Peri-Op

Question 1

-ectomy

Answer 1

removal of

Question 2

-oscopy

Answer 2

looking into

Question 3

-ostomy

Answer 3

creating an opening

Question 4

-otomy

Answer 4

cutting into

Question 5

-plasty

Answer 5

repair/reconstruction

Question 6

what’s some preoperative nursing assessment

Answer 6

reason for surgery, age, allergies, past medical HX, vital sign baseline, nutritional status, presence of infections, medications, drug/ETOH

Question 7

what’s some preoperative teaching

Answer 7

fear/anxiety
normal, can impair cognition, decision making
information can lessen anxiety and empower the pt

Question 8

what are some requirements prior to surgery

Answer 8

Hx and physical exam, RN assessment, PT voided, appropriate diagnostic studies completed, consents are signed, surgical site identification, PT identification

Question 9

what are the 3 informed consent conditions

Answer 9

adequate disclosure, understanding and comprehension, voluntarily given

Question 10

who’s responsible for obtaining consent

Answer 10

SURGEON, but nurses may be witness if the nurse was there when conversion was had

Question 11

what are some day of surgery preparations

Answer 11

hospital gown, identification and allergy band, remove jewelry, dentures, contacts, prostheses removed
void before surgery

Question 12

what are some gerontologic considerations

Answer 12

surgery may be overwhelming, increased risk r/t anesthesia, where are they coming from and going to, risk of complications

Question 13

what’s surgical time out

Answer 13

with the full team present, verify pt identity, site, and procedure to be done

Question 14

what’s moderate sedation

Answer 14

does not require ACP, may be admin by an RN under direct supervision of a physician, PT can protect their own airway

Question 15

what’s regional anesthesia

Answer 15

nerve blocks or spinal/epidural anesthesia

Question 16

what’s local anesthesia

Answer 16

sensory blockade to a specific area, given topically or via infiltration, no effect on the CNS

Question 17

what’s malignant hyperthermia

Answer 17

rare metabolic disorder, fast rise in body temp and severe muscle contractions, occurs most often with succs

Question 18

constipation/paralytic ileus (caused, treatment)

Answer 18

caused by anesthesia, PN meds, surgical manipulation of bowel
treatment is constipation w/o ambulation, fluids, fiver, stool softeners, laxative
If we think it is, we may make PT NPO and NG to suction

Question 19

what should be the least amount of urine production

Answer 19

normal urine production should be at least 0.5 mL/kg/hr

Question 20

for how long a PT who can’t void should we do a cath

Answer 20

within 8hr of surgery

Question 21

what’s post operative delirium

Answer 21

short-term neurological alteration that may include restlessness, agitation, confusion
watch O2 levels, Pn management, safety

Question 22

what are some surgical discharge criteria

Answer 22

must be mobile and alert, cannot drive, no IV opioids in the past 30mins, minimal N/V, voided if appropriate to surgical procedure, written discharge instructions given and understood