Podcast
Questions and Answers
What is one of Jeff's primary responsibilities when preparing Mr. Cooper for surgery?
What is one of Jeff's primary responsibilities when preparing Mr. Cooper for surgery?
Which element is essential for maintaining patient safety in the perioperative nursing process?
Which element is essential for maintaining patient safety in the perioperative nursing process?
What should Mr. Cooper expect as part of his preoperative preparation?
What should Mr. Cooper expect as part of his preoperative preparation?
How does Jeff's experience benefit Mr. Cooper during his preoperative assessment?
How does Jeff's experience benefit Mr. Cooper during his preoperative assessment?
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What principle should drive the nursing goals in the preoperative area?
What principle should drive the nursing goals in the preoperative area?
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In what settings can surgery take place according to the perioperative nursing framework?
In what settings can surgery take place according to the perioperative nursing framework?
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What is a common risk factor for urinary retention after anesthesia?
What is a common risk factor for urinary retention after anesthesia?
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Which factor is important for effective communication in the perioperative setting?
Which factor is important for effective communication in the perioperative setting?
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Which surgical procedure is specifically associated with an increased risk of urinary retention?
Which surgical procedure is specifically associated with an increased risk of urinary retention?
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What is one of the key aspects of the nursing process in the context of perioperative care?
What is one of the key aspects of the nursing process in the context of perioperative care?
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What is recommended if a bladder scan measures 600 mL of urine postoperatively?
What is recommended if a bladder scan measures 600 mL of urine postoperatively?
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Which medication category is associated with an increased risk of urinary retention?
Which medication category is associated with an increased risk of urinary retention?
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What should ambulatory surgery patients be instructed to do if they cannot void 8 hours after discharge?
What should ambulatory surgery patients be instructed to do if they cannot void 8 hours after discharge?
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Which factor does NOT commonly contribute to urinary retention after anesthesia?
Which factor does NOT commonly contribute to urinary retention after anesthesia?
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How is bladder scanning typically utilized in patients at risk for urinary retention?
How is bladder scanning typically utilized in patients at risk for urinary retention?
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Which group of healthcare providers is involved in the continuity of care during the perioperative setting?
Which group of healthcare providers is involved in the continuity of care during the perioperative setting?
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What should patients be instructed to do when they feel bladder fullness?
What should patients be instructed to do when they feel bladder fullness?
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What is a potential consequence of decreased tactile sensation in patients?
What is a potential consequence of decreased tactile sensation in patients?
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What is a recommended practice to maintain normothermia during surgery?
What is a recommended practice to maintain normothermia during surgery?
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What should be done to help prevent confusion and delirium after anesthesia?
What should be done to help prevent confusion and delirium after anesthesia?
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What should be monitored to avoid postoperative complications related to urinary output?
What should be monitored to avoid postoperative complications related to urinary output?
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What is a common outcome of increased pain tolerance in patients?
What is a common outcome of increased pain tolerance in patients?
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What should be done to assess the risk of falls in patients after surgery?
What should be done to assess the risk of falls in patients after surgery?
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What is one way to ensure vigilance for signs of undiagnosed infection during surgery?
What is one way to ensure vigilance for signs of undiagnosed infection during surgery?
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What is a primary focus of nursing interventions during the preoperative surgical phase?
What is a primary focus of nursing interventions during the preoperative surgical phase?
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Which of the following elements is typically included in an Enhanced Recovery After Surgery (ERAS) protocol?
Which of the following elements is typically included in an Enhanced Recovery After Surgery (ERAS) protocol?
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What is a critical decision-making approach used in the nursing process?
What is a critical decision-making approach used in the nursing process?
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Why is establishing rapport with patients and their families essential during the preoperative phase?
Why is establishing rapport with patients and their families essential during the preoperative phase?
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What is a benefit of early mobilization in the context of ERAS protocols?
What is a benefit of early mobilization in the context of ERAS protocols?
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Which statement best describes the purpose of ERAS protocols?
Which statement best describes the purpose of ERAS protocols?
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In the context of surgery, what determines the level of health of patients entering a healthcare setting?
In the context of surgery, what determines the level of health of patients entering a healthcare setting?
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What aspect of patient care should be established collaboratively with patients and their families?
What aspect of patient care should be established collaboratively with patients and their families?
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What is defined as a 'never event' according to the Centers for Medicare and Medicaid Services?
What is defined as a 'never event' according to the Centers for Medicare and Medicaid Services?
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Which of the following is a key component of the WHO Surgical Safety Checklist?
Which of the following is a key component of the WHO Surgical Safety Checklist?
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Why are transitions between care providers considered risky for patients?
Why are transitions between care providers considered risky for patients?
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What method is considered more effective for preoperative education compared to videos?
What method is considered more effective for preoperative education compared to videos?
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What is one of the TJC National Patient Safety Goals regarding patient care?
What is one of the TJC National Patient Safety Goals regarding patient care?
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What aspect of patient care is crucial for perioperative nurses, especially for patients with diabetes?
What aspect of patient care is crucial for perioperative nurses, especially for patients with diabetes?
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Which of the following is a characteristic of hospital-acquired DVT?
Which of the following is a characteristic of hospital-acquired DVT?
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What does the CDC report regarding patients with a discharge diagnosis of VTE from 2007 to 2009?
What does the CDC report regarding patients with a discharge diagnosis of VTE from 2007 to 2009?
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Which scale is specifically recommended to assess pressure injury risk in perioperative patients?
Which scale is specifically recommended to assess pressure injury risk in perioperative patients?
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What aspect does the intraoperative component of the Munro Scale assess?
What aspect does the intraoperative component of the Munro Scale assess?
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What should be included in the patient's medical record concerning advance directives?
What should be included in the patient's medical record concerning advance directives?
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Which of the following are included in the preoperative assessment using the Munro Scale?
Which of the following are included in the preoperative assessment using the Munro Scale?
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What is a unique feature of electronic health records (EHRs) mentioned in the context of nursing assessments?
What is a unique feature of electronic health records (EHRs) mentioned in the context of nursing assessments?
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Which risk factors does the Munro Scale assess in its cumulative model?
Which risk factors does the Munro Scale assess in its cumulative model?
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Which scale was not specifically designed to target intraoperative risk factors for pressure injuries?
Which scale was not specifically designed to target intraoperative risk factors for pressure injuries?
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Which postoperative factor is included in the Munro Risk Assessment Tool?
Which postoperative factor is included in the Munro Risk Assessment Tool?
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Study Notes
Perioperative Nursing Care Objectives
- Discuss three phases of perioperative nursing
- Explain rationale for nursing assessment of patient's surgical risk factors
- Identify comorbid conditions increasing risks of postoperative complications
- Explain approach for assessing patient's psychological response to surgery
- Explain preoperative teaching plan's impact on surgical recovery
- Explain rationale for postoperative exercises
- Identify benefits of early ambulation for postoperative patients
- Illustrate how nurses use clinical judgement in intraoperative assessments to promote patient safety
- Explain differences between postoperative phases
- Outline SBAR communication components for perioperative hand-off
- Identify nursing care priorities for postoperative patients
- List principles for providing patient education during recovery
Key Terms
- Ambulatory surgery
- American Society of Anesthesiologists (ASA)
- American Society of PeriAnesthesia Nurses (ASPAN)
- Association of periOperative Registered Nurses (AORN)
- Atelectasis
- Bariatric
- Circulating nurse
- Co-morbid
- Conscious sedation
- Enhanced Recovery After Surgery (ERAS)
- General anesthesia
- Informed consent
- Intermittent pneumatic compression (IPC) stockings
- Laparoscopy
- Latex sensitivity
- Local anesthesia
- Malignant hyperthermia
- Moribund
- Never event
- Obstructive sleep apnea (OSA)
- Oxygen desaturation
- Paralytic ileus
- Perioperative nursing
- Postoperative nausea and vomiting (PONV)
- Postoperative urinary retention (POUR)
- Preanesthesia care unit (PCU)
- Preoperative teaching plan
- Regional anesthesia
- Scrub nurse
Media Resources
- Evolve.elsevier.com/Potter/fundamentals/
- Review Questions
- Video Clips
- Concept Map Creator
- Case Study with Questions
- Skills Performance Checklists
- Audio Glossary
- Content Updates
- Answers to QSEN Activity and Review Questions
Mr. Cooper Case Study
- Mr. Cooper (72 years old) scheduled for bowel resection
- Alert and oriented; normal vision and hearing; no prior major surgery
- Given preoperative instructions (bowel prep, diet, arrival time, surgery details)
Perioperative Nursing
- Registered nurse's patient-centered approach before, during, and after surgery
- Apply national practice standards to provide quality care in hospitals, surgical centers, and offices
- Focus on: quality improvement, evidence-based practices, patient safety, and cost containment
Classification of Surgical Procedures
- Procedures categorized by seriousness (major/minor), urgency (elective/urgent/emergency), and purpose (diagnostic/ablative/palliative/reconstructive...etc)
- Urgent procedures are often major in seriousness
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Description
This quiz explores the essential responsibilities of nursing in the perioperative setting, focusing on patient safety, preoperative preparations, and effective communication. It addresses the risks and nursing goals associated with surgery and anesthesia. Test your knowledge on these critical aspects of perioperative care.
