Surgical Nursing Processes
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Questions and Answers

Which of the following factors should be identified during the preoperative phase to assess a client's risk?

  • Chronic illness and nutritional status (correct)
  • Height and preference for anesthesia
  • Previous surgeries and lifestyle choices
  • Age and recent travel history
  • What is the primary focus during the intraoperative phase?

  • Educating the client about postoperative care
  • Preparing discharge instructions for the client
  • Monitoring vital signs after anesthesia
  • Ensuring safety and advocating for the client (correct)
  • Which of the following medications is typically administered prophylactically during the preoperative phase?

  • Analgesics
  • Antibiotics (correct)
  • Antidepressants
  • Antipsychotics
  • What is the significance of verifying a client's NPO (nil per os) status before surgery?

    <p>To reduce the risk of aspiration during surgery</p> Signup and view all the answers

    Which of the following is a nursing intervention performed during the preoperative phase?

    <p>Taking a comprehensive client history</p> Signup and view all the answers

    Study Notes

    Preoperative Phase

    • Procedures and teaching before surgery help minimize complications and postoperative discomfort.
    • Effective preoperative care reduces patient anxiety and promotes engagement in their own healthcare.
    • Key nursing interventions include taking comprehensive client history to identify potential risk factors.

    Risk Factors

    • High-risk groups include infants, elderly individuals, those with chronic illnesses, malnutrition, respiratory conditions, obesity, and patients undergoing emergent procedures.
    • Verification of informed consent is crucial; nurses can witness signatures but are not legally responsible for providing information about procedures.

    Baseline Assessment

    • Conducting a baseline assessment is essential, including checking height and weight.
    • Confirmation of NPO (nothing by mouth) status is required before surgery to ensure patient safety.

    Medications in Preoperative Phase

    • Anesthesia options include:
      • Inhalation (mask administration)
      • Intravenous (IV) routes
      • Regional options (spinal and epidural)
      • Topical applications for skin
    • Prophylactic antibiotics are often administered to prevent infections.
    • Anticholinergics may be used to dry secretions, while sedatives help calm patients before surgery.

    Intraoperative Phase

    • The intraoperative phase starts when the client enters the surgical suite and concludes upon transfer to the post-anesthesia recovery area.
    • Nursing focus shifts to patient safety, advocacy, and collaboration with the healthcare team.

    Postoperative Phase

    • Begins when the patient enters the post-anesthesia recovery area and lasts until discharge from the healthcare facility.

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    Description

    This quiz covers the essential preoperative, intraoperative, and postoperative nursing procedures. It highlights best practices for patient safety, advocacy, and collaboration within the healthcare team. Enhance your understanding of nursing roles throughout the surgical process.

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