Perioperative Assessment

Question 1

Documentation provides a means for _________ perioperative care as well as evaluation of the ______

Answer 1

planning

care rendered.

Question 2

Subjective data is _____

Objective data is ______

Answer 2

the patient’s own feelings or perceptions regarding his or her impending surgery.

independent facts, figures and findings such as the history and physical, laboratory and radiology reports, patient’s plan of care, and nursing notes.

Question 3

Skin Condition
Elderly Patient - Factors that make their skin more sensitive to injury: _____

Pediatric Patient - does not have a thermoregulatory system that is developed ___

Answer 3

• Decrease in subcutaneous fat
• Decrease in skin elasticity
• Thinning and wrinkling of the skin
• Atrophy of the sweat glands that makes it difficult to tolerate changes in temperature
• Body temperature averages vary with environmental changes
• The skin should be inspected for color, temperature, sensation, turgor, thickness, and amount of subcutaneous tissue.

Question 4

When making an assessment, the nurse must take into consideration the patient’s:

Answer 4

• Mobility
• Preexisting health conditions
• Planned duration of the procedure
• Type of anesthesia

Question 5

Patients need to be assessed for their ability to ________. Utilize the patient’s chart and the _______ to assess baseline functional status.

Answer 5

move between the gurney and the OR bed

results of the preoperative interview

Question 6

In the geriatric patient there is a decrease and slowing of the blood flow from the coronary arteries which could cause a ________. In addition elderly patients may need warming devices to maintain ________

Answer 6

decreased rate of medication absorption and the need for deep vein thrombosis prophylactic devices

normothermia

Question 7

An elderly patient’s position may have to be adapted for _________.

Answer 7

effective air exchange

Question 8

Allergies: Prior Reactions-

Notify the _________ if the patient has had a prior reaction to a surgical prep solution.

Answer 8

surgeon

Question 9

• Herbal preparations: Ask if the patient is taking any herbal preparations. Herbal preparations or botanical products may accentuate the toxicity of anesthetics or __________ .

Answer 9

interfere with drug metabolism or clearance. Herbal preparations might also affect bleeding times.

Question 10

During the preoperative assessment, the perioperative nurse must take into consideration that the geriatric patient may have a ___________ .

Answer 10

decreased sensation to pain and body temperature variations. In addition, the elderly may have problems with depth and color perception, as well as dry eyes.

Question 11

A psychosocial assessment should include the patient’s:

Answer 11

1. Expectations of perioperative care including patient levels of anxiety or stress
2. Understanding of the surgical procedure
3. Philosophical and religious beliefs
4. Cultural beliefs and practices

Question 12

The _______ is responsible for discussing the risks, benefits, and alternatives of the planned procedure with the patient before surgery.
The responsibility of the _________ is to reinforce what has been discussed with the patient.

Answer 12

surgeon

perioperative nurse

Question 13

This age group interprets terms literally, so be specific and honest.

Answer 13

Age group between 3 & 6 years of age.