Perioperative Nursing: Pain, IV Therapy & EBP

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which action best exemplifies a perioperative nurse's role in advocating for patient safety during surgery?

  • Focusing primarily on the technical aspects of surgery like instrument preparation.
  • Prioritizing the efficient turnover of the operating room to accommodate more cases.
  • Verifying the patient's identity, surgical site, and planned procedure with the surgical team before incision. (correct)
  • Administering medication as prescribed by the surgeon, without questioning the dosage.

Which of the following is the MOST important hand hygiene requirement to prevent infection transmission in the perioperative setting?

  • Wearing gloves at all times to eliminate the need for hand hygiene.
  • Performing hand hygiene before and after patient contact, and after removing gloves. (correct)
  • Using an alcohol-based hand rub only after visibly soiled material is removed with soap and water.
  • Washing hands for at least 5 seconds with any available soap and water.

A patient reports a pain level of 7/10 following surgery. Which nursing intervention demonstrates a comprehensive approach to pain management?

  • Administering the prescribed opioid analgesic and documenting the time of administration.
  • Contacting the provider immediately to request a different analgesic medication.
  • Informing the patient that post-operative pain is normal and encouraging them to rest.
  • Administering the prescribed opioid analgesic and reassessing the patient's pain level within the hour, while also exploring non-pharmacological comfort measures. (correct)

In the context of evidence-based practice (EBP), what is the initial step a healthcare clinician should take when faced with a clinical problem or question?

<p>Systematically searching for and reviewing relevant research evidence. (A)</p> Signup and view all the answers

How does evidence-based practice (EBP) primarily contribute to upholding professional nursing standards?

<p>By ensuring that nursing care is aligned with the latest research findings and best practices. (A)</p> Signup and view all the answers

A patient with a history of chronic pain is scheduled for surgery. What is the MOST important consideration when planning their perioperative pain management?

<p>Consulting with the patient and the multidisciplinary team to develop an individualized pain management plan that addresses both acute and chronic pain. (C)</p> Signup and view all the answers

What is the MOST important nursing action related to intravenous (IV) therapy to ensure patient safety?

<p>Calculating medication dosages accurately and verifying compatibility before administration. (A)</p> Signup and view all the answers

Which action demonstrates a nurse's understanding of pharmacokinetics when administering an intravenous (IV) medication?

<p>Monitoring the patient for adverse reactions and therapeutic effects based on the drug's expected onset, peak, and duration of action. (C)</p> Signup and view all the answers

Why is understanding the pathophysiology that leads from tissue injury to pain perception vital for perioperative nurses?

<p>It enables the provision of targeted and effective pain relief strategies. (B)</p> Signup and view all the answers

Which activity exemplifies a nursing role that contributes most directly to the National Safety and Quality Health Service Standards in the perioperative period?

<p>Reporting equipment malfunctions promptly to prevent hazards. (C)</p> Signup and view all the answers

A perioperative nurse is preparing to administer an opioid analgesic intravenously. What is the MOST critical nursing action to prevent adverse patient outcomes related to respiratory depression?

<p>Ensuring naloxone is readily available and the patient's respiratory rate and oxygen saturation are monitored closely. (D)</p> Signup and view all the answers

During a surgical procedure, the scrub nurse notices the surgeon repeatedly requesting instruments not immediately available on the sterile field. What is the nurse's MOST appropriate initial action?

<p>Verbalize the need for the instruments to the circulating nurse while maintaining the sterile field. (A)</p> Signup and view all the answers

What is the primary reason for performing and documenting a comprehensive OSCAR assessment on a patient before surgery?

<p>To identify potential risk factors and optimize the patient’s condition preoperatively. (D)</p> Signup and view all the answers

A patient undergoing a lengthy abdominal surgery develops significant hypotension and tachycardia. What is the perioperative nurse's MOST crucial immediate intervention?

<p>Notifying the surgeon and anesthesiologist and assisting with interventions to support hemodynamic stability. (B)</p> Signup and view all the answers

A patient with a known allergy to latex is scheduled for surgery. Which of the following measures is MOST critical to ensure patient safety?

<p>Ensuring all equipment and supplies in the operating room are latex-free. (B)</p> Signup and view all the answers

Following surgery, a patient reports experiencing pain despite receiving the prescribed analgesic. What should the perioperative nurse do FIRST?

