Pre Op

Question 1

What is pre op?

Answer 1

Begins when the pt is scheduled for surgery and ends at the time of transfer to the surgical suite

Question 2

As a nurse what do you have to asses in infants before surgery

Answer 2

Assess respiratory system, glucose, and fluid and electrolytes

Question 3

What population is at greater risk pre op?

Answer 3

Pediatric pts and geriatric pts

Question 4

As a nurse what do you need to assess for in a child before surgery?

Answer 4

Assess the developmental level of the child in order to educate and communicate properly

Question 5

As a nurse what do we need to be aware of in adults before surgery?

Answer 5

Pre-existing conditions, assess pt hearing to determine if it understand explanations and education related to surgery,

Question 6

Which population is at a higher risk for developing pneumonia & surgical site infection? And why?

Answer 6

Older adults, decreased mobility not moving around as much

Question 7

What do corticosteroids affect before surgery?

Answer 7

They can delay wound healing

Question 8

If a pt is taking anticoagulants before surgery?

Answer 8

It can contribute to post op bleeding, need to stop the med prior to surgery

Question 9

Can a pt take ibuprofen and Aleve prior to surgery?

Answer 9

No!

Question 10

What can diuretics do before surgery?

Answer 10

They can effect fluid and electrolyte status. Especially potassium to high or to low potassium can cause cardiac arrhythmias

Question 11

Which herbs and supplements should be avoided prior to surgery?

Answer 11

Garlic, vitamin e, ginco viloba, fish oil, these can increase bleeding

Question 12

As a nurse can you get informed consent?

Answer 12

No! As a nurse you can only witness a signature

Question 13

if a pt is not taking in enough protein what can happen?

Answer 13

it can cause slower healing

Question 14

when should the pt stop smoking prior to surgery?

Answer 14

6 weeks before surgery

Question 15

why can the cardiovascular system affect the length and extent of surgery?

Answer 15

if a pt has uncontrollable hypertension, surgery may postponed until the blood pressure is under control

Question 16

a pt with diabetes is at an increased risk for what?

Answer 16

hypo/ hyperglycemia, wound infection, and metabolic acidosis

Question 17

which population is highly susceptible to infection?

Answer 17

immunosuppressed, pt with transplant, pt who has aids, cancer pt who on chemotherapy or radiology, pt on corticosteroids it effects there immune system, leukemia

Question 18

as a nurse why do you have to assess neurological prior to surgery?

Answer 18

have to get the pt baseline, assess the pts ability to follow commands, respond to questions

Question 19

which population can take longer to clear anesthesia?

Answer 19

older population

Question 20

what meds can cause cardiovascular collapse if discontinued suddenly?

Answer 20

corticosteroids, need to be tapered off

Question 21

which med can cause excessive respiratory depression due to imbalanced electrolytes?

Answer 21

thiazide diuretics (furosemide)

Question 22

which med can alter a pt response to anesthesia?

Answer 22

opioids

Question 23

which med can increase risk for bleeding?

Answer 23

anticoagulants

Question 24

as a nurse what responsibility should they do pre operative?

Answer 24

its the nurse responsibility to ensure the tests have been obtained and abnormal results reported

Question 25

what is the goal for cough and deep breathing / IS

Answer 25

to promote lung expansion, oxygenation, mobilize secretions, and prevent pneumonia

Question 26

what is the goal to promote mobility?

Answer 26

improve circulation, prevent venous stasis, and promote respiratory function, gets everything going

Question 27

which restrictions are in place to prevent aspiration?

Answer 27

NPO after midnight

Question 28

what should the nurse have a pt do prior to surgery

Answer 28

have the pt void, or insert indwelling catheter if ordered

Question 29

if the OR call and says there sending transport up to get pt, what should the nurse do?

Answer 29

check if there is any “ON CALL” meds, because they need to administer those meds now

Question 30

what adverse effects happen with atropine?

Answer 30

tachycardia, dry mouth, urinary hesitancy

Question 31

what is atropine given for?

Answer 31

to prevent aspiration, its given postoperatively to decrease oral and respiratory secretions, is also used to treat sinus bradycardia and heart block

Question 32

whats the antedote for atropine?

Answer 32

physostigmine

Question 33

what should the nurse assess in a pt who is on atropine?

Answer 33

assess VS, because it can increase HR, monitor I&O ratios in elderly and surgical pts, assess pt routinely for abdominal distentions and auscultate BS (because of urinary hesitancy can lead to urinary retention)

Question 34

what is propofol used for?

Answer 34

its used as a sedative, and the induction and maintence of general anesthesia

Question 35

what are the adverse effects of propofol

Answer 35

pain at injection site, apnea, respiratory depression, and hypotension

Question 36

propofol should only be administered by who?

Answer 36

anesthesiologist or certified nurse anesthetist