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Questions and Answers
In the context of intraoperative nursing care, what is the primary reason for meticulously checking electrical and mechanical equipment in the operating room?
In the context of intraoperative nursing care, what is the primary reason for meticulously checking electrical and mechanical equipment in the operating room?
- To comply with hospital regulations and accreditation standards regarding equipment maintenance.
- To create a sterile environment by eliminating any external sources of contamination from faulty equipment.
- To prevent potential malfunctions that could compromise patient safety during the surgical procedure. (correct)
- To ensure the surgical team has all the necessary tools readily available, enhancing procedural efficiency.
During the admission phase of intraoperative care, why is it critical for the nurse to verify the patient's identity using multiple identifiers?
During the admission phase of intraoperative care, why is it critical for the nurse to verify the patient's identity using multiple identifiers?
- To comply with hospital policies and legal requirements for patient identification.
- To update the patient's medical record with accurate demographic information.
- To prevent errors in medication administration and surgical procedures by ensuring the correct patient receives the intended intervention. (correct)
- To streamline the admission process and reduce patient wait times.
What is the most important consideration when transferring a patient from the pre-operative area to the operating room (OR) table?
What is the most important consideration when transferring a patient from the pre-operative area to the operating room (OR) table?
- Ensuring the patient is moved quickly to maintain the surgical schedule.
- Maintaining patient safety by using sufficient staff and proper techniques to prevent injury. (correct)
- Positioning the patient for the surgeon's convenience.
- Confirming all pre-operative documentation is complete and accurate.
Why is adherence to aseptic techniques crucial during the placement of surgical instruments within the operating room?
Why is adherence to aseptic techniques crucial during the placement of surgical instruments within the operating room?
Prior to the start of a surgical procedure, what is the primary reason for the surgical team to delineate the roles and responsibilities of each member?
Prior to the start of a surgical procedure, what is the primary reason for the surgical team to delineate the roles and responsibilities of each member?
Why is it essential to use a paediatric fluid chart for a child receiving intravenous fluids?
Why is it essential to use a paediatric fluid chart for a child receiving intravenous fluids?
A newborn requires intravenous fluid administration. Given their body composition is approximately 70% fluids, what IV administration approach is most prudent?
A newborn requires intravenous fluid administration. Given their body composition is approximately 70% fluids, what IV administration approach is most prudent?
What immediate nursing intervention is most appropriate for a newborn exhibiting excessive salivation?
What immediate nursing intervention is most appropriate for a newborn exhibiting excessive salivation?
A child with abdominal distension and breathlessness is admitted. What initial nursing intervention is most appropriate?
A child with abdominal distension and breathlessness is admitted. What initial nursing intervention is most appropriate?
A 10-year-old child receiving IV fluids with potassium chloride (KCl) exhibits a rapid increase in heart rate. What is the most appropriate immediate action?
A 10-year-old child receiving IV fluids with potassium chloride (KCl) exhibits a rapid increase in heart rate. What is the most appropriate immediate action?
What is the rationale behind weighing a child upon admission to a healthcare facility?
What is the rationale behind weighing a child upon admission to a healthcare facility?
Why is accurate and mandatory recording of a child's intake and output important during intravenous therapy?
Why is accurate and mandatory recording of a child's intake and output important during intravenous therapy?
A child is prescribed intravenous fluids with added potassium chloride (KCl). Which nursing intervention is most important to prevent potential complications?
A child is prescribed intravenous fluids with added potassium chloride (KCl). Which nursing intervention is most important to prevent potential complications?
Why is it crucial to inquire about the duration of a child's illness during assessment?
Why is it crucial to inquire about the duration of a child's illness during assessment?
If a neonate exhibits a failure to pass meconium, which condition should the nurse suspect?
If a neonate exhibits a failure to pass meconium, which condition should the nurse suspect?
A child presents with a febrile illness and abdominal distension. Which condition should the nurse consider as a potential cause?
A child presents with a febrile illness and abdominal distension. Which condition should the nurse consider as a potential cause?
What is the recommended strategy for managing a child's febrile illness, according to the guidelines?
What is the recommended strategy for managing a child's febrile illness, according to the guidelines?
Why is it essential to accurately calculate intravenous fluid administration for pediatric patients?
Why is it essential to accurately calculate intravenous fluid administration for pediatric patients?
A 5-kg child requires intravenous fluids. What would be the estimated daily fluid requirement?
A 5-kg child requires intravenous fluids. What would be the estimated daily fluid requirement?
A 3-year-old child post-surgery exhibits increased fretfulness and restlessness. What is the MOST appropriate initial nursing intervention?
A 3-year-old child post-surgery exhibits increased fretfulness and restlessness. What is the MOST appropriate initial nursing intervention?
