QUESTIONS WITH ACCURATE SOLUTIONS
GRADED A+
◉ Intra-operative Phase: . Answer: The intraoperative phase begins
when the patient is transferred onto the OR bed and ends with
admission to the PACU. Intraoperative nursing responsibilities
involve acting as scrub nurse, circulating nurse, or registered nurse
first assistant
◉ Post-operative Phase: . Answer: The postoperative phase begins
with the admission of the patient to the PACU and ends with a
follow-up evaluation in the clinical setting or home.
◉ Patients who need special consideration during surgery . Answer:
1. Older adults
2. Obese patients
3. Patients with disabilities
4. Patients undergoing
5. Emergency surgery
6. Patients undergoing Ambulatory surgery
,◉ Surgeon Role in Consent . Answer: The surgeon must also inform
the patient of the benefits, alternatives, possible risks,
complications, disfigurement, disability, and removal of body parts
as well as what to expect in the early and late postoperative periods.
◉ Nurse Role in Consent . Answer: Nurse witnesses consent being
signed.
The nurse clarifies the information provided, and if the patient
requests additional information, the nurse notifies the physician.
The nurse ascertains that the consent form has been signed before
administering psychoactive premedication
◉ What happens to a consent form once it is signed? . Answer: The
signed consent form is placed in a prominent place on the patient's
medical record and accompanies the patient to the OR.
◉ Incompetent Patient . Answer: Legal definition: individual who is
not autonomous and cannot give or withhold consent (e.g.,
individuals who are cognitively impaired, mentally ill, or
neurologically incapacitated).
◉ Ethical Considerations with Consent . Answer: non-English
speaking patients, cognitive impairment, emergency surgery,
language barriers etc.
, ◉ Reasons surgery may be delayed or postponed . Answer: 1. Poor
nutrition or hydration status
2. Respiratory Infection (elective surgery)
3. Infection
4. Anesthetic Allergies
5. Drugs & Alcohol
6. Uncontrolled hypertension
7. Medications such as diuretics, steroids, insulins, opioids,
anticoagulants
◉ Perioperative Patient Teachings . Answer: Discontinue smoking 30
days prior
Stop any OTC herbal medications 2 weeks prior
Stop aspirin or anticoagulant 7-10 days prior
Nothing by mouth
◉ What is done in the OR to maintain asepsis? . Answer: All surgical
supplies are sterilized
All personal wash and scrub hands and arms with antiseptic soap
Only those who have taken proper sanitary precautions can touch
sterilized objects
Surgical team members wear long-sleeved, sterile gowns and gloves.
Head and hair are covered with a cap, and a mask