Chapter 8:The Perioperative Assessment Quiz Flashcards
Which of the following interventions can help the perioperative nurse collect subjective data from the patient?
A. Ask questions that require a “yes” or “no” response
B. Review laboratory results
C. Verbally acknowledge to the patient his or her feelings of anger or sadness
D. Verify with the patient the scheduled surgery and site of surgery
D. Verify with the patient the scheduled surgery and site of surgery
The Perioperative Nursing Data Set (PNDS) is a controlled, structured, and coded \_\_\_\_\_ language. A. health care B. medical C. nursing D. technical
A. health care
A perioperative patient assessment should address all of the following patient needs EXCEPT: A. Cultural needs B. Financial needs C. Physical needs D. Psychosocial needs
B. Financial needs
What part of the nursing process is the first intervention toward achieving the outcomes identified in the nursing care plan? A. Assessment B. Evaluation C. Identification of a problem list D. Nursing diagnosis
A. Assessment
Preoperative assessment by the perioperative RN regarding medication use includes asking the patient about _____.
A. allergies and medication reactions
B. current prescription medications
C. over-the-counter supplements and herbs
D. All of the above
D. All of the above
Allergies and medication reactions, current prescription medications and over the counter supplements and herbs.
A preoperative physiological assessment of the patient includes assessing the patient’s _____.
A. skin health
B. psychological well-being
C. respiratory and cardiac status
D. sensory abilities and any sensory deficit or impairment
E. All of the above
F. A, C, D only
F. A, C, D only
Skin health, respiratory and cardiac status, and sensory abilities and any sensory deficit or impairment.
An example of a PNDS outcome is:
A. The patient exhibits ineffective coping mechanisms
B. The patient is at risk for a perioperative positioning injury
C. The patient is free from injury related to positioning
D. The perioperative RN confirms the patient’s identity
C. The patient is free from injury related to positioning
The preoperative patient assessment most often begins \_\_\_\_\_. A. at the preadmission unit B. by a telephone interview C. in the surgeon's office D. on the internet
C. in the surgeon’s office
Older patients are at increased risk for: A. Aspiration B. Bronchospasm C. Infection D. All of the above
D. All of the above
They are at risk for aspiration, bronchospasm and infection.
Why is a patient’s renal status such an important assessment point?
Many medications are eliminated by the kidneys and if the kidneys are not functioning properly the meds won’t be eliminated appropriately. A patient may also not excrete dyes. A patient may/may not need a foley based on their renal status and if they make urine or not.
List one special assessment need for a gynecologic procedure:
Assess for positioning needs, if they have back pain or limited motion of joints. Also assess for feelings of embarrassment due to exposure with positioning in stirrups.
List one special assessment need for vascular surgery
Assess for extent of disease and other medical conditions, LOC and knowledge base. Many have fears of stroke or alteration in body image. Maintain skin integrity due to surgery usually being lengthy. Also do baseline assessment for sensation in BLE or BUE so you can note any changes after surgery.
List one special assessment need for breast surgery:
Many are extremely anxious about the outcome/diagnosis and potential for body image disturbance
