Exam 3: Perioperative

Question 1

Asprin before surgery

Answer 1

Should be stopped a weak prior (bleeding problems)

Question 2

Diagnostic tests pre-op (5)

Answer 2

• CBC
• CXR
• EKG
• UA
• Chemistries

Question 3

Pre-op: When should patient be NPO?

Answer 3

6-8 hours before surgery

Clear liquids ok until 2 hours before

Question 4

Pre-op: When should infants be NPO?

Answer 4

Can have breastmilk 4 hours before

Question 5

Pre-op medications given (3 categories)

Answer 5

• Anticholinergics
• Opiates
• Tranquilizers / anxiolytics

Question 6

Anticholinergics given pre-op (2)

Answer 6

Atropin, Robinul

Question 7

Opiates given pre-op (2)

Answer 7

Morphine, demerol

Question 8

Tranquilizers / anxiolytics given pre-op

Answer 8

Versed, valium

Question 9

How often should you assess a post-op patient?

Answer 9

• First hour: Q15 minutes

- Next 2 hours: Q30 minutes

Question 10

1 post-op nursing intervention

Answer 10

Maintain a patent airway

Question 11

Most common post-op complications: Fluids (4)

Answer 11

o	Atelectasis
o	Pneumonia
o	Shock
o	Urinary Retention
o	Dehiscence-Evisceration

Question 12

Most common post-op complications: Circulatory (3)

Answer 12

o Pulmonary Embolus
o Shock
o Deep Vein Thrombosis (DVT)

Question 13

Most common post-op complications: GI (2)

Answer 13

o Paralytic Ileus

o N/V