Preoperative Care
What does NPO status help prevent during anesthesia?
What is Aspiration?
What lab is checked preoperatively to assess kidney function and guide dosing for renally cleared medications like antibiotics?
What is BUN/ Creatinine?
Before giving any sedative or pre-op medication, the nurse must verify this legal requirement.
What is informed consent?
What is the vital sign that is closely monitored closely to assess the patient’s recovery?
What is blood pressure?
What is the most common cause of postoperative hypovolemic shock?
What is hypovolemic?
Who is responsible for obtaining informed consent?
Who is the surgeon/provider; nurse witnesses consent?
This electrolyte must be monitored closely before surgery because abnormalities can increase the risk of dysrhythmias during anesthesia
What is Potassium?
What is the purpose of a surgical time-out?
What is confirming the right patient, right procedure, and right site?
This type of dressing is used to absorb drainage and protect the surgical site after an operation.
What is a sterile dressing?
Low blood pressure, fast heart rate, and cool skin can be signs of what emergency problem?
What is shock?
Name two parts of preoperative assessment.
What is health hx, allergies, meds, vitals, labs, psychosocial status?
Given preoperative to reduce aspiration risks, and this class decreases gastric acid secretion.
What is H2 blockers or proton pump inhibitors?
What is included in postoperative education?
What is teaching about wound care, activity, and medications?
Patients are more at risk for what after a procedure?
What is Deep Vein Thrombosis (DVT)?
What is the FIRST nursing action when a patient’s BP drops to 80/40 post-op?
What is assess airway and circulation; notify provider; prepare fluids?
Identify one priority preoperative nursing diagnosis.
What is Anxiety, Knowledge deficit, Risk for infection, Risk for bleeding?
Often given preoperatively, this medication decreases secretion and helps prevent bradycardia during anesthesia.
What is atropine?
This nurse checks that the patient removed jewelry, dentures, and contacts before surgery to prevent airway and safety issues.
Who is the pre-op nurse?
Patients with a history of DVT are at an increased risk for what complication after a procedure?
What is a pulmonary embolism (PE)?
What is a symptom of anaphylactic shock?
What is airway swelling/wheezing, hives?
State one expected outcome for a well-prepared preoperative patient.
What is patient verbalizes understanding of procedures, shows decreased anxiety, stable vitals, and consent completed?
If this lab value is low, it can increase the risk for hypotension during anesthesia because it reflects low intravascular volume.
What is Hematocrit?
What state should the patient be in before discharge?
What is the patient must be alert, breathing well, and have stable vitals?
Name one intervention to prevent atelectasis.
What is incentive spirometer, turn/cough/deep breathe, early ambulation?
What is the RN’s role in blood transfusion administration?
What is verify patient, monitor for reactions, start transfusion; LPN cannot start blood products?