SCC Block 2 Perioperative Questions With Complete
Solutions
. Assessment renal/urinary, G.I., psychosocial Correct Answer
Check for retention and distention, and taking output, women
being more at risk for nausea and vomiting, decrease in
peristalsis because of anesthesia, opioid analgesics, bowel
sounds slowing during G.I. surgeries. Obese patients are also
increased risk for nausea and vomiting in abdominal surgeries
and anyone with motion sickness history.
4 ways of classifying surgical procedures Correct Answer
Body system surgeries, example abdominal/orthopedic/cardiac.
Elective, a non-emergent and scheduled in advanced surgery.
Urgent/emergent, done immediately to save a life/preserve
function or done 24 to 48 hours to restore/repair function. Major
or minor surgery and purpose
A preop SBAR report to the OR staff should include Correct
Answer Situation, patient name, age, surgical procedure,
surgeon, surgical site
Background, significant patient history, allergies, medications
Assessment, baseline vital signs, findings relative to surgical
procedure, coping strategies
Recommendation, preoperative care still needed, positioning
concerns, etc.
Aldrete score activity Correct Answer Able to move four
extremities voluntarily or on command - 2
Able to move two extremities voluntarily or on command - 1
Unable to move extremities voluntarily or on command - 0
,Aldrete score circulatory Correct Answer BP 20% of preop
level - 2
BP 20 to 50% of preop level - 1
BP 50% of preop level - 0
Aldrete score consciousness Correct Answer Fully awake - 2
Arousable on calling - 1
Not responding - 0
Aldrete score O2 saturation Correct Answer Able to maintain
O2 saturation greater than 92% on room air - 2
Needs O2 inhalation to maintain O2 saturation above 90% - 1
O2 saturation less than 90% even with O2 supplement - 0
Aldrete score respiratory Correct Answer Respiratory
Able to breathe deeply and cough freely - 2
Dyspnea or limited breathing - 1
Apnea - 0
Aldrete scoring system Correct Answer Scores respiration, O2
saturation, consciousness, circulation and activity on 80 to 10
scale. 9 or 10 means they're able to discharge
Anesthesia Correct Answer Induced state with partial or total
loss of sensation, with or without loss of consciousness and is
used to block nerve impulse transmission's, suppress reflexes,
promote muscle relax station and to achieve controlled level of
unconsciousness
, Anti-cholinergics, H2 antagonist, anti-emetics and antibiotics
are used during/after. Why? Correct Answer
Anticholinergic's, used to reduce secretions
H2 antagonist, used to reduce gastric acid secretions
Anti-emetics, used for decrease nausea and vomiting
Anabiotic's, during and after to kill infection or prevent infection
Attire that is required in the surgical suite Correct Answer
Surgical attire, head covers, gloves, masks
Baseline data nutritional status Correct Answer Any alteration
in nutrition Delays wound healing and increase his risk for
infection. Mal nutrition causes increased risk for fluid and
electrolyte alterations and increase risk of skin breakdown. The
nurse would let C intraoperative staff know so that they can
provide extra padding to bony prominences and give the patient
boost or ensure in postop
Baseline data nutritional status, obesity Correct Answer More
likely to have dehiscence, is just a ration, wound infection from
fatty tissues having poor blood supply. Increased risk for CV,
respiratory, G.I. complications. Increased risk for disruption in
wound integrity and slower recovery from anesthesia since
anesthesia is stored in adipose tissue and takes longer to
diminish
Benzos are use preoperatively, why? Correct Answer Use for
anesthesia and sedative properties. Opioids are use
preoperatively to help decrease pain and intraoperative
anesthetic
Solutions
. Assessment renal/urinary, G.I., psychosocial Correct Answer
Check for retention and distention, and taking output, women
being more at risk for nausea and vomiting, decrease in
peristalsis because of anesthesia, opioid analgesics, bowel
sounds slowing during G.I. surgeries. Obese patients are also
increased risk for nausea and vomiting in abdominal surgeries
and anyone with motion sickness history.
4 ways of classifying surgical procedures Correct Answer
Body system surgeries, example abdominal/orthopedic/cardiac.
Elective, a non-emergent and scheduled in advanced surgery.
Urgent/emergent, done immediately to save a life/preserve
function or done 24 to 48 hours to restore/repair function. Major
or minor surgery and purpose
A preop SBAR report to the OR staff should include Correct
Answer Situation, patient name, age, surgical procedure,
surgeon, surgical site
Background, significant patient history, allergies, medications
Assessment, baseline vital signs, findings relative to surgical
procedure, coping strategies
Recommendation, preoperative care still needed, positioning
concerns, etc.
Aldrete score activity Correct Answer Able to move four
extremities voluntarily or on command - 2
Able to move two extremities voluntarily or on command - 1
Unable to move extremities voluntarily or on command - 0
,Aldrete score circulatory Correct Answer BP 20% of preop
level - 2
BP 20 to 50% of preop level - 1
BP 50% of preop level - 0
Aldrete score consciousness Correct Answer Fully awake - 2
Arousable on calling - 1
Not responding - 0
Aldrete score O2 saturation Correct Answer Able to maintain
O2 saturation greater than 92% on room air - 2
Needs O2 inhalation to maintain O2 saturation above 90% - 1
O2 saturation less than 90% even with O2 supplement - 0
Aldrete score respiratory Correct Answer Respiratory
Able to breathe deeply and cough freely - 2
Dyspnea or limited breathing - 1
Apnea - 0
Aldrete scoring system Correct Answer Scores respiration, O2
saturation, consciousness, circulation and activity on 80 to 10
scale. 9 or 10 means they're able to discharge
Anesthesia Correct Answer Induced state with partial or total
loss of sensation, with or without loss of consciousness and is
used to block nerve impulse transmission's, suppress reflexes,
promote muscle relax station and to achieve controlled level of
unconsciousness
, Anti-cholinergics, H2 antagonist, anti-emetics and antibiotics
are used during/after. Why? Correct Answer
Anticholinergic's, used to reduce secretions
H2 antagonist, used to reduce gastric acid secretions
Anti-emetics, used for decrease nausea and vomiting
Anabiotic's, during and after to kill infection or prevent infection
Attire that is required in the surgical suite Correct Answer
Surgical attire, head covers, gloves, masks
Baseline data nutritional status Correct Answer Any alteration
in nutrition Delays wound healing and increase his risk for
infection. Mal nutrition causes increased risk for fluid and
electrolyte alterations and increase risk of skin breakdown. The
nurse would let C intraoperative staff know so that they can
provide extra padding to bony prominences and give the patient
boost or ensure in postop
Baseline data nutritional status, obesity Correct Answer More
likely to have dehiscence, is just a ration, wound infection from
fatty tissues having poor blood supply. Increased risk for CV,
respiratory, G.I. complications. Increased risk for disruption in
wound integrity and slower recovery from anesthesia since
anesthesia is stored in adipose tissue and takes longer to
diminish
Benzos are use preoperatively, why? Correct Answer Use for
anesthesia and sedative properties. Opioids are use
preoperatively to help decrease pain and intraoperative
anesthetic
