Intra and Post-op Nursing Care Quiz

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Quiz on intraoperative and postoperative nursing care

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Hamdan Hamoud Alruwaili

Saudi Arabia

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Intra and Post-op Nursing Care Quiz


Intra and Post-op Nursing Care QuizOnline version Quiz on intraoperative and postoperative nursing care by Hamdan Hamoud Alruwaili 1 Definition of intra-operative phase: a The time from anesthesia induction to the start of the procedure. b The process starts with transferring the patient to the operating room bed and ends when the patient is admitted to the post-anesthesia unit. (Recovery Room) c The phase after admission to the recovery room. d The postoperative phase only, from PACU to home. e The period from operating room admission to discharge from hospital. 2 TYPES OF ANESTHESIA - General anesthesia: a Local anesthesia: numbs a small area of the body while the patient remains fully awake. b Inhalation anesthesia: a technique using gases through a mask or tube. c Regional anesthesia: blocks pain to a large area of the body while the patient remains awake. d Epidural anesthesia: only for labor and childbirth. e General anesthesia: is the loss of all sensation and consciousness, protective reflexes such as cough and gag reflexes are lost. 3 TYPES OF ANESTHESIA - Regional anesthesia includes: a Local anesthesia blocks pain to a large area of the body. b Regional Anesthesia: Blocks pain to a large area of the body (e.g., below the waist or an entire limb) by injecting anesthetic near specific nerves, while the patient remains awake or lightly sedated. Epidural: Frequently used for labor and childbirth, often involving a catheter for continuous pain c Peripheral Nerve Block always requires the patient to be completely sedated. d Regional anesthesia is the same as general anesthesia and renders the patient unconscious. e Inhalation anesthesia is a type of regional anesthesia. 4 TYPES OF ANESTHESIA - Inhalation anesthesia is: a Spinal anesthesia administered via spinal puncture. b Local anesthesia using topical agents. c General anesthesia given intravenously only. d Regional anesthesia delivered through a nerve block. e Inhalation anesthesia is a technique for inducing and maintaining general anesthesia by breathing volatile liquid agents or gases (e.g., sevoflurane, desflurane, nitrous oxide) through a mask or breathing tube. 5 The intraoperative nursing interventions (NP) during intraoperative nursing assessment include: a 1 Monitors the client’s vital signs. 2 Monitor ECG, and oxygen saturation. 3 Fluid intake and urinary output are monitored 4. Observe the blood losses. b 1 Check surgical consent. 2 Verify insurance. 3 Schedule postoperative visits. 4 Assess patient’s travel history. c 1 Monitor patient satisfaction. 2 Measure blood glucose every hour. 3 Record dietary intake. 4 Check patient’s weight every 30 minutes. d 1 Document nurse hours. 2 Track medication administration times. 3 Record room temperature. 4 Monitor patient’s goals. 6 Intraoperative nursing Diagnosing provides: a Risk for Infection; Risk for Hypertension; Risk for Overhydration; Risk for Nausea b Risk for Pain Only; Risk for Anxiety; Risk for Dehydration c Risk for Aspiration; Risk for Imbalanced Body Temperature; Risk for Fluid Volume Deficit; Impaired Skin Integrity; Risk for Perioperative Positioning Injury d Risk for Sleep Deprivation; Risk for Hypoglycemia; Risk for Renal Failure 7 Aseptic practice principles include: a Apply the principles of an aseptic practice; Removing hair only if necessary; Cleaning the surgical site; Applying an antimicrobial agent; Modify the field of aseptic technique b Use only hand sanitizer before surgery; Do not clean the site. c Avoid antimicrobial agents to prevent resistance. d Remove all hair regardless of necessity. e Ignore sterile technique to speed surgery. 8 Postoperative Phases - Phase I is: a Phase II is the immediate post-operative phase in the recovery room. b An immediate post-operative phase in the recovery room; The effects of general anesthesia can last for 24 hours; The patient must rest until the effects of the anesthesia have passed c Phase II is the only postoperative phase. d Phase I occurs after discharge from PACU. e Phase I refers to the surgical planning phase. 9 Postoperative Phases - Phase II is: a Recovery phase after discharge from home b Late postoperative phase c Preoperative phase d Chronic postoperative phase e Phase I: Immediate post-operative phase 10 Post-anesthesia assessment components include: a A- Airway: the presence of an artificial airway. B- Vital signs: pulse oximeter or monitor. C- Level of consciousness: ability to follow commands, ability to move extremities D- Dressing/ suture line E- Positioning b A- Hair color. B- Height. C- Shoe size. D- Eye color. E- Hand dominance. c A- Temperature only. B- Blood glucose only. C- Pain only. D- Mobility only. E- Nutrition only. d A- Neurological test only. B- Visual acuity test. C- Hearing test. D- Appetite. E- Sleep pattern. 