<p>Reassess the patient’s pain using a validated pain scale and evaluate the effectiveness of the current analgesic regimen. (A)</p> Signup and view all the answers

What is the MOST important consideration when calculating medication dosages for intravenous (IV) administration in pediatric patients compared to adults?

<p>Weight-based dosing is crucial due to variations in body composition and organ function. (D)</p> Signup and view all the answers

Which of the following actions demonstrates a perioperative nurse's understanding of the principles of medication pharmacodynamics?

<p>Evaluating the patient’s pain level 30 minutes after administering an analgesic. (A)</p> Signup and view all the answers

A patient scheduled for surgery expresses anxiety about the procedure. What is the MOST appropriate initial nursing intervention?

<p>Explore the patient's specific concerns and provide clear, honest information about the surgical process. (D)</p> Signup and view all the answers

In the context of perioperative nursing, how does understanding the principles of evidence-based practice (EBP) contribute to improved patient outcomes?

<p>EBP guides nurses in making clinical decisions based on the best available research, clinical expertise, and patient preferences. (C)</p> Signup and view all the answers

Match the following pain assessment tools with their typical use case:

<p>Numeric Rating Scale (NRS) = Adults able to self-report pain intensity. Wong-Baker FACES Scale = Children or patients with communication difficulties. FLACC Scale = Infants and non-verbal patients. CPOT (Critical-Care Pain Observation Tool) = Critically ill patients in the ICU.</p> Signup and view all the answers

Match the following intravenous (IV) catheter gauges with their typical clinical use:

<p>16 gauge = Rapid fluid resuscitation or blood transfusions. 18 gauge = Infusion of viscous solutions or large volumes. 20 gauge = General IV infusions and medication administration. 22 gauge = Small or fragile veins, slow infusion rates.</p> Signup and view all the answers

Match the following steps of Evidence-Based Practice (EBP) with their corresponding description:

<p>Ask = Formulate a clinical question to address a problem. Acquire = Search for the best available evidence related to the question. Appraise = Critically evaluate the evidence for validity and applicability. Apply = Implement the evidence into practice and evaluate outcomes.</p> Signup and view all the answers

Match the following perioperative roles with their primary responsibilities:

<p>Surgeon = Performs the surgical procedure. Anesthesiologist = Manages anesthesia and patient's vital signs. Scrub Nurse = Assists the surgeon by providing instruments and supplies. Circulating Nurse = Manages the overall nursing care in the operating room.</p> Signup and view all the answers

Match the following phases of pharmacokinetics with their definition:

<p>Absorption = Movement of drug from the site of administration to the bloodstream. Distribution = Movement of drug from the blood to the tissues. Metabolism = Chemical alteration of a drug by the body. Excretion = Removal of drug from the body.</p> Signup and view all the answers

Match the following National Safety and Quality Health Service (NSQHS) Standards with their descriptions relevant to the perioperative period:

<p>Patient Identification = Ensuring correct identification before procedures to prevent errors. Medication Safety = Reducing the risk of medication-related harm during surgery. Infection Prevention and Control = Minimizing the risk of surgical site infections. Communication for Safety = Effective communication among the team to ensure patient safety.</p> Signup and view all the answers

Match the examples below with the type of pain they represent

<p>Post-operative pain after surgery = Acute pain Arthritis pain lasting for years = Chronic pain Pain caused by nerve damage from diabetes = Neuropathic pain Pain from a broken bone = Nociceptive pain</p> Signup and view all the answers

Match each statement with the correct principle of IV therapy:

<p>Maintain asepsis when handling IV equipment = Prevent Infection Monitor for signs of infiltration or phlebitis = Ensure IV site safety Verify medication compatibility = Administer medications safely Maintain the prescribed flow rate = Regulate fluid balance</p> Signup and view all the answers

Match the drug property to its description:

<p>Selectivity = Acts only on intended target Reversible Action = Drug effects can be undone Ease of Administration = Simple route increases adherence Predictability = Consistent effects in patients</p> Signup and view all the answers

Match each nursing responsibility with its description:

<p>Assessing vital signs before giving a drug = Ensuring patient safety Teaching the patient the drug name and side effects = Promoting adherence Documenting drug administration = Maintaining Legal Standards Evaluating the therapeutic effects of a drug = Maximizing drug effectiveness</p> Signup and view all the answers

Flashcards

Evidence-Based Practice (EBP)

A systematic approach to clinical problem-solving, integrating best research evidence with clinical expertise and patient values.

