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Practice questions for this set
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** allows safe transitions out of PACU
1. each category is scored from 0 to 2
2. maximum total score is 10
3. 8 or higher indicates readiness
4. compare bp to pre op baseline
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1 Thinking Like a Nurse 2 General anesthesia
3 NPO verification 4 Aldrete Score guides...
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Terms in this set (50)
Thinking Like a Nurse Assess, Analyze, Act - Reasssess
Preioperative care phases preoperative, intraoperative, postoperative
, Preoperative nursing priorities 1. verify informed consent (signed)
2. natural med effects (herbs, supplements)
3. NPO verification
4. risk identification
5. baseline assessments
6. patient education
Natural med effects prescriptions, OTC, herbs, and supplements (garlic,
ginseng, fish oil increase bleeding risk)
NPO verification "When was the last time you had anything to eat or
drink?" "Are you NPO?"
Risk identifications Older adults higher risk for hypothermia
Diabetes higher infection wound healing
Baseline assesments Vital sings, oxygenation, pain, skin integrity, neuro
status
Legal responsibilities 1. confirm correct patient, prodecure, provider
2. surgical site
3. presence of advance directives or blood product
consent (error prevention)
Intraoperative nursing responsibilities 1. maintain sterile environment
2. positioning
3. assist anesthesia teams while monitoring patient
4. participate in surgical time-out
Positioning 1. prevent pressure injuries
2. prevent nerve damage
3. prevent impaired circulation
Minimal sedation patient responsive to verbal commands
Moderate sedation patient asleep but maintains airway
General anesthesia loss of airway reflexes, requires intubation