A nurse is caring for a neonate in an incubator. What is a crucial nursing intervention to address their immature temperature regulation?
A nurse is caring for a neonate in an incubator. What is a crucial nursing intervention to address their immature temperature regulation?
During the care of a child with a febrile illness, a nurse observes significant derangement in vital signs. What is the most appropriate nursing intervention?
During the care of a child with a febrile illness, a nurse observes significant derangement in vital signs. What is the most appropriate nursing intervention?
Which action should the nurse prioritize to minimize risks associated with intravenous therapy in children?
Which action should the nurse prioritize to minimize risks associated with intravenous therapy in children?
A nurse is educating parents of a child recovering from surgery about medication compliance. Which strategy demonstrates the BEST approach to improve compliance?
A nurse is educating parents of a child recovering from surgery about medication compliance. Which strategy demonstrates the BEST approach to improve compliance?
Which nursing intervention is LEAST effective in preventing nosocomial infections in paediatric surgical patients?
Which nursing intervention is LEAST effective in preventing nosocomial infections in paediatric surgical patients?
When assessing vital signs in a paediatric patient, what is the BEST approach for a nurse to ensure accurate interpretation?
When assessing vital signs in a paediatric patient, what is the BEST approach for a nurse to ensure accurate interpretation?
A febrile neonate's temperature remains elevated despite initial interventions. What is the MOST appropriate next step for the nurse?
A febrile neonate's temperature remains elevated despite initial interventions. What is the MOST appropriate next step for the nurse?
Which observation by the nurse indicates a need for intervention in a post-operative newborn?
Which observation by the nurse indicates a need for intervention in a post-operative newborn?
What nursing assessment BEST indicates effective pain management in a nonverbal toddler post-surgery?
What nursing assessment BEST indicates effective pain management in a nonverbal toddler post-surgery?
A patient reports incisional pain of 7/10 on a numeric pain scale postoperatively. Besides administering the prescribed opioid, what additional nursing intervention would best support multimodal analgesia?
A patient reports incisional pain of 7/10 on a numeric pain scale postoperatively. Besides administering the prescribed opioid, what additional nursing intervention would best support multimodal analgesia?
A patient receiving PCA reports breakthrough pain despite frequent bolus doses. What is the MOST appropriate initial nursing intervention?
A patient receiving PCA reports breakthrough pain despite frequent bolus doses. What is the MOST appropriate initial nursing intervention?
A patient has undergone abdominal surgery and is prescribed opioid analgesics for pain management. What nursing intervention is MOST important to prevent a common side effect of opioid use?
A patient has undergone abdominal surgery and is prescribed opioid analgesics for pain management. What nursing intervention is MOST important to prevent a common side effect of opioid use?
When assessing a surgical wound, which finding indicates a potential wound infection that requires immediate intervention?
When assessing a surgical wound, which finding indicates a potential wound infection that requires immediate intervention?
When performing a dressing change on a postoperative wound, which action BEST demonstrates adherence to aseptic technique?
When performing a dressing change on a postoperative wound, which action BEST demonstrates adherence to aseptic technique?
A patient is being discharged with instructions for postoperative wound care. What statement by the patient indicates a need for further education?
A patient is being discharged with instructions for postoperative wound care. What statement by the patient indicates a need for further education?
A patient reports that their pain medication is not effectively controlling their postoperative pain. After assessing the patient, what is the most appropriate next step?
A patient reports that their pain medication is not effectively controlling their postoperative pain. After assessing the patient, what is the most appropriate next step?
A patient’s surgical wound exhibits signs of dehiscence. What is the priority nursing intervention?
A patient’s surgical wound exhibits signs of dehiscence. What is the priority nursing intervention?
A patient 5 days post-op reports increased pain, redness, and swelling at the incision site. What is the priority nursing intervention?
A patient 5 days post-op reports increased pain, redness, and swelling at the incision site. What is the priority nursing intervention?
What is the primary reason for administering prophylactic antibiotics prior to surgery?
What is the primary reason for administering prophylactic antibiotics prior to surgery?
During a dressing change, what is the MOST important principle of aseptic technique a nurse should follow?
During a dressing change, what is the MOST important principle of aseptic technique a nurse should follow?
A patient is being discharged after surgery. Which instruction about wound care at home is MOST important to emphasize?
A patient is being discharged after surgery. Which instruction about wound care at home is MOST important to emphasize?
A post-operative patient has a history of sleep apnea. What vital sign monitoring is MOST critical for this patient?
A post-operative patient has a history of sleep apnea. What vital sign monitoring is MOST critical for this patient?
A patient reports a pain level of 7 out of 10 on a pain scale, but exhibits no obvious signs of discomfort. What is the MOST appropriate nursing intervention?
A patient reports a pain level of 7 out of 10 on a pain scale, but exhibits no obvious signs of discomfort. What is the MOST appropriate nursing intervention?
