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Chapter 96
Unit 14: Nursing Care of Preoperative Clients
| Question | Answer |
|---|---|
| Preoperative Nursing Care (Pg. 1095) -Preop starts when.. | From the time the client is scheduled for surgery until care is transferred to the OR --> thorough assessment of the client's physical, emotion, psychosocial status |
| Inpatient; Outpatient; (ambulatory) | -Emergent, urgent or elective -Elective surgery that is not considered acute= cataract removal, hernia repair |
| Informed consent: (Pg. 1097) -when initiated -who is responsible | After surgery has been discussed with client/family, after discussing risks/benefits -Primary care provider *NURSE NEVER OBTAINS CONSENT UNDER ANY CIRCUMSTANCE |
| Can the nurse give new information about the procedure? | No; nurse can only clarify or reinforce unclear info after providers explanation |
| What is the nurses role in this? | To witness the client's signing of the consent form after the client acknowledges understanding of the procedure |
| Nurse should determine if the client is; | 18, mentally capable of understanding everything, under the influence of a substance that could affect decision-making or judgment -If meds have been administered; do not have client sign consent |
| 2 witnesses are required if... | Client can only sign with an X; blind, deaf, ESL (english second language) |
| Informed consent is required for what types of procedures? | Surgical, invasive (biopsy, paracentesis, scopes), sedation/anesthesia, or radiation |
| Preop- stop smoking ___ before stop aspirin (acetylsalicylic acid) ___ before stop herbal medications (ginko biloba, ginseng, feverfew) ____ before | 24hrs 1 week before (decrease risk of bleeding) 2-3 weeks before (to prevent hemorrhage or adverse effects to anesthesia) |
| Preop nursing for bowel surgery.. administer ___ night before/morning of | Enemas or laxatives |
| Preop NPO for at least ___ hrs for ___ & ___ hrs for _____ with ___ | 6, solid 2, clear liquids w/ general anesthesia |
| NPO for at least ____ hrs for ____ to avoid ____ | 3-4 hours for local anesthesia to avoid aspiration |
| Cover client in what? | Lightweight cotton blanket heated in a warmer to prevent hypothermia |
| Usual IV access size catheter? | 18-gauge (or 20 sometime) |
| When are prophylactic abx administered? | 1 hr prior to surgical incision |
| If client previously took a BB..? | Administer one prior to surgery to prevent cardiac event |
| Have client ____ prior to administration | Void |
Created by:
mary.scott260!
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