The Surgical Patient

Question 1

The Patient Care Partnership (5)

Answer 1

• replaces the patients bill of rights
• plainer language
• patient needs to be involved
• patient is consumer of goods
• patient is primary decision maker

Question 2

The Patient Care Partnership sets the standard for (5)

Answer 2

• high quality patient care
• clean safe environment
• involvement in healthcare
• protection of privacy
• help when leaving hospital
• help with billing claims

Question 3

Patient Basic Needs (6)

Answer 3

For patient, surgery is physical, social, psychological, spiritual event

• nutrition
• sleep
• regulation of body process
• fluid balance
• respiration
• elimination of waste

Question 4

Self-Actualization of patient (3)

Answer 4

• patients rights
• participation in establishing goals
• decision making about healthcare

Question 5

Preoperative Preparation of the Patient

Answer 5

• medical history and physical exam
• lab tests: H&H, BUN, CBC, UA, Type and cross match
• chest xray
• ECG/EKG (electro cardiogram)
• Diagnostic procedures
• NPO
• Oral medications

Question 6

Lab Test: BUN

Answer 6

Blood Urea Nitrogen (BUN)

• kidney function
• value 8-18mg
• Increased BUN: dehydration, deceased kidney function, GI bleed

Question 7

Lab Test: CBC

Answer 7

Complete Blood Count (CBC)

• RBC 4.2-6.2 million/mm, decrease means possible anemia
• WBC 5000-10000 million/mm, elevation indicates infection

Question 8

Preoperative Preparation of the Patient (9)

Answer 8

• oral medications
• hair removal, skin prep, preoperative hygiene
• nail polish, acrylic nails are removes
• jewelry
• sedatives
• dentures
• voiding/catheterization
• levin tube (inserted into stomach)
• basal line vital signs

Question 9

Preoperative Preparation of the Patient pt2 (8)

Answer 9

• hospital attire
• IV fluid to maintain fluid balance
• bowel prep
• communication barriers
• personal belongings
• prosthetics
• body piercings
• patient expression of death (surgeon immediately notified)

Question 10

Critical Readiness For Discharge (12)

Answer 10

• vital signs
• respiratory status
• reflexes
• mental status
• bleeding
• circulation
• pain
• nausea/vomiting
• oral intake
• voiding
• anesthesia considerations
• ambulation