Preoperative Care
What is the main nursing priority before surgery?
Completing the pre-op checklist (history, consent, allergies, orders, time-out)
Name the members of the sterile:
Surgeon, scrub nurse, surgical assistant, RNFA
Which anesthesia type keeps the patient unconscious?
General anesthesia
What is the first priority assessment in PACU?
ABCs (airway, breathing, circulation)
Signs of malignant hyperthermia include tachycardia and what maximum temperature?
Up to 105 degrees fahrenheit
A patient ate breakfast 4 hours before surgery. What should the nurse do?
Notify the surgeon and delay surgery
How long should the surgical scrub last?
3-5 minutes
What airway device requires consent?
Endotracheal tube (ETT)
Which symptom is the last to return after surgery?
Bowel sounds
Which medications increase bleeding risk before surgery?
aspirin, warfarin, clopidogrel
Which allergy could indicate latex sensitivity?
Kiwi, banana, avocado
Which body areas are considered sterile during the surgery?
gloves, front of the gown, above the waist
Which anesthetic drug can cause hallucinations if the team talks loudly?
Ketamine
How often should vital signs be assessed immediately post-op?
Every 15 minutes initially, then spaced out per protocol
What are the progressive types of wound drainage?
sanguineous -> serosanguineous -> serous
Who is responsible for obtaining informed consent?
The surgeon
What position is used for vaginal or perineal procedures?
Lithotomy
Which patient history question helps prevent malignant hyperthermia?
family history of anesthesia complications
Which action prevents aspiration when a patient vomits in PACU?
Turn them on their side
Name one complication of postoperative nausea/vomiting (PONV)
Aspiration, wound dehiscence, dehydration, electrolyte imbalance
What type of surgery is this classified as: A 32-year-old patient arrives at the emergency department after a car accident with an open femur fracture. The surgeon states the patient must go to the operating room within the next few hours to prevent permanent loss of function.
Urgent
What medication treats malignant hyperthermia?
Dantrolene
What's the difference between regional and local anesthesia?
Regional blocks a nerve/region; local blocks conduction at the site
What's the minimum urine output that must be reported?
30 mL per hour
Which factor increases risk for PONV?
history of motion sickness