Perioperative Nurse Role

A registered nurse's responsibilities include patient assessment, planning, implementation, and evaluation of care in the perioperative setting.

Pathophysiology of Pain

The process involves tissue damage, inflammation, nerve signal transmission to the brain, and conscious awareness of discomfort.

Pain Treatment Methods

Pain management includes pharmacological interventions (e.g., opioids, NSAIDs) and non-pharmacological approaches (e.g., heat/cold, relaxation techniques).

Signup and view all the flashcards

IV Therapy Calculations

Medication calculations are essential for safe and accurate drug administration, especially in IV therapy.

Signup and view all the flashcards

National Safety & Quality Health Service (NSQHS) Standards

Standards ensuring patient safety and quality of care during the surgical process.

Signup and view all the flashcards

Pharmacokinetics

Understanding how drugs move through the body (absorption, distribution, metabolism, excretion).

Signup and view all the flashcards

Pharmacodynamics

Understanding a drug’s effects on the body and its mechanisms of action.

Signup and view all the flashcards

OSCAR Assessment

A method to evaluate a patient's condition using standardized criteria.

Signup and view all the flashcards

Hand Hygiene Requirements

Following specific protocols to reduce the spread of infections.

Signup and view all the flashcards

Perioperative RN Role

Registered nurse's functions within the surgical environment.

Signup and view all the flashcards

Perioperative Team

The group of healthcare workers that works with the registered nurse.

Signup and view all the flashcards

Variability of Drug Actions

The effect of drugs may vary based on age or genetics.

Signup and view all the flashcards

Properties of an Ideal Drug

A desired characteristic of a drug, such as effectiveness and safety.

Signup and view all the flashcards

Nursing Responsibilities (Drugs)

The responsibilities that a nurse has when administering drugs.

Signup and view all the flashcards

Value of Research in Nursing

Using findings from studies to guide nursing practice.

Signup and view all the flashcards

Clinician's Role in EBP

The healthcare worker's participation in evidence-based practice.

Signup and view all the flashcards

Pain Management

Acute pain management strategies in the acute care setting.

Signup and view all the flashcards

Pain Assessment

Evaluating pain using standard assessments.

Signup and view all the flashcards

IV Therapy

Administration of fluids and medication directly into a patient's vein.

Signup and view all the flashcards

IV Medication Calculations

Using mathematical formulas to determine correct dosages for IV medications.

Signup and view all the flashcards

EBP in Nursing & Midwifery

Using research to enhance patient safety and quality of care.

Signup and view all the flashcards

Research Idea/Problem

A researchable concept that arises out of practical nursing or clinical problems.

Signup and view all the flashcards

Study Notes

  • This module introduces Jack Major & Emily Carter, focusing on Perioperative nursing principles.
  • Subject learning outcomes include:

Pain Management

  • Discuss pain management in acute care settings.
  • Identify and complete a pain assessment.
  • Explain the pathophysiological process from tissue injury to pain perception.
  • Discuss pharmacological and non-pharmacological treatments for acute and chronic pain from a multidisciplinary team.

Intravenous Therapy

  • Identify the principles of intravenous therapy.
  • Perform medication calculations for IV therapy.

Assessment and Hygiene

  • Identify the requirements of OSCAR assessment.
  • Understand hand hygiene requirements.

Evidence-Based Practice (EBP)

  • Describe the value of research and evidence-based practice in nursing and midwifery.
  • Define evidence-based practice.
  • Identify the components of EBP.
  • Explain the healthcare clinician’s role in EBP.
  • Discuss the link between EBP and the professional standards.
  • Explain the process of identifying and refining a research idea, question, or clinical problem.

Perioperative Nursing

  • Discuss the role of the perioperative registered nurse.
  • Understand the perioperative para-medical team and the registered nurse's role within this team.
  • Discuss the National Safety and Quality Health Service Standards related to the perioperative period.

Pharmacology

  • Demonstrate understanding of drugs, drug preparations, ideal drug properties, pharmacokinetics, pharmacodynamics, and variability of drug actions.
  • Understand reactions across a lifespan and individual differences between drugs.
  • Demonstrate understanding of nursing responsibilities.
  • Includes understanding of drugs and drug preparations, properties of an ideal drug, pharmacokinetics, pharmacodynamics, variability of drug actions, and reactions.
  • Nursing responsibilities contribute to SLO1 and SLO2.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

More Like This

Use Quizgecko on...
Browser
Browser