COPY: Preoperative Care Overview

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Which stage of general anesthesia involves the patient being susceptible to external stimuli?

Stage I: Beginning/Induction

Stage II: Excitement (correct)

Stage III: Surgical Anesthesia

Stage IV: Danger

Stage IV of general anesthesia is characterized by too little anesthesia being administered.

False (B)

What is the primary nursing care during Stage I of general anesthesia?

Assist during induction, close OR doors, keep OR quiet.

In Stage III of general anesthesia, the surgical procedure is _____ once the most reflexes are lost.

started Signup and view all the answers

Match the following stages of general anesthesia with their primary characteristics:

Stage I = Beginning/Induction; administration of anesthetic agent to the loss of consciousness Stage II = Excitement; loss of consciousness to relaxation Stage III = Surgical Anesthesia; relaxation to loss of most reflexes Stage IV = Danger; respiratory & cardiac failure due to excessive anesthesia Signup and view all the answers

Which of the following is NOT an objective of general anesthesia?

Increased heart rate (B) Signup and view all the answers

During Stage II, nursing care requires that the patient is completely restrained.

False (B) Signup and view all the answers

What is a nursing priority in Stage IV of general anesthesia?

Discontinue anesthesia and prepare for CPR. Signup and view all the answers

Which procedure is associated with rapid onset of action?

Spinal anesthesia (B) Signup and view all the answers

Epidural anesthesia typically has a faster onset time than spinal anesthesia.

False (B) Signup and view all the answers

What technique is used to identify the epidural space?

Loss of resistance technique Signup and view all the answers

Absorption of spinal anesthetic is becoming 'fixed' due to _____ in the cerebrospinal fluid.

blood supply Signup and view all the answers

Match the following regional anesthesia types with their characteristics:

Spinal = Identified by appearance of CSF Epidural = Identified through loss of resistance technique Signup and view all the answers

Which of the following is a type of procedure where spinal anesthesia is commonly used?

Pelvic surgery (A) Signup and view all the answers

Post-operative pain management can be achieved through epidural anesthesia.

True (A) Signup and view all the answers

What position is typically recommended for patients receiving spinal or epidural anesthesia?

Knee-chest or sitting position Signup and view all the answers

Which of the following blocks is used for anesthesia in the lower abdomen and perineum?

Transsacral block (C) Signup and view all the answers

Epidural anesthesia involves the injection of the anesthetic agent into the subarachnoid space.

False (B) Signup and view all the answers

What is the primary site for spinal anesthesia?

Subarachnoid space Signup and view all the answers

A ______ block is performed at the elbow or wrist area.

radial or ulnar Signup and view all the answers

Match the following regional anesthesia procedures with their corresponding sites:

Brachial plexus block = Arm Paravertebral anesthesia = Chest & abdominal wall Radial block = Elbow Penile block = Perineum & lower abdomen Signup and view all the answers

Which of the following is NOT a nerve block technique?

Appendectomy block (D) Signup and view all the answers

A small catheter is left in place after the spinal injection to allow for continuous medication administration.

True (A) Signup and view all the answers

What type of block would you use for anesthesia of the arm?

Brachial plexus block Signup and view all the answers

Which surgical position is recommended for mastectomy?

Supine (D) Signup and view all the answers

The lithotomy position involves the patient lying on their back with legs straight.

False (B) Signup and view all the answers

What is the main purpose of strapping patients during surgery?

To prevent falls Signup and view all the answers

The __________ position has the head positioned downward, useful for abdominal surgeries.

Trendelenburg Signup and view all the answers

Match the following surgical positions with their descriptions:

Supine = Back-lying position recommended for abdominal surgeries Lithotomy = Supine with legs flexed and supported on stirrups Trendelenburg = Head positioned downward for gynecological surgery Prone = Lying face down, often used for back surgeries Signup and view all the answers

What should be avoided when positioning a client for surgery?

Undue pressure on body parts (C) Signup and view all the answers

Maintaining good body alignment is not important during surgery.

False (B) Signup and view all the answers

What is a key consideration for maintaining the client's well-being during surgery?

Maintaining adequate respiratory and circulatory function Signup and view all the answers

What does preoperative care involve?

The time from decision for surgery to transfer to the operating table. (D) Signup and view all the answers

Informed consent is solely a document that must be signed by the patient.

False (B) Signup and view all the answers

What is the legal age required to give informed consent?

18 Signup and view all the answers

The nurse's role in relation to informed consent includes witnessing the patient's ______ and clarifying the provided information.

signature Signup and view all the answers

Match the type of consent with its description:

General Consent = Signed on admission to authorize routine care Informed Consent = Process of explaining risks and benefits to the patient Validation of Consent = Ensuring consent is voluntary and legally valid Nurse's Role = Witnessing the signature and clarifying information Signup and view all the answers

Which of the following is NOT a requirement for the validation of consent?

Patient must be a legal resident of the state (C) Signup and view all the answers

A surgeon is required to explain the benefits and risks of a procedure before obtaining informed consent.

True (A) Signup and view all the answers

What is the main responsibility of a surgeon regarding informed consent?

To explain benefits, risks, and alternatives clearly to the patient. Signup and view all the answers

COPY: Preoperative Care Overview

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Questions and Answers

Which stage of general anesthesia involves the patient being susceptible to external stimuli?

Stage IV of general anesthesia is characterized by too little anesthesia being administered.

What is the primary nursing care during Stage I of general anesthesia?

In Stage III of general anesthesia, the surgical procedure is _____ once the most reflexes are lost.

Match the following stages of general anesthesia with their primary characteristics:

Which of the following is NOT an objective of general anesthesia?

During Stage II, nursing care requires that the patient is completely restrained.

What is a nursing priority in Stage IV of general anesthesia?

Which procedure is associated with rapid onset of action?

Epidural anesthesia typically has a faster onset time than spinal anesthesia.

What technique is used to identify the epidural space?

Absorption of spinal anesthetic is becoming 'fixed' due to _____ in the cerebrospinal fluid.

Match the following regional anesthesia types with their characteristics:

Which of the following is a type of procedure where spinal anesthesia is commonly used?

Post-operative pain management can be achieved through epidural anesthesia.

What position is typically recommended for patients receiving spinal or epidural anesthesia?

Which of the following blocks is used for anesthesia in the lower abdomen and perineum?

Epidural anesthesia involves the injection of the anesthetic agent into the subarachnoid space.

What is the primary site for spinal anesthesia?

A ______ block is performed at the elbow or wrist area.

Match the following regional anesthesia procedures with their corresponding sites:

Which of the following is NOT a nerve block technique?

A small catheter is left in place after the spinal injection to allow for continuous medication administration.

What type of block would you use for anesthesia of the arm?

Which surgical position is recommended for mastectomy?

The lithotomy position involves the patient lying on their back with legs straight.

What is the main purpose of strapping patients during surgery?

The __________ position has the head positioned downward, useful for abdominal surgeries.

Match the following surgical positions with their descriptions:

What should be avoided when positioning a client for surgery?

Maintaining good body alignment is not important during surgery.

What is a key consideration for maintaining the client's well-being during surgery?

What does preoperative care involve?

Informed consent is solely a document that must be signed by the patient.

What is the legal age required to give informed consent?

The nurse's role in relation to informed consent includes witnessing the patient's ______ and clarifying the provided information.

Match the type of consent with its description:

Which of the following is NOT a requirement for the validation of consent?

A surgeon is required to explain the benefits and risks of a procedure before obtaining informed consent.

What is the main responsibility of a surgeon regarding informed consent?

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