Care Of Perioperative

Question 1

Identify priority nursing interventions related to the perioperative setting.

Question 2

Develop an educational plan, related to preoperative preparation and prevention of postoperative complications.

Question 3

Recognize importance of assessment findings throughout perioperative process.

Question 4

Correlate assessment findings throughout the perioperative process that impact patient care.

Question 5

Perioperative Nursing Management

Answer 5

1. Preoperative nursing
2. Intraoperative nursing
3. Postoperative nursing
4. Patient safety
   Surgical Care Improvement Project (SCIP)

Question 6

Preoperative

Answer 6

1. Surgical settings
2. Categories of surgical procedures
3. Informed consent
4. Preoperative assessment

Question 7

Preoperative (history)

Answer 7

1) Older adult
2) Drug and substance use
3) Medical history
4) Surgical and anesthesia history
5) Medications
6) Blood donation (autologous, direct blood donation)

Question 8

Preoperative (Physical assessment)

Answer 8

1) Vital signs
2) System assessment
3) Psychosocial assessment
c. Laboratory assessment
d. Radiologic assessment

Question 9

Preoperative (Patient education)

Answer 9

a. Prevent respiratory complications
b. Prevent cardiovascular complications
c. Minimize anxiety
6. Preoperative chart review

Question 10

Preoperative (Patient preparation)

Answer 10

a. Intravenous access
b. Bowel and bladder preparation
c. Skin preparation
d. Additional preparation
e. Preoperative medications
8. Transfer to the surgical suite

Question 11

Intraoperative

Answer 11

1. Surgical team
2. Surgical suite and team
   safety – time out
3. Anesthesia

Question 12

General anesthesia

Question 13

Local or regional anesthesia

Question 14

Moderate sedation

Question 15

Intraoperative (Patient care)

Answer 15

a. Assessment
1) History
2) Medical record review
a) Allergies
b) Lab and diagnostic tests
3) Medical history
b. Planning and implementation
1) Positioning
2) Prevention of infection

Question 16

Postoperative

Answer 16

1. Post-anesthesia care unit (PACU)
   a. Handoff report
   b. Physical assessment
   1) Respiratory system
   2) Cardiovascular system
   3) Nervous system
   4) Fluid and electrolyte balance
   5) Gastrointestinal system
   6) Skin assessment
   7) Pain assessment
   c. Discharge from the PACU
2. Preparing the patient for direct discharge
3. Care for the hospitalized postoperative patient

Question 17

Postoperative (Nursing interventions)

Answer 17

1) Prevention of respiratory complications
2) Pain relief
3) Activity
4) Wound care
5) Managing gastrointestinal function
6) Maintaining a safe environment