Peri Operative Care Nur 170 Prep Exam
Questions With Complete Solutions.
Preoperative Phase - Answer Decision for surgery is made and ends when the patient is transferred to
the operating room
Intraoperative Phase - Answer Begins with the patient's entry into the operating room and ends with
admittance to the postanesthesia care unite (PACU) or recovery room
Postoperative Phase - Answer Begins with the patient's admittance to the PACU and ends with the
patient's complete recovery from the surgical intervention
Elective Surgery - Answer Suggested and scheduled, no forseen ill effects if postponed
Urgent Surgery - Answer Necessary to be performed within 1 to 2 days (ASAP)
Emergency Surgery - Answer Performed IMMEDIATELY; life or limb threatening
Ambulatory Admission - Answer Surgeries are performed that DONT require hospital admission;
Outpatient procedure
Same Day Admission - Answer Admission of surgical patients to the hospital on the day of surgery
Early Admission - Answer Patient that may have multiple and/or significant comorbidities are admitted
1 to 2 days prior to surgery to maintain or prepare
Diagnostic Surgery - Answer Surgical exploration that alows health care providers to confirm diagnoses
ex: laparotomy
Curative Surgery - Answer Surgery performed to resolve a health problem by repairing or removing the
cause
, • Ex. Lap chole, Mastectomy, Hysterectomy
Palliative Surgery - Answer Surgery that improves comfort or reduces intensity of disease symptoms;
will not produce cure (ex. colostomy, debridement of necrotic tissue)
Cosmetic Surgery - Answer Surgeries specific in the surgical restoration and reconstruction of body
structures (ex. rhinoplasty)
Reconstructive Surgery - Answer Surgery performed to improve/restore a client's functional ability
• Ex. Total knee replacement, Finger reimplantation
Neuroendocrine Response - Answer SNS stimulation (stress response) = compensatory vasoconstriction
Increased HR and BP (risk for stroke, bleeding)
Decreased Peristalsis (No Bowel Sounds, pain meds not effective)
Hormonal Response - Answer Norepinephrine = increased HR
Aldosterone = increased fluid/Na (decreased UO)
Glucocorticoids = increased blood sugar
Metabolic Response - Answer Relative rate of starvation
~Gluconeogenesis
~Fat metabolism
~Protein breakdown
~Negative Nitrogen balance
Healing - Answer Adequate protein and Vitamin C
Psychological Response - Answer Anxiety and Fear r/t to cause for surgery and poor coping skills
Questions With Complete Solutions.
Preoperative Phase - Answer Decision for surgery is made and ends when the patient is transferred to
the operating room
Intraoperative Phase - Answer Begins with the patient's entry into the operating room and ends with
admittance to the postanesthesia care unite (PACU) or recovery room
Postoperative Phase - Answer Begins with the patient's admittance to the PACU and ends with the
patient's complete recovery from the surgical intervention
Elective Surgery - Answer Suggested and scheduled, no forseen ill effects if postponed
Urgent Surgery - Answer Necessary to be performed within 1 to 2 days (ASAP)
Emergency Surgery - Answer Performed IMMEDIATELY; life or limb threatening
Ambulatory Admission - Answer Surgeries are performed that DONT require hospital admission;
Outpatient procedure
Same Day Admission - Answer Admission of surgical patients to the hospital on the day of surgery
Early Admission - Answer Patient that may have multiple and/or significant comorbidities are admitted
1 to 2 days prior to surgery to maintain or prepare
Diagnostic Surgery - Answer Surgical exploration that alows health care providers to confirm diagnoses
ex: laparotomy
Curative Surgery - Answer Surgery performed to resolve a health problem by repairing or removing the
cause
, • Ex. Lap chole, Mastectomy, Hysterectomy
Palliative Surgery - Answer Surgery that improves comfort or reduces intensity of disease symptoms;
will not produce cure (ex. colostomy, debridement of necrotic tissue)
Cosmetic Surgery - Answer Surgeries specific in the surgical restoration and reconstruction of body
structures (ex. rhinoplasty)
Reconstructive Surgery - Answer Surgery performed to improve/restore a client's functional ability
• Ex. Total knee replacement, Finger reimplantation
Neuroendocrine Response - Answer SNS stimulation (stress response) = compensatory vasoconstriction
Increased HR and BP (risk for stroke, bleeding)
Decreased Peristalsis (No Bowel Sounds, pain meds not effective)
Hormonal Response - Answer Norepinephrine = increased HR
Aldosterone = increased fluid/Na (decreased UO)
Glucocorticoids = increased blood sugar
Metabolic Response - Answer Relative rate of starvation
~Gluconeogenesis
~Fat metabolism
~Protein breakdown
~Negative Nitrogen balance
Healing - Answer Adequate protein and Vitamin C
Psychological Response - Answer Anxiety and Fear r/t to cause for surgery and poor coping skills
