NUR 3219C – Exam 1, Nursing Course, Study Guide and Foundational
Concepts Review
Types of surgeries - correct answer ✔✔elective and emergency
Elective surgery - correct answer ✔✔planned ahead of time
Emergency surgery - correct answer ✔✔may not be able to obtain all info due to being rushed
Settings for surgery - correct answer ✔✔inpatient and outpatien
Inpatient - correct answer ✔✔admitted to hospital, have surgery, and recover in hospital
Outpatient - correct answer ✔✔patient is not staying in hospital for recovery; come in + have
surgery same day
Diagnostic surgery - correct answer ✔✔determining presence and extent of pathological
conditions (lymph node biopsy)
Curative surgery - correct answer ✔✔eliminating something or taking it out (appendectomy
takes away appendicitis)
Palliation surgery - correct answer ✔✔alleviating symptoms without a cure (removing/cutting
nerves to alleviate pain)
Prevention surgery - correct answer ✔✔reducing the risk of developing a condition (taking out
polyps to prevent colon cancer)
,Cosmetic surgery - correct answer ✔✔alter physical appearance (exp: repairing burn scar or
breast reconstruction after mastectomy)
Exploration surgery - correct answer ✔✔determine nature or extent of disease (laparotomy)
Role of the Preoperative Nurse - correct answer ✔✔•Patient Interview
•Subjective Assessment
•Objective Assessment
•Patient Teaching
•Legal Considerations
•Preoperative Orders/Medications
Patient interview - correct answer ✔✔obtain info, provide info on surgery, assess patient
emotion, etc.
Preop nursing assessment - correct answer ✔✔provides info to inform provider of risks +
influences plan of care
preoperative checklist stays with - correct answer ✔✔patient throughout process
Preop Subjective Assessment - correct answer ✔✔•Level and reasons for anxiety
•Common fears and hopeful anticipation
•Health problems and surgeries
•All prescription, OTC, and supplement use
•Amounts and frequency of alcohol and substance use
•Allergies and intolerances
•Review of systems
,(subjective) Review of Systems preop - correct answer ✔✔•Cardiovascular
•Respiratory
•Neurologic
•Genitourinary
•Hepatic
•Integumentary
•Musculoskeletal
•Endocrine
•Immune
•Fluid and Electrolyte
•Nutritional Status
Preop Objective Assessment - correct answer ✔✔•Provider H&P
•Head-to-toe physical assessment by RN
•Accurate and detailed documentation
•Obtain, review, & verify completion of preop orders
Hearing aids are encouraged to be kept in during surgery, but remove - correct answer
✔✔glasses or contacts, piercings
Patient education: 3 types of teaching - correct answer ✔✔- Sensory: patients may see, hear,
smell, etc. as they are in surgery; they should be taught to ask is they need something (exp: if
they are cold, they should ask for a blanket)
- Process: entails general flow of what is going to happen (exp: patient's transfer to the holding
area, visits by the nurse and ACP before transfer to the OR, and waking up in the PACU)
- Procedural: more specific information (exp: tell them that an IV line will be placed while in the
holding area)
, 3 conditions for consent to be valid - correct answer ✔✔1. There must be adequate disclosure
of the diagnosis, nature + purpose of treatment, risks + consequences of the treatment,
probability of successful outcome, availability, benefits, + risks of alternative treatments, and
prognosis if treatment is not instituted
2. Patient must show clear understanding of the information before receiving sedating
preoperative drugs
3. Recipient of care must give voluntary consent
Implied consent - correct answer ✔✔Type of consent in which a patient who is unable to give
consent is given treatment under the legal assumption that he or she would want treatment.
