NUR 223 Unit 1 Module 1 - Perioperative Nursing: Pre-Op (With Complete solutions)

Peri-Operative Stages correct answers Perioperative nursing spans entire surgical experience - Professional standards cover behavioral response, physiologic response Preoperative - Begins when decision to proceed w/ surgical intervention made & ends w/ transfer of pt to OR bed Intraoperative - Begins when pt transferred to OR bed, ends w/ admission to PACU - Nursing responsibilities: acting as scrub nurse, circulating nurse, or RN first assistant Postoperative - Begins when admitted to PACU, ends w/ follow-up eval AORN conceptual model of pt care: 4 domains - Phenomena of concern to periop nurse, include nursing dx, interventions, outcomes --- Safety --- Physiologic responses --- Behavioral responses - Structural data elements, focus on clinical processes & outcomes Surgical Classifications correct answers - Facilitating diagnosis (e.g., dx procedure - biopsy, exploratory laparatomy) - Cure (e.g., excision of tumor, inflamed appendix) - Repair (e.g., multiple wound repair) - Reconstructive/cosmetic (e.g., mammoplasty, facelift) - Palliative: to relieve pain or correct problem (e.g., debulking tumor to achieve comfort, remove dysfunctional gallbladder) - Rehabilitative (e.g., total joint replacement to correct crippling pain, or progression of degenerative osteoarthritis) - Classified by degree of urgency: emergent, urgent, required, elective, optional Emergent surgery correct answers Patient requires immediate attention; disorder may be life threatening - Indications: without delay - Ex: severe bleeding, bladder/intestinal obstruction, fractured skull, gunshot/stab wound, extensive burns Urgent surgery correct answers Patient requires prompt attention - Indications: within 24-30 hours - Ex: closed fractures, infected wound exploration/irrigation Required surgery correct answers Patient needs to have surgery - Indications: within a few weeks/months - Ex: prostatic hyperplasia, thyroid disorders, cataracts Elective Surgery correct answers Patient should have surgery - Indications: failure to have surgery not catastrophic - Ex: repair of scars, simple hernia, vaginal repair