CHAPTER 18-20 PERIOPERATIVE / PERIANESTHESIA
NURSING MANAGEMENT QUESTIONS AND DETAILED
ANSWERS|ALREADY GRADED A
What is the impact of surgery on physical and psychological stresses?
Correct Ans- *Physical stresses *
+resistance to infection is lowered
+organ function may be altered due to manipulation
*Psychological stresses*
+Fear
+Pain
+Anxiety
+Loss of control
+Body Image
+Alterations in ADL
The preoperative phase Correct Ans- Begins when decision for surgical
intervention is made and ends with the transfer of the patient to the
operating room table
What are some things the preoperative phase includes? Correct Ans-
+History
+Physical exam
+Height and weight
+Teaching
,+Medications
+Labs & Diagnostic tests
+Operative site marked by physician
+Questions answered
+Emotional support
Preoperative
Anesthesia Consult (3) Correct Ans- + Anesthesia provider discusses
patient's past experience with anesthesia and if patient had any problems
anesthesia
+Discusses types of anesthesia that can be used based on patient's
medical status and surgery to be performed
+ Risk for malignant hyperthermia determined
Legal Issues - consent! Correct Ans- Responsibility of the surgeon to
provide informed consent.
+Informed consent
-Surgery
-Anesthesia
-Blood
+Adult consent
, +Minors consent
+Emancipated minors
+Witness to consent
+Emergency situations
NOTES:
Not signing, example: two broken wrtists, two witnesses.
Minor any one under the age of 18, patients parents or guardians signs
their consent
Emancipated minors: female and have had a child, living on your own
and supporting yourself. Has to file required paperwork.
Emergency situations once they are out of surgey, will have to obtain
consent later.
What do you do Immediately Pre-op? Correct Ans- +Baseline vital signs
+Provide oral hygiene, remove dentures, record loose teeth
+Remove nail polish, cosmetics, hair pins, prostheses
+Have patient void
NURSING MANAGEMENT QUESTIONS AND DETAILED
ANSWERS|ALREADY GRADED A
What is the impact of surgery on physical and psychological stresses?
Correct Ans- *Physical stresses *
+resistance to infection is lowered
+organ function may be altered due to manipulation
*Psychological stresses*
+Fear
+Pain
+Anxiety
+Loss of control
+Body Image
+Alterations in ADL
The preoperative phase Correct Ans- Begins when decision for surgical
intervention is made and ends with the transfer of the patient to the
operating room table
What are some things the preoperative phase includes? Correct Ans-
+History
+Physical exam
+Height and weight
+Teaching
,+Medications
+Labs & Diagnostic tests
+Operative site marked by physician
+Questions answered
+Emotional support
Preoperative
Anesthesia Consult (3) Correct Ans- + Anesthesia provider discusses
patient's past experience with anesthesia and if patient had any problems
anesthesia
+Discusses types of anesthesia that can be used based on patient's
medical status and surgery to be performed
+ Risk for malignant hyperthermia determined
Legal Issues - consent! Correct Ans- Responsibility of the surgeon to
provide informed consent.
+Informed consent
-Surgery
-Anesthesia
-Blood
+Adult consent
, +Minors consent
+Emancipated minors
+Witness to consent
+Emergency situations
NOTES:
Not signing, example: two broken wrtists, two witnesses.
Minor any one under the age of 18, patients parents or guardians signs
their consent
Emancipated minors: female and have had a child, living on your own
and supporting yourself. Has to file required paperwork.
Emergency situations once they are out of surgey, will have to obtain
consent later.
What do you do Immediately Pre-op? Correct Ans- +Baseline vital signs
+Provide oral hygiene, remove dentures, record loose teeth
+Remove nail polish, cosmetics, hair pins, prostheses
+Have patient void
