PREOPERATIVE NURSING

Question 1

aspects of preop nursing

Answer 1

psychological prep
physiological prep
physical prep
legal aspects

Question 2

psychological reactions to surgery

Answer 2

fear of:
pain
unknown
mutilation
death
anesthesia
disruption of life style

PUM-DAD

Question 3

Assess adequacy of health status

Identify and correct operative risk factors

Answer 3

physiological prep

Question 4

Determine setting for surgery anesthetic & technique

Establish baseline data for comparison with postoperative assessment

Answer 4

physiological prep

Question 5

Assess health condition before surgery
Identify & manage health conditions prior to surgery

Answer 5

physiological prep

Question 6

10 things being assessed in physiological prep

Answer 6

Age
Nutritional status
Cardiovascular
Pulmonary Functions
Renal Functions

GIT Functions
Liver status
Endocrine Functions
Hematologic Functions
Drug Therapy

Question 7

RBCs hemoglobin (HgB), and hematocrit (Hct) are important to the oxygen-carrying capacity of the blood; WBCs are an indicator of immune function

Answer 7

CBC

Question 8

Determined in case blood transfusion is required during or after surgery

Answer 8

blood grouping , cross matching

Question 9

To evaluate fluid and electrolyte status

Answer 9

serum electrolytes

Question 10

High levels may indicate undiagnosed diabetes mellitus

Answer 10

fasting blood glucose

Question 11

To evaluate renal function

Answer 11

BUN and crea

Question 12

To evaluate liver status

Answer 12

ALT, AST, LDH, BILIRUBIN

Question 13

To evaluate nutritional status

Answer 13

serum albumin and total protein

Question 14

To determine urine composition and possible abnormal components (e.g., protein and glucose) or infection

Answer 14

urinalysis

Question 15

To evaluate respiratory status and heart size

Answer 15

chest xray

Question 16

To identify preexisting cardiac problems or disease

Answer 16

electrocardiogram

Question 17

NPO post midnight or ___ hours before surgery

Answer 17

8-10

Question 18

Empty bladder ___ administration of preoperative medications & before transport to Operating Room

Answer 18

before

Question 19

Administration of preoperative medications ___ minutes before induction of anesthesia

Answer 19

60-90

Question 20

purpose of preop meds

Answer 20

allay anxiety
decrease pharyngeal secretions
reduce SE of anes

Question 21

Given to induce desired sleepiness & reduce anxiety as well as promote sedation

Phenobarbital Na, Promethazine, Midazolam HCl

S/E: hypotension, respiratory depression

Answer 21

barbiturates and sedatives

Question 22

Given to decrease anxiety & produce antiemetic effect

Diazepam

S/E: hypotension, confusion

Answer 22

tranquilizers

Question 23

Given to create a sedative-hypnotic effect & decrease anxiety = reducing the amount of anesthetic needed.

Morphine SO4, Meperidine, Nubain

S/E: respiratory & circulatory depression, hypotension

Answer 23

narcotic analgesic

Question 24

Controls T.B. secretions & block vagal stimulation.

To prevent bradycardia & hypotension associated with anesthetic

Atropine SO4

S/E: tachycardia & excessive mouth dryness

Answer 24

anticholinergic or vagolytic agent

Question 25

deep breathing exercise promotes ___ and prevents pneumonia and ____

Answer 25

lung expansion atelectasis

Question 26

To prevent venous stasis & respiratory problems

Answer 26

turning exercise

Question 27

To prevent circulatory problems by facilitation venous return

Answer 27

extremity exercises

Question 28

DBE is done every

Answer 28

5-10x per hour

Question 29

coughing exercises are done

Answer 29

10x per hour

Question 30

turning exercise are done

Answer 30

every 1-2 hours

Question 31

a recognition of an individual’s autonomy to make decisions concerning one’s health condition & for prevention against unauthorized surgery a form of protection for the health professionals & health facility Consent to operation

Answer 31

informed consent