Chap 95- Preop Nursing Care

Question 1

Three categories of inpatient surgical procedures

Answer 1

Emergent, urgent, and elective

Question 2

Care that takes place from the time a client is scheduled for surgery until care is transferred to the operating suite

Answer 2

Preoperative care

Question 3

Risk factors for surgical complications in pts w/ obstructive sleep apnea

Answer 3

Airway obstruction

Oxygen desaturation

Question 4

Risk factors for surgical complications in pts that are pregnant

Answer 4

Fetal risk w/ anesthesia

Question 5

Risk factors for surgical complications in pts w/ respiratory distress

Answer 5

COPD, pneumonia, asthma

Question 6

Risk factors for surgical complications in pts w/ cardiovascular disease

Answer 6

Heart failure
Myocardial infarction
HTN
Dysrhythmias

Question 7

Risk factors for surgical complications in pts w/ DM

Answer 7

Decreased intensional motility
Alter BG levels
Delayed healing
Infection

Question 8

Risk factors for surgical complications in pts w/ liver disease

Answer 8

Altered medication metabolism

Increased risk for bleeding

Question 9

Risk factors for surgical complications in pts w/ kidney disease

Answer 9

Altered elimination And medication excretion

Question 10

Risk factors for surgical complications in pts w/ endocrine disorders

Answer 10

Hypo/hyper thyroidism
Addison’s disease
Cushing’s syndrome

Question 11

Risk factors for surgical complications in pts w/ immune system disorders

Answer 11

Immunocompromised

Question 12

Risk factors for surgical complications in pts w/ coagulation defect

Answer 12

Increase risk of bleeding

Question 13

Risk factors for surgical complications in pts w/ malnutrition

Answer 13

Delayed healing

Question 14

Complications from sedatives (benzodiazepines, barbiturates) during post op period and nursing actions

Answer 14

Respiratory depression, drowsiness, dizziness

Nursing actions:
Monitor respiratory rate and o2 sat
Admitted o2
Administer reversal agent ~ flumazenil

Question 15

Complications from opioids during post op period and nursing actions

Answer 15

Respiratory depression, drowsiness, dizziness, constipation, urinary retention

Nursing actions:
Monitor RR and o2 sat
Administer o2
Admitted reversal agent ~ naloxone 
Perform prescribed intermittent catheterization

Question 16

Complications from IV infusions during post op period and nursing actions

Answer 16

Fluid overload and hypernatremia

Nursing actions:
Monitor I&O closely
Slow the IV fluid rate of infusion
Admitted prescribed diuretic

Question 17

Complications from GI meds (antiemetics, antacids, H2 receptor blockers) during post op period and nursing actions

Answer 17

Alkalosis, cardiac abnormalities, drowsiness

Nursing actions:
Obtain preop cardiac HX
Monitor for electrolyte abnormalities

Question 18

A nurse is providing preoperative teaching to a client who is to have abdominal sx. Which of the following statements should the nurse make? (Select all that apply)
A) “take your heart meds w/ a sip of water before sx”
B) “splint that abdominal incision w/ a pillow when coughing and deep breathing”
C) “bed rest is recommended for the first 48hrs”
D) “anti-embolism stockings are applied before surgery”
E) “you can eat solid foods up to 4hrs before surgery”

Answer 18

A, B, and D