11 Nursing diagnoses in post-anesthesia patients include: a Nursing diagnoses are not used in post-anesthesia care. b All patients have the same single diagnosis post-anesthesia. c Nursing diagnoses focus only on pain, not airway or circulation. d Only one diagnosis is typically identified post-anesthesia. e 1. Ineffective airway clearance related to the effects of general anesthesia. 2. Impaired gas exchange related to anesthetic, and incisional pain. 3. Fluid volume deficit, potential, related to blood loss, food and fluid deprivation, and vomiting. 4. Alteration in sensory perception related to the e 12 Postoperative nursing interventions - Maintain aeration includes: a Maintaining airway patency: Positioning: side-lying or semi-prone position; Artificial airway; Removal of secretions. b Limit movement to prevent dislodgement of tubes. c Ignore respiratory assessment after surgery. d Avoid artificial airways. e Only provide oxygen without positioning changes. 13 Postoperative nursing interventions - Maintain circulation includes: a Keep legs dependent at all times. b a) vital signs every 15 minutes until stabilization; every half hour for 2 hours; every 4 hours until ordered otherwise; b) Elastic stockings; c) Elevate legs when sitting; d) Avoid postoperative leg massage. c Do not use elastic stockings. d Ignore circulatory assessment post-op. e Massage legs regularly post-op regardless of instructions. 14 Postoperative nursing interventions - Maintain fluid balance and nutrition include: a Avoid high-protein foods post-op. b Only monitor urine output. c Do not encourage oral fluids. d Delay nutrition for 48 hours. e Maintain fluid balance; Monitor intake and output; monitor IV fluids; assess for fluid overload; encourage oral fluids; Maintain nutrition with high-protein foods, vitamins, frequent small meals. 15 Preparing room for patient's return from surgery - steps include: a 1 Make an open surgical bed; 2 Provide sufficient covers/blanket; 3 Clear a passageway to the bed; 4 Provide necessary equipment (IV set, emergency check) b Only prepare the bed, nothing else. c Ignore IV access equipment. d Do not prepare the room; wait for nurse to arrive. e Delay in room readiness until after patient arrives. 16 Preparing room for patient's return from surgery - patient assessment on return includes: a Assessment only includes motor function. b Assessment excludes vital signs. c Assessment is only documented after 24 hours. d I. Subjective data: symptoms of discomfort; II. Objective data: Respiratory status, airway patency, depth, rate, character; Breath sounds; Circulatory status: TPR and BP; Skin color, temperature; IV fluids; Presence of bleeding; Drainage systems; Comfort: Pain, nausea, vomiting; Positioning; Safety. e No assessment is needed on return to ward. 17 Discharged from the Post-Anesthesia Care Unit (PACU) criteria include: a When the patient requests discharge independent from family. b When patient is conscious and oriented, able to maintain a clear airway and deep breathe and cough freely, vitals signs stable, active protective reflexes (e.g., gag, swallowing). c When patient can walk without assistance. d When the patient is fully awake with no sedation. e When the patient wakes up within 5 minutes.

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Intra and Post-op Nursing Care Quiz

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Intra and Post-op Nursing Care QuizOnline version

by Hamdan Hamoud Alruwaili

Definition of intra-operative phase:

TYPES OF ANESTHESIA - General anesthesia:

TYPES OF ANESTHESIA - Regional anesthesia includes:

TYPES OF ANESTHESIA - Inhalation anesthesia is:

The intraoperative nursing interventions (NP) during intraoperative nursing assessment include:

Intraoperative nursing Diagnosing provides:

Aseptic practice principles include:

Postoperative Phases - Phase I is:

Postoperative Phases - Phase II is:

Post-anesthesia assessment components include:

Nursing diagnoses in post-anesthesia patients include:

Postoperative nursing interventions - Maintain aeration includes:

Postoperative nursing interventions - Maintain circulation includes:

Postoperative nursing interventions - Maintain fluid balance and nutrition include:

Preparing room for patient's return from surgery - steps include:

Preparing room for patient's return from surgery - patient assessment on return includes:

Discharged from the Post-Anesthesia Care Unit (PACU) criteria include: