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Preop Care
Medical-Surgical Nursing
| Question | Answer |
|---|---|
| What are the reasons surgery is performed? | Diagnosis, cure, palliation, prevention, cosmetic improvement, and exploration. |
| How long does the procedure usually last in ambulatory surgery? | Less than 2 hours |
| What does -ectomy mean? | Excision or removal of (appendectomy) |
| What does -lysis mean? | Destruction of (electrolysis) |
| What does -orrhaphy mean? | Repair or suture of (herniorrhaphy) |
| What does -oscopy mean? | Looking into (endoscopy) |
| What does -ostomy mean? | Creation of opening into (colostomy) |
| What does -otomy mean? | Cutting into or incision of (tracheotomy) |
| What does -plasty mean? | Repair or reconstruction of (mammoplasty) |
| True or False: Anesthetic agents directly affect blood pressure? | True |
| True or False: A surgeon can refuse to perform elective surgery if a patient smokes. | True |
| When should you check documented information? | Before the preop interview |
| What is the purpose of the patient interview? | To obtain health information, including drug and food allergies. |
| Should you know a patient's reactions to allergens? | Yes |
| How often is a diabetic patient's blood sugar checked while in surgery? | Every 30-60 minutes |
| Who MUST obtain informed consent? | The surgeon |
| Can a nurse witness an informed consent? | Yes |
| Who needs to mark the surgical site? | The patient, including his initials |
| What are influencing factors in the psychosocial preop assessment? | Age, past experiences, current health, and socioeconomic status |
| What is a nonpharmacologic effort to relieve nausea? | Smelling an alcohol pad. |
| What is an important preop teaching regarding pain? | Encourage the patient to tell you when the pain starts |
| What is the strongest positive coping mechanism? | Hope |
| What is the drug used to treat malignant hyperthermia? | Dantrium |
| In which preop patients should you ensure a pregnancy test is obtained? | Any woman who is of childbearing age and that menstruates. |
| What are risk factors for a latex allergy? | Long-term exposure to latex; history of hay fever; allergies to certain foods (i.e., eggs, avocados, bananas, chestnuts, potatoes, and peaches; asthma |
| When does a blood clot start to form? | As soon as the patient lays on the table |
| What is often obtained before surgery to assess the cardiovascular system? | A 12-lead EKG |
| What are methods of VTE prophylaxis? | TED hose, SCDs |
| How can you teach the patient to prevent VTE? | To move his legs during recovery and early ambulation, if possible |
| How long before surgery should a smoker be encouraged to stop smoking? | At least 6 weeks |
| What are methods to be taken in the OR for patients with history of or risk factors for pressure ulcers? | Extra padding during procedure |
| What are measures need to be taken if the patient is in stirrups for surgery? | The legs need to come up together and down together. |
| True or False: Diabetes does not affect every body system. | False |
| What are problems facing immunosuppressed patients after surgery? | Delayed wound healing and increased risk for infection |
| How can dehydration be prevented in NPO patients? | IV fluids |
| What are problems facing obese patients after surgery? | Increased risk of dehiscence, infection, delayed wound healing, slower recovery form anesthesia, incisional hernia, and increased stress to cardiovascular and respiratory systems. |
| True or False: The Joint Commission requires a health history and physical exam before surgery? | True |
| What should be included in preop teaching right before surgery? | Address need of highest priority, focusing on safety |
| True or False: You do not need to document preop teaching. | False |
| What should be documented about preop teaching? | Method of teaching and how the patient understood (e.g., demonstrate or verbalize) |
| Should you remove a patient's nail polish in preop? | Yes, to be able to measure with a pulse oximeter correctly |
| Should you document if valuables are given to a family member? | Yes |
| What should be returned to the patient ASAP after surgery? | Glasses |
Created by:
shrewsburysd
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