Podcast
Questions and Answers
What signals the beginning of the preoperative phase?
Which of the following is NOT a focus of nursing activities during the intraoperative phase?
What is the primary goal of the nursing activities during the preoperative phase?
During which phase is the patient monitored and anesthetized?
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What marks the end of the preoperative phase?
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Which aspect is emphasized in the postoperative phase nursing activities?
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Which statement about the intraoperative phase is accurate?
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What type of preparation is included in the preoperative phase?
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What is one of the primary responsibilities of the scrub nurse during surgery?
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Which classification of anesthetic agents can lead to a complete loss of consciousness?
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What is the role of the circulating nurse during a surgical procedure?
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How does inhalation anesthesia primarily affect the patient?
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What must the scrub nurse and circulating nurse do before closing a surgical incision?
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Which of the following correctly describes the continuous monitoring responsibility during surgery?
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What is NOT a characteristic of regional or block anesthetic agents?
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Which action is essential for ensuring patient safety during surgery?
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What effect does the medicine have on anesthesia?
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Which zone permits street clothes?
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What type of mask is worn in the restricted zone?
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How should scrub suits be maintained to ensure sterility?
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What is the primary purpose of knitted cuffs on sleeves in OR attire?
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Which of the following is NOT an aspect of the surgical environment?
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What role does the surgical suite's location play during surgery?
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Which of these is a responsibility during intraoperative nursing management?
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Study Notes
Perioperative Nursing Overview
- The perioperative period spans from patient notification of needed surgery through recovery and resumption of usual activities.
- Comprised of three phases: preoperative, intraoperative, and postoperative.
Preoperative Phase
- Begins with patient decision for surgery; ends upon transfer to operating room bed.
- Involves physical and psychological preparations, diagnostic studies, and medical regimens.
- Focuses on patient teaching, support, and preparation.
Intraoperative Phase
- Starts with the patient in the operating room bed; ends with transfer to the PACU.
- Includes monitoring, anesthesia administration, prep, draping, and surgery.
- Nursing priorities include patient safety, infection prevention, and managing response to anesthesia.
Postoperative Phase
- Begins upon transfer to the recovery unit; concludes with resolution of surgical sequelae.
- Nursing care emphasizes supporting physiological recovery.
- Later stages focus on reinforcing discharge information for patients and caregivers.
Surgical Environment and Attire
- Surgical suites are sterile, cool, and accessible only to authorized personnel.
- Aseptic techniques are critical, requiring cleanliness and sterility of the environment and equipment.
- Areas are divided into three zones:
- Unrestricted Zone: Street clothes allowed
- Semi-Restricted Zone: Scrub attire required
- Restricted Zone: Sterile attire including caps, masks, and shoe covers.
Surgical Attire Guidelines
- OR attire consists of close-fitting cotton clothing, scrubs, gowns, and jackets.
- Knitted cuffs on sleeves prevent shedding of organisms.
- Ensure garments are free of wetness and soil; change soiled items as needed.
Mask Usage
- Masks required in the restricted zone to filter microorganisms and reduce infection risk.
- High filtration masks protect against postoperative wound infections.
Surgical Team Members
- Scrub Nurse: Prepares setup, assists during surgery, and manages instrument counting to prevent retained foreign bodies.
- Circulating Nurse: Non-scrubbed RN facilitating supply management, responding to requests, and liaising between scrubbed staff and external personnel.
Anesthetic Agents
- Anesthesia leads to partial or complete sensation loss, potentially with or without consciousness loss.
- Inhalation anesthesia is favored for its controllability and is influenced by pulmonary ventilation.
- Three classifications of anesthetic agents:
- General: Causes total loss of consciousness.
- Regional/Block: Targets specific body regions.
- Local: Primarily affects a small, specific area.
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Description
Explore essential concepts and management strategies in perioperative nursing. This quiz covers the three phases of the surgical experience: preoperative, intraoperative, and postoperative care. Test your knowledge on the responsibilities and best practices for nursing in the perioperative setting.
