Perioperative Notes-Exam 1

Perioperative Notes-Exam 1 1. Surgery 2. Inpatient Surgical Procedure A. ) 3. Perioperative Nursing Care (ATI CH. 95) A. Assessing Risk Factors from Surgery 4. Preoperative Assessment A. Obtain Past Health History 1. Allergies: B. Diagnostic Tests C. Informed Consent (Read Med Surg ATIpg. 640/641) D. Nursing Care-Preoperative Teaching(Starts 1-2 days prior to Surgery) E. Client Education 5. Intraoperative Nursing Care: Anesthesia and Moderate Sedation A. General Anesthesia: (routes: inhalation and IV)- midazolam (Versed) B. General Anesthesia: (Intravenous) 1. Anesthetics: C. Conscious Sedation (Moderate-General) 1. Local D. Risk Factors (complications): AIRWAY IS THE PRIORITY E. Nursing Actions: F. Local Anesthetic G. Nursing Actions H. MEDICATIONS: 6. Post-Op Nursing Care (ATI CH. 96) A. PACU Assessments and Interventions …………………………………………………………………………….CONT APPLY YOUR KNOWLEDGE 1. The physician asks the nurse to witness an informed consent. The nurse understands that a patient who is unable to give an informed consent for surgery is a: 2. A patient is scheduled to have surgery and informed consent is to be obtained. Place these steps in the order in which they should performed. 3. The nurse is providing preoperative teaching to the following patients. To which patient should the nurse plan to teach coughing and deep breathing exercises? 4. A 58-year-old man with a recent diagnosis of prostate cancer is scheduled for a radical prostatectomy. Before signing the consent, the patient tells the nurse, “I am not sure if this surgery is safe.” Which response by the nurse is the most appropriate? 1. "Tell me what you know about your surgery and the risks involved.” 2. “Any surgery has risks, but we will be here to take good care of you.” 3. “You seem anxious. Once you sign the consent, I can give you a sedative.” 4. “You do not need to be concerned. Your surgeon has not had any complaints.” 5. Lorazepam (Ativan) 1 mg IV is ordered for a 45-year-old male patient before a scheduled surgery. Which of the following is the most appropriate action for the nurse to take before the administration of this medication? 6. The nurse in an ambulatory surgery center has administered the following preoperative medications to a 42-year-old female patient scheduled for general surgery: diazepam (Valium), cefazolin (Ancef), and famotidine (Pepcid). What mode of transportation to the operating room (OR) would be the most appropriate for the nurse to arrange for this patient? . 7. The client is scheduled for total hip replacement. Which behavior indicates to the nurse the need for further preoperative teaching? 8. The perioperative nurse is reviewing the chart of a 48-year-old male patient who is being admitted into the operating room for a laminectomy. What information obtained from the chart review should be immediately discussed with the anesthesiologist?