What is the significance of monitoring urine output in the post-operative period?
What is the significance of monitoring urine output in the post-operative period?
A patient is scheduled for suture removal 10 days post-op, but the incision site is still slightly inflamed. What should the nurse do?
A patient is scheduled for suture removal 10 days post-op, but the incision site is still slightly inflamed. What should the nurse do?
What is the MOST important information to include when educating a patient about activity restrictions after surgery?
What is the MOST important information to include when educating a patient about activity restrictions after surgery?
Which dietary recommendation is most appropriate for promoting wound healing in a post-operative patient?
Which dietary recommendation is most appropriate for promoting wound healing in a post-operative patient?
Following abdominal surgery, a patient reports increased pain, abdominal distension, and inability to pass flatus. What complication should the nurse suspect?
Following abdominal surgery, a patient reports increased pain, abdominal distension, and inability to pass flatus. What complication should the nurse suspect?
A nurse notices a significant increase in serosanguineous drainage from a post-operative wound. What is the MOST appropriate action?
A nurse notices a significant increase in serosanguineous drainage from a post-operative wound. What is the MOST appropriate action?
What is the primary purpose of early ambulation in post-operative care?
What is the primary purpose of early ambulation in post-operative care?
Which of the following is the MOST reliable indicator of neurological status post-operatively?
Which of the following is the MOST reliable indicator of neurological status post-operatively?
A post-operative patient has a hemoglobin level of 7.5 g/dL. What nursing intervention is MOST appropriate?
A post-operative patient has a hemoglobin level of 7.5 g/dL. What nursing intervention is MOST appropriate?
A patient with a known latex allergy is scheduled for surgery. What is the MOST critical nursing intervention to ensure patient safety during pre-operative care?
A patient with a known latex allergy is scheduled for surgery. What is the MOST critical nursing intervention to ensure patient safety during pre-operative care?
A patient scheduled for a major abdominal surgery expresses extreme anxiety and fear. Besides administering prescribed anxiolytics, what additional pre-operative nursing intervention would be MOST beneficial?
A patient scheduled for a major abdominal surgery expresses extreme anxiety and fear. Besides administering prescribed anxiolytics, what additional pre-operative nursing intervention would be MOST beneficial?
While preparing a patient for surgery, the nurse discovers that the patient has not adhered to the pre-operative fasting guidelines. What is the MOST appropriate initial action?
While preparing a patient for surgery, the nurse discovers that the patient has not adhered to the pre-operative fasting guidelines. What is the MOST appropriate initial action?
Which assessment finding would be MOST concerning when evaluating a patient's readiness for anesthesia?
Which assessment finding would be MOST concerning when evaluating a patient's readiness for anesthesia?
A patient is scheduled to receive monitored anesthesia care (MAC) for a minor surgical procedure. What is the MOST important nursing consideration during the procedure?
A patient is scheduled to receive monitored anesthesia care (MAC) for a minor surgical procedure. What is the MOST important nursing consideration during the procedure?
During the administration of general anesthesia, a patient experiences a sudden increase in heart rate, blood pressure, and body temperature. What immediate action should the nurse prioritize?
During the administration of general anesthesia, a patient experiences a sudden increase in heart rate, blood pressure, and body temperature. What immediate action should the nurse prioritize?
A patient receiving regional anesthesia begins to complain of difficulty breathing and numbness around the mouth. What is the MOST appropriate initial nursing intervention?
A patient receiving regional anesthesia begins to complain of difficulty breathing and numbness around the mouth. What is the MOST appropriate initial nursing intervention?
A patient is receiving an intravenous anesthetic agent. Which of the following assessment findings requires the MOST immediate intervention?
A patient is receiving an intravenous anesthetic agent. Which of the following assessment findings requires the MOST immediate intervention?
During intraoperative care, what is the primary rationale for meticulous patient positioning on the operating table?
During intraoperative care, what is the primary rationale for meticulous patient positioning on the operating table?
What is the MOST critical initial step a nurse should take to prevent Surgical Site Infections (SSIs) during the intraoperative phase?
What is the MOST critical initial step a nurse should take to prevent Surgical Site Infections (SSIs) during the intraoperative phase?
In the Post-Anesthesia Care Unit (PACU), which assessment finding necessitates the MOST immediate intervention by the nurse?
In the Post-Anesthesia Care Unit (PACU), which assessment finding necessitates the MOST immediate intervention by the nurse?
A patient in the PACU is exhibiting decreased level of consciousness and a drop in oxygen saturation. After ensuring a patent airway and administering oxygen, what is the next MOST important nursing intervention?
A patient in the PACU is exhibiting decreased level of consciousness and a drop in oxygen saturation. After ensuring a patent airway and administering oxygen, what is the next MOST important nursing intervention?
