BSNC 3000 Midterm Exam Solved Correctly To Score A+
Terms in this set (502)
Begins when decision to proceed with surgery is made and ends with the transfer to
What is the preoperative phase?
OR
Where do pre-operative nurses work? PAC or surgical daycare
What is done in the pre-operative Preadmission assessment, blood work, anesthetic consult, medication review,
admission clinic (PAC)? preoperative education
When does the patient go to the PAC? Few days/weeks before surgery
What is included in the preadmission Health history and physical assessment
assessment?
What is included in the preadmission blood CBC, electrolytes, urea, creatinine, GFR, fasting plasma glucose, HbA1C, lipid
work/diagnostics? profile, coagulation test, ECG (over 50years)
What is preoperative education? To explain what needs to be done at home before surgery
What does NPO reduce the risk of during Decrease risk of aspiration
surgery?
- No solid food 6+ hours before surgery
What are the general fasting guidelines? - Clear fluids up until 2hrs before surgery
- Fasting from all intake including meds for 2hrs before surgery
What is preoperative carbohydrate Carbohydrate-rich drink to keep patient in fed state
loading?
What does preoperative Hunger, thirst, anxiety, postoperative insulin resistance, muscle protein loss
carbohydrate loading reduce?
What is ERAS? Enhanced Recovery After Surgery
What does ERAS do? Decrease complications after surgery
Why would you stop an ACEi Risk of hypotension and bleeding
before surgery?
Why would you stop Ibuprofen before Risk of bleeding
surgery?
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, Why would you stop Glyburide Risk of hypoglycemia
before surgery?
What is completed in the pre-operative unit Pre-op assessment and checklist, confirmation of informed consent, IV line
on the day of surgery? started, pre-op medications administered
- Creates a baseline for post-op care
- Identifies abnormal findings
- Assesses for risk of complications
What does the pre-op assessment do?
- Verifies informed consent
- Evaluates readiness for surgery
- Maintains patient safety
Do you remove hearing aides or dentures Depends on the surgery
for surgery?
Why do you remove nail polish and May hide abnormal signs
cosmetics before surgery?
Why do you remove all clothing for Easy access
surgery?
Why do you record last void before Possible risk of retention
surgery?
What is G&S (group and screen)? Blood type test
What is crossmatch? Looking for transfusion reactions
Who completes the informed consent Physician
form?
What is the nurse's job with informed Verify it's signed
consent?
Can you withdraw consent at anytime? Yes
What is informed consent? Patient's voluntary decision about whether to undergo a health procedure
- Description of procedure
- Who will perform
For non-emergency surgery, informed - Nature/reason of surgery
consent should include? - Benefits/risks
- Alternative options
- What to expect post-op
Which of the following statements about 1. The nurse places the form on the chart for the physician to obtain consent
the nurse's role in obtaining informed 3. The nurse confirms consent and witnesses the patient's signature before
consent before surgery is correct? sedation is administered
1. The nurse places the form on
the chart for the physician to obtain
consent
2. The nurse describes the surgical
procedure and asks the patient to sign the
consent form
3.The nurse confirms consent and
witnesses the patient's signature before
sedation is administered
4.The nurse has no duties once consent
is obtained, even if the patient asks
additional questions
What is intraoperative nursing? When patient is transferred to OR
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