The Preoperative Phase in Surgery Quiz

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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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