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WorksheetsFUNDAMENTALS Perioperative Nursing Care
Total questions: 42
Worksheet time: 25mins
Why should pts stop smoking as soon as possible with scheduled surgery?
Delays wound healing
Increases difficult clearing airway
Causes strokes
Causes pneumonia
Which age group has less physiological capacity to adapt to the stress of surgery?
Adolescents
School aged children
Older adults
Adults
Why does surgery increase the need for nutrition?
Adequate nutrition prevents internal bleeding
Adequate nutrition promotes tissue repair
Adequate nutrition decreases edema
Adequate nutrition increases resistance to infection
What happens as a pt's weight increases?
Decreased ventilation and heart function
Increased risk of post op atelectasis, pneumonia, and death
Increased risk for pressure injuries
Increased ventilation and heart function
Partial or complete obstruction of the upper airway during sleep
Hypoventilation sleep apnea
Pulmonic sleep apnea
Central sleep apnea
Obstructive sleep apnea
What changes happen to the body during obstructive sleep apnea?
Decreased cardiac output
Decreased sympathetic output
Decreased oxygen saturation
Decreased blood pressure
What is risky for a pt with obstructive sleep apnea?
Incentive spirometry
Conscious sedation
Post op ambulation
Drinking
Immunosuppression imposes what risks with surgery?
Amputation
Risk for infection
Inadequate wound healing
Blood clotting
What happens due to stress response from surgery?
Negative nitrogen balance
Hyperglycemia
Water and sodium retention
Potassium loss
Which pts have a greater risk of fluid and electrolyte alterations due to surgery?
Preexisting diabetes and renal diseases
GI or cardiovascular abnormalities
Spine and bone defmormities
Brain or nerve damage
Postoperative nausea and vomiting can cause
Wound splitting
Aspiration
Fluid and electrolyte imbalance
Pain
Which of the following increases the risk of postoperative nausea and vomiting?
Opioids and inhaled anesthetics
Increased fluid and electrolyte intake
Eating 24 hours before surgery
ENT, abdominal, and gynecology surgeries
Which factors increase risk of a venous thromboembolism?
Joint replacement
Surgery longer than 90 minutes
Mobility reduction after surgery
Cancer or cancer treatment
Who is at risk for developing a venous thromboembolism?
An obese pt with dehydration
A 5 year old pt with a paper cut
A 60 year old critical care pt with a known clotting disorder
An anorexic pt with hypoglycemia
Loss of all sensation and consciousness
Moderate conscious sedation
General anesthesia
Local anesthesia
Regional anesthesia
Loss of sensation in one are of the body
Moderate conscious sedation
General anesthesia
Local anesthesia
Regional anesthesia
Loss of sensation at a specific site
Moderate conscious sedation
General anesthesia
Local anesthesia
Regional anesthesia
High risk surgery
Major surgery
Minor surgery
Low risk surgery
Major surgery
Minor surgery
Not time sensitive
Urgent surgery
Elective surgery
Emergency surgery
Scheduled within 24-48 hours to alleviate symptoms, repair, or restore a body part
Urgent surgery
Elective surgery
Emergency surgery
Pt is transported to the OR ASAP to preserve life and function
Urgent surgery
Elective surgery
Emergency surgery
Removal of a diseased part
Reconstructive
Palliative
Ablative
Diagnostic
Used to confirm or rule out a condition
Reconstructive
Palliative
Ablative
Diagnostic
Used to alleviate discomfort or other disease symptoms without producing a cure
Reconstructive
Palliative
Cosmetic
Transplant
Used to restore function
Reconstructive
Palliative
Cosmetic
Transplant
Used to improve appearance
Reconstructive
Palliative
Cosmetic
Transplant
Replaces a malfunctioning body part, tissue, or organ
Reconstructive
Palliative
Cosmetic
Transplant
What are surgeries classified by?
Specialty
Seriousness
Urgency
Purpose
ASA classification of pt with a mild systemic disease w/o substantive changes
ASA 1
ASA 2
ASA 3
ASA 4
ASA classification of a normal healthy pt
ASA 1
ASA 3
ASA 4
ASA 5
ASA classification of a pt declared brain dead and whose organs are being removed for donor purpose
ASA 1
ASA 3
ASA 4
ASA 5
ASA classification of a pt with a systemic disease that is a constant threat to life
ASA 1
ASA 3
ASA 4
ASA 5
ASA classification of a pt with severe systemic disease with substantive changes
ASA 1
ASA 3
ASA 4
ASA 5
Poor control of blood glucose during and after surgery can lead to
Gangrene
Blood clots
Risk of infection
Poor healing
Observation, post anesthesia recovery score, and discharge occur during which phase of postoperative care?
Phase 1
Phase 2
Phase 3
Focused assessment, v/s every 5-15 mins, recovery from anesthesia, airway management, dressing assessment, pain control, fluid therapy, mobility and sensation assessmnet occur during which phase of postoperative care?
Phase 1
Phase 2
Phase 3
Assessment of airway, circulation, temperature, fluid & electrolyte, neuro, skin, metabolism, GI, GU, mobility, comfort, and nutrition occurs during which phase of postoperative care?
Phase 1
Phase 2
Phase 3
Rare genetic life threatening complication of anesthesia where a hypermetabolc state occurs within skeletal muscles that become triggered
Benign Hypothermia
Benign Hyperthermia
Malignant Hypothermia
Malignant Hyperthermia
Malignant hyperthermia results in increased
Intracellular calcium ions
Extracellular calcium ions
Intracellular sodium ions
Extracellular sodium ions
Malignant hyperthermia results in
Increased CO2, O2, and K+ levels
Metabolic and respiratory acidosis
Production of heat
Activation of the sympathetic nervous system
Early signs of malignant hyperthermia include
Tachypnea and tachycardia
Heart arrhythmias and muscle rigidity
Hypotension and hypoventilation
Hyperkalemia and hypercarbia
