Pre-Op Nursing
Name 3 components of a Pre-Op Assessment
Head-to-Toe Assessment
Allergy/Medication List
Identification of Risk Factors
What type of patient education is necessary for post-op patients?
Wound dressing
Identifying s/s of complications
Follow-up appointments
Diet
Exercise
ADLs
Handling of medical supplies
Dressing changes
What is the area post-op patients are monitored while they recover from anesthesia?
Post-anesthesia care unit (PACU)
What type of complication from surgery can result in hypovolemic shock and death?
Hemorrhage
What is a classic sign of hypovolemic shock?
Pallor
Identify 3 Pre-Op Nursing Interventions
Administer pre-anesthetics
Prep the skin
Prep the patient
List some ways you can reduce anxiety and fear in your patient during the pre-op phase?
Establish a positive nurse-patient relationship
Identify coping strategies
Education about what to expect during and after the procedure
What is the highest priority nursing intervention for a client in the post-op phase?
Maintain a patient airway
What are signs of respiratory distress?
High HR
SOB
Fast breathing
Shallow breaths
Fever
Cyanosis
Body position
What a potential post-op complication of a patient following a vegan diet?
Describe Informed Consent
Patients autonomous decision about whether to undergo a surgical procedure.
Your patient states "why is my mobility important after surgery, I might be in pain" How would the nurse respond?
Mobility will help improve circulation
What factors may contribute to rapid and shallow respirations in a post-op patient?
Obesity
Abdominal distention
Pain
Constricting dressing
List complications seen in post-op patients.
Wound is not healing
Redness and swelling
Fever
Pain
Which assessment indicated to the nurse that the client may be experiencing dehydration because of NPO status?
Resp Rate: 20 breaths per minute
Oxygen: 95%
Blood Pressure: 80/50 mmm Hg
Blood Pressure: 80/50 mmm Hg
List some complications related to bariatric patients
Delayed wound healing
Why would we educate a patient on deep breathing, coughing and use of incentive spirometry?
Promote optimal lung expansion
Enhance respirations
Mobilize secretions
List 3 primary nursing assessments that should be done with every post-op patient
Airway
Level of consciousness
Cardiac
Respiratory
Wound Pain
List nursing interventions for post-op complications.
Keep wound dry and clean.
Give cool pack.
Give acetaminophen every 4-6 hours.
Elevate extremities.
Keep any surtures clean.
When would the nurse anticipate that a client with a history of alcoholism would show signs of alcohol withdrawal delirium?
Up to 72 hours after alcohol withdrawal
Why is medication such as, aspirin, clopidorgrel, warfarin, etc. contraindictated prior to surgery?
Patient is at risk for increased bleeding
Why is patient education and discharge planning necessary? What is the goal?
What occurs in about 30%-50% of surgical patients?
Nasuea/Vomitting
Name primary cardiovascular complications in the PACU
Hypotension shock
Hemorrhage
Hypertension
Arrythmias
What would be a nursing intervention to prevent pneumonia for a post-op patient?
Ambulation