Day-of-surgery patient preparation - correct answer ✔✔1. Make sure patient is in hospital gown
2. Patient should not have any cosmetics (exp: remove nail polish or make-up) 3. Make sure
valuables are returned to family or locked up
4. Remove glasses, dentures, contacts, prosthesis and stored w/ patient's belongings
5. Identification of patient w/ name + date of birth; ensure allergy bands and patient ID
6. Have patient void before going into surgery
*follow/verify provider presurgical med/treatment orders at this time as well*
Types of preoperative medications - correct answer ✔✔1. Benzodiazepines
2. Anticholinergics
3. Opioids
4. Antiemetics
5. Antibiotics
6. Beta blockers
7. Insulin if applicable
8. Eye drops if applicable
Concepts Review
Types of surgeries - correct answer ✔✔elective and emergency
Elective surgery - correct answer ✔✔planned ahead of time
Emergency surgery - correct answer ✔✔may not be able to obtain all info due to being rushed
Settings for surgery - correct answer ✔✔inpatient and outpatien
Inpatient - correct answer ✔✔admitted to hospital, have surgery, and recover in hospital
Outpatient - correct answer ✔✔patient is not staying in hospital for recovery; come in + have
surgery same day
Diagnostic surgery - correct answer ✔✔determining presence and extent of pathological
conditions (lymph node biopsy)
Curative surgery - correct answer ✔✔eliminating something or taking it out (appendectomy
takes away appendicitis)
Palliation surgery - correct answer ✔✔alleviating symptoms without a cure (removing/cutting
nerves to alleviate pain)
Prevention surgery - correct answer ✔✔reducing the risk of developing a condition (taking out
polyps to prevent colon cancer)
,Cosmetic surgery - correct answer ✔✔alter physical appearance (exp: repairing burn scar or
breast reconstruction after mastectomy)
Exploration surgery - correct answer ✔✔determine nature or extent of disease (laparotomy)
Role of the Preoperative Nurse - correct answer ✔✔•Patient Interview
•Subjective Assessment
•Objective Assessment
•Patient Teaching
•Legal Considerations
•Preoperative Orders/Medications
Patient interview - correct answer ✔✔obtain info, provide info on surgery, assess patient
emotion, etc.
Preop nursing assessment - correct answer ✔✔provides info to inform provider of risks +
influences plan of care
preoperative checklist stays with - correct answer ✔✔patient throughout process
Preop Subjective Assessment - correct answer ✔✔•Level and reasons for anxiety
•Common fears and hopeful anticipation
•Health problems and surgeries
•All prescription, OTC, and supplement use
•Amounts and frequency of alcohol and substance use
•Allergies and intolerances
•Review of systems
,(subjective) Review of Systems preop - correct answer ✔✔•Cardiovascular
•Respiratory
•Neurologic
•Genitourinary
•Hepatic
•Integumentary
•Musculoskeletal
•Endocrine
•Immune
•Fluid and Electrolyte
•Nutritional Status
Preop Objective Assessment - correct answer ✔✔•Provider H&P
•Head-to-toe physical assessment by RN
•Accurate and detailed documentation
•Obtain, review, & verify completion of preop orders
Hearing aids are encouraged to be kept in during surgery, but remove - correct answer
✔✔glasses or contacts, piercings
Patient education: 3 types of teaching - correct answer ✔✔- Sensory: patients may see, hear,
smell, etc. as they are in surgery; they should be taught to ask is they need something (exp: if
they are cold, they should ask for a blanket)
- Process: entails general flow of what is going to happen (exp: patient's transfer to the holding
area, visits by the nurse and ACP before transfer to the OR, and waking up in the PACU)
- Procedural: more specific information (exp: tell them that an IV line will be placed while in the
holding area)
, 3 conditions for consent to be valid - correct answer ✔✔1. There must be adequate disclosure
of the diagnosis, nature + purpose of treatment, risks + consequences of the treatment,
probability of successful outcome, availability, benefits, + risks of alternative treatments, and
prognosis if treatment is not instituted
2. Patient must show clear understanding of the information before receiving sedating
preoperative drugs
3. Recipient of care must give voluntary consent
Implied consent - correct answer ✔✔Type of consent in which a patient who is unable to give
consent is given treatment under the legal assumption that he or she would want treatment.
Day-of-surgery patient preparation - correct answer ✔✔1. Make sure patient is in hospital gown
2. Patient should not have any cosmetics (exp: remove nail polish or make-up) 3. Make sure
valuables are returned to family or locked up
4. Remove glasses, dentures, contacts, prosthesis and stored w/ patient's belongings
5. Identification of patient w/ name + date of birth; ensure allergy bands and patient ID
6. Have patient void before going into surgery
*follow/verify provider presurgical med/treatment orders at this time as well*
Types of preoperative medications - correct answer ✔✔1. Benzodiazepines
2. Anticholinergics
3. Opioids
4. Antiemetics
5. Antibiotics
6. Beta blockers
7. Insulin if applicable
8. Eye drops if applicable
