Chapt 2

Question 1

How are nursing diagnoses made for periop

Answer 1

knowledge ofthe precodure combined with assessment data

Question 2

What is an example of a Trans of Info tools that isnt SBAR

Answer 2

IPASStheBATON

Question 3

What do preop actions focus on

Answer 3

pat assessment 
pat and fam teaching 
emotional support 
planning care for intra and post op 
communicating with other HC pros

Question 4

Where does most of the assessment data during preop come from

Answer 4

chart reveiw
pat and fam interview
observation
communication from other HC pros

Question 5

What are some common patient outcomes

Answer 5

freedom from infection 
freedom from injury 
skin integrity, 
electrolyte balance, 
patient participation in the rehabilitation process.

Question 6

What is a consideration for prophylaxic antibiotics for surgical incisions with obese pats

Answer 6

they will need a larger loading dose because it takes more antibiotics to get the target level in the tissues where the incision will happen

Question 7

What are SSI’s

Answer 7

surgical site infections

Question 8

Besides obese people who else might be at a higher risk for SSI’s

Answer 8

people with comorbidities like diabetes

Question 9

What is the protocol for preventing wrong site surgs

Answer 9

identifying the patient

validating the
intended procedure with the patient
informed consent
results of diagnostic testing;

marking the operative site.
perform a time-out to address any questions

Question 10

What are the critical physiologic assessment data

Answer 10

medical diagnoses
medications
any comps from past surgeries
vital signs
diagnostic and lab work 
age 
substance abuse 
allergies 
skin conditions 
NPO status and compliance
weight 
height 
BMI
porstheses
sensory or mobility impairments

Question 11

What are the critical physiological assessment data

Answer 11

understanding of the procedure
coping abilities 
support system
readiness to learn 
anxiety related to the surg
knowledge of post op routine
cultural or spiritual beliefs related tothe surg

Question 12

What are the most common preop diagnosis

Answer 12

knowledge def

anxiety

Question 13

Right as the pat is transfered into the Operating room and is placed on the bed the room is considered what

Answer 13

contaminated to the pat

Question 14

What injuries is the pat at most risk of during the intraop period

Answer 14

Transport and transfer
• Positioning
• Equipment injuries such as a pneumatic tourniquet
• Chemical agents such as skin-prep solutions
• Use of X-ray, electrosurgery, or laser
• Fluid deficit
• Impaired gas exchange related to general anesthesia
• Retained surgical items

Question 15

What constitutes a wrong site surgery

Answer 15

surgery on the wrong 
pat
side
level
site 
or with the wrong surgery

Question 16

What are some risk factors for wrong site surgeries

Answer 16

Unapproved abbreviations, cross-outs
illegible handwriting
• Missing consent, history, and physical examination, or surgeon’s operative orders • Inconsistent use of site-marking protocol
• No time-out process
rushing during timeout
distractions during timeout
timeout done before prep and drape of pat
not everyone participates in the timeout
• Rushing during patient verification
• Change of patient position
• Inadequate patient verification by the surgical team
• Lack of intraoperative site verification when multiple procedures are performed by the same surgeon
• Ineffective hand-off communication or briefing process
• Site markings removed during prep or draping
• Staff members are not empowered to speak up
• Marketplace pressure to increase surgery amounts

Question 17

What are some events that need to recorded at a specific time

Answer 17

patient in room
anesthesia start time
incision time

Question 18

What do you need to verify when recording times for specific events

Answer 18

that the anesthesia provider is using the same time

Question 19

What should you record when documenting an event that someone else did

Answer 19

record the person that did the intervention

Question 20

When should teaching start

Answer 20

when the prospect of surgery is discussed

Question 21

What should preadmission teaching focus on

Answer 21

prepping for surgery

participation in postop rehab/recovery

Question 22

What should preop teaching include

Answer 22

What to expect (pre and post)
Include pre-op regimen (NPO, etc.)
Where will they be when they wake up?
Post op regimen 
Demonstrate things

Question 23

Because learning can be diminished in times of stress, what should we do

Goodman, Terri; Goodman, Terri; Spry, Cynthia; Spry, Cynthia. Essentials of Perioperative Nursing (p. 69). Jones & Bartlett Learning. Kindle Edition.

Answer 23

include fam whenever poss

Question 24

What is an intervention that may be able to reduce anxiety adn fear of a surgery with children

Answer 24

allowign them to handle objects that are used during the surgery