Perioperative Nursing- Chp 23 Flashcards

1
Q

Head 2 toe assessment done on day of surgery? T or F

A

True

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2
Q

Common testing done pre op

A

Labs- CMP & CBC
Chest X-Ray
EKG

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3
Q

Anti coagulants aka

A

Blood thinners- important to stop prior to sx- do not want pt to hemmorage in OR

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4
Q

Why is pre op pt interview important?

A

Helps identify potential or actual problems;
helps INDIVIDUALIZE plan of care

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5
Q

severe reaction that occurs in response to particular medications used during general anesthesia, among those who are susceptible.

A

Malignant hyperthermia

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6
Q

Bracelet Colors and Meaning
RED
YELLLOW
PURPLE
PINK

A

Red- Allergy
Yellow- Fall Risk
Purple- DNR/DNI
Pink- Limb Alert

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7
Q

How long is a Pre-Op appointment good for?

A

Good for 30 days pre surgery

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8
Q

Why is obtaining baseline vitals important?

A

It helps nurse spot changes

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9
Q

When does pt teaching begin?
Why is it important?

A

Begins at preop
Teaching reduces anxiety and stress

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10
Q

Why are bowel preps done pre-op?
Not all surgeries require bowel prep

A

Reduces the risk of infection
Provides more visibility

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11
Q

Why is skin prep done pre-op

A

Reduce risk of infection
Create Sterile Field
Improve Wound Healing
Remove dirt an debris

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12
Q

WHy are catheters used ? (Pre op)

A

Helps monitor urine output
Keeps bladder empty

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13
Q

Why are IV fluids used preop?

A

Maintain hydration
Maintain electrolyte balance
Pass Medications
Stabilize BP and circulation
Ensure access in case of emergency

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14
Q

Why are NG (nasogastric) tubes used preop?

A

Prevent aspiration
Decompresses stomach in cases of distension

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15
Q

Who is responsible for getting informed consent prior to sx?

A

The DOCTOR

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16
Q

Who is required to be present & sign when obtaining informed consent?

A

Patient, Doctor, Witness (someone w/ a medical license)

17
Q

Is telephonic consent pre op ok?

A

Yes

18
Q

How should patient LOC be when signing consent?

A

A&O

19
Q

Can two RNS get consent?

A

Yes, but not for surgical procedures

20
Q

Medication given at pre-op that causes sedation; decreases salivary and nasal secretions

A

Versed/ Midazolam