What is the PRIMARY reason for utilizing standardized surgical protocols in the operating room?
What is the PRIMARY reason for utilizing standardized surgical protocols in the operating room?
During post-operative care, a patient develops a fever, and the surgical wound exhibits increased redness and purulent drainage. What is the priority nursing intervention?
During post-operative care, a patient develops a fever, and the surgical wound exhibits increased redness and purulent drainage. What is the priority nursing intervention?
A patient is being prepared for surgery. What action is MOST important for the nurse to take to ensure correct site preparation?
A patient is being prepared for surgery. What action is MOST important for the nurse to take to ensure correct site preparation?
In implementing infection control measures, which action is MOST effective in preventing the transmission of pathogens in the operating room?
In implementing infection control measures, which action is MOST effective in preventing the transmission of pathogens in the operating room?
Flashcards
Pre-operative Chart Review
Pre-operative Chart Review
Review of patient's medical history and consent forms before surgery.
Admitting the Patient
Admitting the Patient
Ensuring correct patient identity and administering prescribed pre-operative medications.
Surgery Checklist
Surgery Checklist
Verifying the patient's belongings are secured and last food intake is noted.
OR Room Preparation
OR Room Preparation
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Patient Transfer
Patient Transfer
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Monitoring Vital Signs
Monitoring Vital Signs
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Achieving Drug Compliance
Achieving Drug Compliance
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Pain Control
Pain Control
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Preventing Infections
Preventing Infections
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High Observation Skill
High Observation Skill
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Neonate Temperature Control
Neonate Temperature Control
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Pyrexia
Pyrexia
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Hyperpyrexia
Hyperpyrexia
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Duration of Illness
Duration of Illness
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Signs and Symptoms
Signs and Symptoms
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Fever Management
Fever Management
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Fluid Administration
Fluid Administration
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Fluid Balance
Fluid Balance
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Deranged Vital Signs
Deranged Vital Signs
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Abdominal Pain & Distension with Fever
Abdominal Pain & Distension with Fever
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Non-passage of meconium in a neonate
Non-passage of meconium in a neonate
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Patient's General Condition
Patient's General Condition
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Weighing the Child
Weighing the Child
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Child’s Nutritional Status
Child’s Nutritional Status
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Drip Set (IV)
Drip Set (IV)
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Solucet (IV)
Solucet (IV)
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Intake/Output Recording
Intake/Output Recording
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KCl Administration
KCl Administration
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Pediatric Fluid Chart
Pediatric Fluid Chart
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Postoperative Care
Postoperative Care
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Postoperative Pain Management
Postoperative Pain Management
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Opioid Analgesics
Opioid Analgesics
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Non-Opioid Analgesics
Non-Opioid Analgesics
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Multimodal Analgesia
Multimodal Analgesia
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Non-Pharmacological Interventions
Non-Pharmacological Interventions
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Patient-Controlled Analgesia (PCA)
Patient-Controlled Analgesia (PCA)
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Postoperative Wound Care
Postoperative Wound Care
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Wound Healing Monitoring
Wound Healing Monitoring
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Suture/Staple Removal
Suture/Staple Removal
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Post-op Wound Care Education
Post-op Wound Care Education
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Infection Prevention Aim
Infection Prevention Aim
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Hand Hygiene
Hand Hygiene
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Aseptic Technique
Aseptic Technique
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Prophylactic Antibiotics
Prophylactic Antibiotics
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Environmental Cleaning
Environmental Cleaning
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Ambulation & Pulmonary Hygiene
Ambulation & Pulmonary Hygiene
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Signs of Infection
Signs of Infection
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Infection Prevention Education
Infection Prevention Education
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Medication Management Education
Medication Management Education
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Wound Care Instructions
Wound Care Instructions
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Activity Restrictions Guidance
Activity Restrictions Guidance
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Post-op Diet & Nutrition
Post-op Diet & Nutrition
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Pre-operative Care
Pre-operative Care
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Pre-operative Assessment
Pre-operative Assessment
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Patient Education
Patient Education
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Informed consent
Informed consent
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Anesthesia Management
Anesthesia Management
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General Anesthesia
General Anesthesia
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Regional Anesthesia
Regional Anesthesia
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Local Anesthesia
Local Anesthesia
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Intra-operative Care
Intra-operative Care
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Surgical Protocols
Surgical Protocols
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Surgical Site Prep
Surgical Site Prep
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Patient Positioning
Patient Positioning
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PACU
PACU
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PACU Discharge
PACU Discharge
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Standard Precautions
Standard Precautions
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Description
Overview of nursing management during the intraoperative phase. Includes chart review and patient preparation, including proper identification, medication, and surgical checklists. Also covers room preparation, aseptic techniques, and patient transfer protocols to ensure safety and prevent injury.