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Pre Op
Intra Op
Post Op
Consent/Teaching
Misc.
100
What stage Begins when the decision to proceed with surgical intervention is made and ends with the transfer of the patient onto the OR bed
What is Preoperative phase
100
Older adult patients are at a higher risk for what kind of complications?
Anesthesia
100
The postoperative period begins when?
From the time the patient leaves the operating room until the last follow up visit with the surgeon.
100
If you are allergic to avacados, kiwi or bananas, you are more than likely to be allergic to what?
What is latex?
100
True or False The use of corticosteriods 1 year before surgery must be reported to the surgeon?
What is True
200
This must be obtained before any pre-anesthetics are administered and before surgery can begin
What is informed consent
200
Who works in collaboration with surgeons, anesthesia providers, and other health care providers to plan the best course of action for each patient.
Circulating Nurse
200
The operating room report to the PACU contains?
Overall tolerance of the procedure Type of surgery Type of anesthetics Results of the procedure Complication of the procedure Intake and output
200
you should discontinue aspirin how many days before surgery?
What is 7 - 10 days?
200
Potential complications are?
Pulmonary infection/hypoxia DVT Hematoma or hemorrhage Infection Pulmonary Embolism (PE) Wound dehiscence or evisceration Nausea/vomiting Paralytic ileus Urinary retention Atelectasis
300
After administering pre-op meds such as pre-anesthetics the number one priority is?
What is Patient safety, patient remains in bed, bed down, side rails are up
300
Performing a surgical hand scrub, setting up the sterile tables, preparing sutures, ligatures, and special equipment is done by?
The person performing the "Scrub Role"
300
The primary objective in the immediate postoperative period is to?
Maintain ventilation, preventing hypoxemia and hypercapnia
300
If the patient is not able to sign the consent form, who is allowed to sign?
the next of kin
300
How long before surgery should you discontinue herbal medicines?
What is 2 weeks
400
This serves to prepare the patient physically and emotionally for the surgery with a goal of reducing the risk for complications and promoting an optimal recovery time
What is patient education
400
Potential intra-operative complications include....
anesthesia awareness nausea and vomiting anaphylaxis hypoxia hypothermia malignant hyperthermia
400
After initial assessment, vital signs are monitored and the patient’s general physical status is assessed and documented, how often?
At least every 15 minutes
400
The nurses responsibility associated with informed consent is what?
Witness the signature and clarify the patient understands.
400
Many hospitals use a scoring system to determine the patient’s general condition and readiness for transfer from the PACU. This is called what?
What is The Aldrete score
500
Patients are urged to stop smoking 4 to 8 weeks before surgery to significantly reduce what kind of complications
What is pulmonary and wound healing complications
500
What are some associated hazards in the surgical environment?
Faulty equipment, improper use of equipment, exposure to toxic substances, surgical plume (smoke generate by electrosurgical cautery), infections wastes, cuts, needle stick injuries, lasers
500
Patient remains in the PACU until the patient?
Has recovered from effects of anesthesia Is oriented Has stable vital signs No evidence of hemorrhage or other complications
500
True or False Respiratory and cardiac complications are the leading cause of post op mortality and morbidity.
What is True
500
One of the most serious post-operative complications is?
What is hypovolemic shock