Perioperative Phases
Which phase of the perioperative period begins when the decision for surgery is made?
Preoperative
What surgery type involves removal of a diseased body part?
What intervention helps prevent respiratory complications after surgery?
Incentive spirometry
Which activity is a legal requirement preoperatively?
A. Administering antiemetics
B. Obtaining consent
C. Placing IV lines
D. Teaching about pain
B. Obtaining consent
When should discharge planning begin?
Before surgery, in the preoperative phase
What is the nurse's main focus during the postoperative phase?
Preventing complications
An appendectomy for a ruptured appendix is classified as what kind of surgery?
Emergency/Ablative
A patient has not voided 8 hours post-surgery. What is the initial nursing action?
A. Insert catheter
B. Notify the surgeon
C. Encourage oral fluids
D. Position the patient to void
D. Position the patient to void
What is the nurse's role during the surgical time-out?
Confirm patient identity and site
Which symptom should the patient report after discharge?
A. Decreased appetite
B. Incisional pain on movement
C. Purulent would drainage
D. Mild fatigue
C. Purulent wound drainage
The goal of preoperative assessment is to:
A. Control surgical infection
B. Promote discharge
C. Identify surgical risks
D. Relieve pain
C. Identify surgical risks
A surgery performed to relieve symptoms but not cure is
Palliative
What can cause postoperative delirium?
A. Hypokalemia
B. High intake of fluids
C. Surgical dressing
D. Ambulation
A. Hypokalemia
What should the nurse do after applying antiembolism stockings?
A. Instruct the patient to remove them frequently
B. Monitor circulation and fit
C. Remove stockings before surgery
D. Apply only after surgery
B. Monitor circulation and fit
What is a priority before discharge in ambulatory surgery?
A. Arranging transport
B. Verifying signed consent
C. Ensuring patient is mobile and alert
D. Giving snacks
C. Ensuring patient is mobile and alert
Which is a key nursing activity in the intraoperative phase?
A. Assess readiness for discharge
B. Verify surgical site
C. Ambulate patient
D. Monitor for hypothermia
B. Verify surgical site
Surgery to restore function due to congenital anomalies is what kind of surgery?
Constructive
Which of the following is a late sign of wound infection?
A. Slight redness on day 1
B. Serous drainage
C. Fever on day 4
D. Minimal pain
C. Fever on day 4
Which physical preparation is part of the nurse's role?
A. Diagnosing the patient
B. Obtaining surgical permit
C. Removing dentures and prosthetics
D. Setting up the OR
C. Removing dentures and prosthetics
A nurse is providing dietary instructions post-surgery. Which should be included?
A. Eat fatty foods for energy
B. Follow dietary restrictions as advised
C. Avoid all fluids for 48 hours
D. Take large meals to regain strength
B. Follow dietary restrictions as advised
What are the two types of nurses during the intraoperative phase?
Scrub nurse and circulating nurse
What kind of surgery is scheduled in advance and not urgent?
Elective
Which condition is most likely to result in wound dehiscence?
A. Low sodium levels
B. Obesity
C. Frequent ambulation
D. Use of antibiotics
B. Obesity
What should the nurse teach about leg exercises before the surgery?
They prevent DVTs
Why should the nurse assess caregiver readiness before discharge?
To ensure safe patient support at home