Surgical Settings
This term is for the time before, during, and after surgery?
What is the perioperative period
The purpose of the preoperative interview
What is to obtain health information, provide information about the surgical experience, and assess readiness for surgery
This person is responsible for obtaining the patient's informed consent
Who is the surgeon or healthcare provider
These must be removed before surgery?
What are nail polish, jewelry, artificial nails, and underwear
This drug type is used preoperatively to reduce anxiety and provide amnesia
What are benzodiazepines
A common surgery frequently performed in older adults.
What is cataract extraction or joint replacement
This type of surgery is planned in advance
What is elective surgery
3 components of the nursing preoperative assessment.
What are psychologic status, physiologic factors, and identification of the surgical site
The three requirements for a valid informed consent
What are adequate disclosure, patient understanding, and voluntary agreement
The final nursing responsibility before the patient is transferred to the OR
What is a final “hand-off” communication with the OR nurse
This type of preoperative medication is used to prevent postoperative nausea
What are antiemetics
Common side effect of anticholinergics, summarized as “Can’t Pee, See, Spit, or Sh**”?
What are dry mouth, urinary retention, constipation, and blurred vision
This type of surgery is performed on the same day the patient is discharged
What is ambulatory surgery or same-day surgery
This medication type inhibits platelet aggregation and may cause postoperative bleeding
What are antiplatelet drugs like aspirin or NSAIDs
This must happen before sedating preoperative drugs are administered
What is the patient must demonstrate a clear understanding of the procedure
The signs of malnutrition that a nurse should assess during preoperative preparation
What are brittle nails, muscle wasting, delayed skin turgor, dry hair and skin.
These drugs may reduce secretions but can cause dry mouth
What are anticholinergics
This is why older adults require special preoperative teaching considerations
What is to account for sensory, motor, and cognitive deficits
2 common purposes for surgery.
What are diagnosing and curing
This is why assessing family history in the preoperative period is important.
What is to identify potential familial conditions, such as malignant hypertension
In an emergency, what overrides the need for informed consent
What is a true medical emergency
The nurse must ensure this is present in the patient’s chart on the day of surgery
What are signed consent forms, lab results, and preoperative checklists
This type of drug may be given to prevent a myocardial infarction in patients with hypertension or CAD
What are beta blockers
This is an important assessment for older adults before anesthesia
What is baseline cognitive function
These factors influence the surgical setting
What are the complexity of surgery, potential complications, and the patient's general health status
These additional risks must be assessed for a diabetic patient undergoing surgery
What are adverse effects of anesthesia and surgery-related complications
These six elements must be disclosed for informed consent?
What are diagnosis, nature/purpose of treatment, risks, consequences, alternatives, and prognosis without treatment
This is why the patient is encouraged to void before surgery
What is to reduce bladder fullness and prevent complications during surgery
This is why antibiotics are often given before surgery
What is to prevent infective endocarditis, especially in patients with prosthetic heart valves
This is why older adults have difficulty adapting to surgical stress.
What is due to the normal aging process affecting resilience