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NR 226 Perioperative Nursing Questions with Correct Answers

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pre-operative - ANSWERSbegins with decision to have surgery, lasts until patient is transferred to operating room intraoperative - ANSWERSextends from admission to surgical department to transfer to recovery room postoperative - ANSWERSlasts from admission to recovery room to a follow-up evaluation in the clinical setting or home classifications of surgical procedures - ANSWERSurgency major or minor risk purpose purposes for surgery - ANSWERSdiagnostic ablative pallitative reconstructive transplantation constructive types of anesthesia - ANSWERSgeneral regional topical local conscious sedation general anesthesia - ANSWERSadministration of drugs by inhalation, intravenous, rectal, or oral route regional anesthesia - ANSWERSanesthetic agent injected near a nerve or nerve pathway or around operative site no sedation topical anesthesia - ANSWERSused on mucous membranes, open skin, wounds, burns conscious anesthesia - ANSWERSused for short-term procedures three phases of general anesthesia - ANSWERSinduction—from administration of anesthesia to ready for incision maintenance—from incision to near completion of procedure emergence—starts when patient emerges from anesthesia and is ready to leave operating room informed consent information - ANSWERSdescription of procedure and alternative therapies underlying disease process and its natural course name and qualifications of person performing procedure explanation of risks and how often they occur explanation that patient has the right to refuse treatment or withdraw consent informed consent - ANSWERSvoluntary Agreement legal document with ethical imperatives person performing surgery obtains consent (usually MD)*** nurse witnesses nurse witnesses for informed consent - ANSWERSnurse's signature indicates: patient signed without coercion patient was alert & aware (competent) score for PARS to leave PACU - ANSWERS8-10 score for PARSAP before discharge - ANSWERS18 based on multiple factors including ambulation may be lower if patient could not use extremities before surgery ambulatory surgery - ANSWERSoutpatient, same day, usually out in 24 hours may require additional teaching and home care services for certain patients benefits of ambulatory surgery - ANSWERSreduces length of hospital stay and cuts costs reduces stress for the patient

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NR 226 Perioperative Nursing Questions
with Correct Answers
pre-operative - ANSWERSbegins with decision to have surgery, lasts until patient is
transferred to operating room

intraoperative - ANSWERSextends from admission to surgical department to transfer to
recovery room

postoperative - ANSWERSlasts from admission to recovery room to a follow-up
evaluation in the clinical setting or home

classifications of surgical procedures - ANSWERSurgency
major or minor risk
purpose

purposes for surgery - ANSWERSdiagnostic
ablative
pallitative
reconstructive
transplantation
constructive

types of anesthesia - ANSWERSgeneral
regional
topical
local
conscious sedation

general anesthesia - ANSWERSadministration of drugs by inhalation, intravenous,
rectal, or oral route

, regional anesthesia - ANSWERSanesthetic agent injected near a nerve or nerve
pathway or around operative site

no sedation

topical anesthesia - ANSWERSused on mucous membranes, open skin, wounds, burns

conscious anesthesia - ANSWERSused for short-term procedures

three phases of general anesthesia - ANSWERSinduction—from administration of
anesthesia to ready for incision

maintenance—from incision to near completion of procedure

emergence—starts when patient emerges from anesthesia and is ready to leave
operating room

informed consent information - ANSWERSdescription of procedure and alternative
therapies
underlying disease process and its natural course
name and qualifications of person performing procedure
explanation of risks and how often they occur
explanation that patient has the right to refuse treatment or withdraw consent

informed consent - ANSWERSvoluntary Agreement
legal document with ethical imperatives
person performing surgery obtains consent (usually MD)***
nurse witnesses

nurse witnesses for informed consent - ANSWERSnurse's signature indicates:
patient signed without coercion
patient was alert & aware (competent)

score for PARS to leave PACU - ANSWERS8-10

score for PARSAP before discharge - ANSWERS18
based on multiple factors including ambulation
may be lower if patient could not use extremities before surgery

ambulatory surgery - ANSWERSoutpatient, same day, usually out in 24 hours

may require additional teaching and home care services for certain patients

benefits of ambulatory surgery - ANSWERSreduces length of hospital stay and cuts
costs

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