraps, early ambulation, and rang of motion exercises.

• Name 5 things the nurse would do for anxiety prevention b/f surgery?

• Preoperative teaching.

• Encouraging communication.
• Promoting rest.
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