37 Questions
During which phase does the preoperative phase begin?
When the patient and surgeon mutually decide surgery is necessary
When does the preoperative phase end?
When the patient is transferred to the operating room
What is the purpose of the preoperative phase?
To prepare the patient for surgery
In which phase does the intraoperative phase begin?
when patient is transferred to the OR bed
When does the intraoperative phase end?
When the patient is transferred to the postanesthesia care unit (PACU)
What is the purpose of the intraoperative phase?
To ensure the patient's safety during surgery
Which of the following is the beginning of postoperative phase?
The phase when the patient completely recovers from surgery
When does the postoperative phase end?
When the patient completely recovers from surgery & has their last follow-up appointment
What is the purpose of the postoperative phase?
To monitor the patient's recovery from surgery
Match the following phases of surgery with their correct start and end points:
Preoperative Phase = Begins when patient and surgeon mutually decide surgery is necessary, Ends when patient is transferred to OR or procedural bed Intraoperative Phase = Begins when patient is transferred to the OR bed, Ends when patient is transferred to postanesthesia care unit (PACU) Postoperative Phase = Begins when patient admitted to PACU, Ends when patient completely recovers from surgery and last follow-up appointment
Match the following surgery phases with their corresponding patient transfer points:
Preoperative Phase = Patient is transferred to OR or procedural bed Intraoperative Phase = Patient is transferred to the OR bed Postoperative Phase = Patient is transferred to postanesthesia care unit (PACU)
Match the following surgery phases with their correct start and end points in relation to patient transfer:
Preoperative Phase = Begins when patient is transferred to OR or procedural bed, Ends when patient is transferred to the OR bed Intraoperative Phase = Begins when patient is transferred to the OR bed, Ends when patient is admitted to PACU Postoperative Phase = Begins when patient is admitted to PACU, Ends when patient completely recovers from surgery and last follow-up appointment
Match the following factors with their corresponding healthcare facilities:
Seriousness = Ambulatory care centers Urgency = Hospital Purpose = Ablative, Constructive/Cosmetic, Diagnostic, Palliative, Reconstructive, Transplant Patient Conditions = Hospital
Surgery Classification
Seriousness- = ambulatory care centers for less serious patients; for patients with few medical conditions Urgency- = hospital because it’s an emergency! Purpose- = ablative, constructive/cosmetic, diagnostic, palliative, reconstructive, transplant
Ambulatory care centers are for patients with few medical conditions.
True
Hospital is the best place to go for less serious patients.
False
There are six purposes of surgery: ablative, constructive/cosmetic, diagnostic, palliative, reconstructive, and transplant.
True
What is the Nursing assessment for Perioperative nursing
Reason for assessment Nursing history Medical history Risk factors (age, smoking, nutrition, obesity, sleep apnea, immunocompromised, fluid/electrolyte imbalance, post anesthesia nausea/vomiting, DVT)
What are the risk factors for the nursing assessment in perioperative nursing ?
age, smoking, nutrition, obesity, sleep apnea, immunocompromised, fluid/electrolyte imbalance, post anesthesia nausea/vomiting, DVT
Risk factors for Nursing assessment in preoperative nursing ?
Risk factors (age, smoking, nutrition, obesity, sleep apnea, immunocompromised, fluid/electrolyte imbalance, post anesthesia nausea/vomiting, DVT)
What is the preoperative assesment used for ?
Gather history and data
Which of the following medications should be asked about in the medical history assessment?
Antibiotics
Which medication should the nurse be aware of the baseline blood glucose and HgA1C levels?
Insulin
Which factor should be assessed in the preoperative phase regarding blood products?
Will the patient accept blood products
Match the following medical terms with their correct definitions:
Advance Directives/living will = DNR suspended during surgery until 24hrs post-anesthesia end time Medical Power of Attorney = only if declared incompetent
Match the following legal terms with their related conditions:
DNR = Suspended during surgery Incompetent = Medical Power of Attorney can be used
Match the following medical conditions with the appropriate legal actions:
Surgery = DNR is suspended until 24hrs post-anesthesia end time Declared incompetent = Medical Power of Attorney can be used
What are the 5 A's we need to ask for in medical history ?
“A” medications: Antibiotics, Antidysrhythmics, Anticoagulants, Anticonvulsants, Antihypertensives (especially beta blockers)
Match the following medications with their corresponding considerations:
Corticosteroids = Immunocompromised Insulin = Need to know blood glucose baseline, HgA1C Diuretics = Fluid and electrolyte balance NSAIDs = Bleeding
Match the following drugs with their associated patient conditions:
Corticosteroids = Immunocompromised patients Insulin = Patients with diabetes Diuretics = Patients with fluid and electrolyte imbalances NSAIDs = Patients at risk of bleeding
Match the following medications with their specific patient monitoring requirements:
Corticosteroids = Immunocompromised patients Insulin = Baseline blood glucose, HgA1C levels Diuretics = Fluid and electrolyte balance NSAIDs = Bleeding risk
Match the following types of anesthesia with their correct descriptions:
General (systemic) = Administration of drugs by inhalation or intravenous route Moderate sedation/analgesia = Used for short-term, minimally invasive procedures Regional = Anesthetic agent injected near a nerve or nerve pathway or around operative site Topical and local anesthesia = Used on mucous membranes, open skin, wounds, burns
Match the following anesthesia methods with their appropriate applications:
Inhalation or intravenous route = General (systemic) anesthesia Short-term, minimally invasive procedures = Moderate sedation/analgesia Near a nerve or nerve pathway or around operative site = Regional anesthesia Mucous membranes, open skin, wounds, burns = Topical and local anesthesia
Match the following anesthesia techniques with their correct uses:
Intravenous administration = General (systemic) anesthesia Minimally invasive procedures = Moderate sedation/analgesia Injection near a nerve or nerve pathway = Regional anesthesia Application on mucous membranes or open skin = Topical and local anesthesia
Which route of administration involves injecting an anesthetic agent near a nerve or nerve pathway or around the operative site?
Regional
Which type of anesthesia is used on mucous membranes, open skin, wounds, and burns?
Topical and local
Which route of administration involves the administration of drugs through inhalation or intravenous route?
Inhalation
Test your knowledge of the preoperative phase in surgery with this quiz. From the initial decision for surgery to the patient's transfer to the operating room, this quiz will cover key concepts and stages in the preoperative process.
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