Perioperative Nursing Care

Questions and Answers

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?

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?

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?

Begin with ice chips, then clear liquids Signup and view all the answers

What is an important nursing intervention during the extended postoperative care period?

Monitor for signs of infection at the surgical site Signup and view all the answers

What is the minimum urinary output a nurse should monitor for in a postoperative patient without a Foley catheter?

30 mL per hour Signup and view all the answers

Which of the following exercises is recommended every 2 hours during the extended postoperative care?

Active range of motion exercises Signup and view all the answers

What should nurses continue to assess postoperatively in regards to pain management?

The impact of pain on daily activities Signup and view all the answers

What is the primary purpose of obtaining informed consent in the preoperative phase?

To empower the patient to make an autonomous decision about the surgery Signup and view all the answers

Which of the following is a recommended postoperative mobility exercise?

Deep breathing followed by leg raises Signup and view all the answers

What is the most effective pain management strategy following surgery?

Using a combination of medications and non-pharmacological methods Signup and view all the answers

Which respiratory exercise is most beneficial for postoperative patients?

Incentive spirometry to encourage deep breaths Signup and view all the answers

What is an important technique to instruct patients when using incentive spirometry?

Inhale slowly and deeply, then hold for a few seconds Signup and view all the answers

During the preoperative education session, what should be emphasized for pain management?

Understanding and communicating pain levels effectively Signup and view all the answers

What is a potential benefit of early postoperative mobility exercises?

It decreases the risk of complications like blood clots Signup and view all the answers

Which of the following actions is typically discouraged during preoperative patient education?

Minimizing the focus on pain control methods post-surgery Signup and view all the answers

What is the primary purpose of instructing a client to splint the surgical incision during deep breathing and coughing?

To provide support and reduce pain at the incision site Signup and view all the answers

Which of the following actions should be taken to address a client's psychological preparation for surgery?

Provide continual reassurance and answer concerns Signup and view all the answers

When educating a client about the use of incentive spirometry post-surgery, what is a key point to emphasize?

Inhale slowly and deeply to maximize lung expansion Signup and view all the answers

Which of the following is NOT a component of the preoperative checklist?

Reviewing postoperative pain management options Signup and view all the answers

How should a nurse instruct a client to manage pain postoperatively?

Take pain medication as prescribed to maintain comfort Signup and view all the answers

What is the recommended approach for conducting respiratory exercises after surgery?

Practice frequently to keep lungs clear and prevent complications Signup and view all the answers

What intervention is critical in the care of a client with invasive devices post-surgery?

Ensure the client is educated on the purpose of each device Signup and view all the answers

Which practice is crucial in addressing the cultural and spiritual needs of clients preoperatively?

Inquire about religious practices that may affect care Signup and view all the answers

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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Description

This quiz covers essential aspects of perioperative nursing care, focusing on the management of clients facing issues with oxygenation, fluid and electrolytes, and immune responses related to various surgical procedures such as colostomy and mastectomy. Enhance your understanding of critical nursing interventions and patient care strategies necessary for effective preoperative and postoperative management.

Perioperative Nursing Care - BS Nursing 3E