Surgical Patient Care Quiz

Questions and Answers

What is the primary focus of nursing care during the intraoperative phase?

Patient education and emotional support

Conducting diagnostic tests and laboratory profiles

Health team collaboration and client advocacy (correct)

Postoperative pain management and recovery

Which of the following is a key component of the Universal Protocol?

Transferring the patient to recovery immediately

Administering preoperative analgesics

Assessing the patient's pain level post-surgery

Performing a pre-procedure verification process (correct)

What is the purpose of marking the procedure site with an X?

To mark the area for post-operative assessment

To indicate patient consent for the surgery

To notify the nursing staff of the planned operation

To prevent surgical errors and ensure correct site surgery (correct)

Why is it necessary to hold anticoagulants prior to surgery?

To prevent excessive bleeding during the procedure Signup and view all the answers

Which of the following interventions is critical for ensuring a safe environment during surgery?

Strict adherence to aseptic techniques Signup and view all the answers

What is indicated by performing a 'time out' before starting a procedure?

Confirming the identity of the patient and procedure Signup and view all the answers

Which role in the surgical team is responsible for maintaining sterile instruments during the procedure?

Scrub nurse Signup and view all the answers

What should be monitored to prevent complications such as Malignant Hyperthermia during surgery?

Vital signs and patient responses Signup and view all the answers

Which of the following interventions is performed in the preoperative phase?

Performing chest X-rays and ECGs Signup and view all the answers

What is the role of a circulator in the operating room?

To manage the operating room environment and non-sterile tasks Signup and view all the answers

Study Notes

Preoperative Phase

Diagnostic tests include lab profiles, chest X-rays, ECG, and pregnancy tests for females.
Educate clients about procedures, addressing fears and anxiety.
Anticoagulants, such as warfarin and aspirin, should be held 7 to 10 days prior to surgery.
Perform invasive procedures like IV placement and Foley catheter insertion.
Utilize an incentive spirometer for lung expansion.
Encourage turning, positioning, and early ambulation, including leg exercises.
Implement pain control methods with analgesics.
Provide information on routine and expected postoperative care.

Intraoperative Phase

Begins when the patient enters the surgical suite and ends upon transfer to the post-anesthesia care unit.
Focus areas for nursing include safety measures (fall prevention and airway management), client advocacy, and collaboration with the health team.

Universal Protocol

A safety initiative by the Joint Commission for surgical procedures.
Conduct a pre-procedure verification process to confirm the correct surgical plan.
Mark the procedure site with an "X" while the patient is awake for agreement on the surgical procedure.
Perform a "time out" before the procedure starts to ensure all team members are prepared and in agreement.

Collaborative Care

Involves perioperative nursing staff with distinct roles.
Holding area for pre-surgical preparation.
Circulator is responsible for non-sterile tasks, managing the surgical environment.
Scrub nurse maintains sterility during the procedure, handling instruments.
Specialty-specific roles exist, such as orthopedic or cardiac surgery teams.

Nursing Interventions

Implement nursing roles according to established perioperative standards.
Maintain a safe surgical environment and ensure strict aseptic techniques.
Use grounding devices to prevent electrocution and fire hazards.
Conduct accurate counts of sponges, needles, and instruments to prevent retention.
Position the client for optimal surgical access and safety.
Monitor for complications such as malignant hyperthermia.
Facilitate communication with the surgical team to enhance interprofessional collaboration.

Therapeutic Measures

Blood transfusions may be administered as needed.
Radiology may be utilized for imaging during surgery.
Biopsies and laboratory profiles are essential for diagnostic purposes.
Awareness of potential complications in the operating room is critical for patient safety.

Description

Test your knowledge on preoperative and intraoperative patient care procedures. This quiz covers essential aspects including diagnostic tests, medication management, client education, and postoperative care practices. Ensure you're well-prepared for effective surgical nursing.