Podcast
Questions and Answers
What is the primary benefit of encouraging ambulation in the postoperative client?
What is the primary benefit of encouraging ambulation in the postoperative client?
- Reduces the need for pain medication
- Increases the risk of developing blood clots
- Improves the patient's mood and mental state
- Promotes peristalsis and the passage of flatus (correct)
When should a patient be encouraged to use incentive spirometry?
When should a patient be encouraged to use incentive spirometry?
- After every meal to assist with digestion
- When pain medication is administered
- Throughout the day to prevent atelectasis (correct)
- Only when feeling short of breath
Which position should a client be placed in if vomiting occurs postoperatively?
Which position should a client be placed in if vomiting occurs postoperatively?
- Side-lying position (correct)
- Supine position
- Trendelenburg position
- High Fowler's position
How should fluid intake be managed once a postoperative client is allowed to resume oral intake?
How should fluid intake be managed once a postoperative client is allowed to resume oral intake?
What is an important nursing intervention during the extended postoperative care period?
What is an important nursing intervention during the extended postoperative care period?
What is the minimum urinary output a nurse should monitor for in a postoperative patient without a Foley catheter?
What is the minimum urinary output a nurse should monitor for in a postoperative patient without a Foley catheter?
Which of the following exercises is recommended every 2 hours during the extended postoperative care?
Which of the following exercises is recommended every 2 hours during the extended postoperative care?
What should nurses continue to assess postoperatively in regards to pain management?
What should nurses continue to assess postoperatively in regards to pain management?
What is the primary purpose of obtaining informed consent in the preoperative phase?
What is the primary purpose of obtaining informed consent in the preoperative phase?
Which of the following is a recommended postoperative mobility exercise?
Which of the following is a recommended postoperative mobility exercise?
What is the most effective pain management strategy following surgery?
What is the most effective pain management strategy following surgery?
Which respiratory exercise is most beneficial for postoperative patients?
Which respiratory exercise is most beneficial for postoperative patients?
What is an important technique to instruct patients when using incentive spirometry?
What is an important technique to instruct patients when using incentive spirometry?
During the preoperative education session, what should be emphasized for pain management?
During the preoperative education session, what should be emphasized for pain management?
What is a potential benefit of early postoperative mobility exercises?
What is a potential benefit of early postoperative mobility exercises?
Which of the following actions is typically discouraged during preoperative patient education?
Which of the following actions is typically discouraged during preoperative patient education?
What is the primary purpose of instructing a client to splint the surgical incision during deep breathing and coughing?
What is the primary purpose of instructing a client to splint the surgical incision during deep breathing and coughing?
Which of the following actions should be taken to address a client's psychological preparation for surgery?
Which of the following actions should be taken to address a client's psychological preparation for surgery?
When educating a client about the use of incentive spirometry post-surgery, what is a key point to emphasize?
When educating a client about the use of incentive spirometry post-surgery, what is a key point to emphasize?
Which of the following is NOT a component of the preoperative checklist?
Which of the following is NOT a component of the preoperative checklist?
How should a nurse instruct a client to manage pain postoperatively?
How should a nurse instruct a client to manage pain postoperatively?
What is the recommended approach for conducting respiratory exercises after surgery?
What is the recommended approach for conducting respiratory exercises after surgery?
What intervention is critical in the care of a client with invasive devices post-surgery?
What intervention is critical in the care of a client with invasive devices post-surgery?
Which practice is crucial in addressing the cultural and spiritual needs of clients preoperatively?
Which practice is crucial in addressing the cultural and spiritual needs of clients preoperatively?
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Study Notes
Perioperative Nursing Overview
- Encompasses the entire surgical experience using the nursing process.
- Divided into three phases: preoperative, intraoperative, and postoperative.
Perioperative Phases
- Preoperative Phase: Begins with the decision for surgery and ends with the transfer to the operating room.
- Intraoperative Phase: Starts upon transfer to the operating room and concludes with admission to the Post Anesthesia Care Unit (PACU). Roles may include scrub nurse, circulating nurse, or registered nurse first assistant.
- Postoperative Phase: Begins with admission to PACU and lasts until follow-up evaluation in a clinical setting or home.
Operating Room Zones
- Unrestricted Areas: Allowed to wear street clothes; includes changing rooms.
- Semi-restricted Areas: Scrubs and slippers required; includes hallways and staff break rooms.
- Restricted Areas: Strict sterile protocols; includes operating room and sterile storage. Masks, caps, and goggles required.
Preoperative Care
- Informed Consent: Essential for autonomy; the surgeon must explain the procedure and answer questions.
- Monitoring Postoperative Recovery:
- Assess incision sites for dehiscence, and ensure drains are patent with minimal output before removal.
- Gastrointestinal Monitoring: Track intake/output, manage nausea, and ensure NPO status until gag reflex returns.
- Renal Monitoring: Urinary output should exceed 30 mL/hr, with expectations for urination within 6-8 hours post-surgery.
Extended Postoperative Care
- Continue assessment and observation for infection: watch for redness, swelling, fever, or elevated white blood cells.
- Encourage mobility and active range of motion exercises every two hours to support recovery and peristalsis.
Patient Education and Support
- Splinting the Incision: Instruct patients to support their incision during deep breathing and coughing.
- Stress the importance of not tugging on invasive devices like Foley catheters or NG tubes.
- Psychological Preparation: Recognize patient anxiety and offer reassurance, answering questions and respecting privacy.
Preoperative Checklist
- Confirm patient identification with a bracelet.
- Assess for allergies, including latex allergies.
- Verify that all preoperative checklist items are completed.
- Ensure informed consent is signed for the operation and any additional procedures.
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