NRSG 3420 M1 OPERATIVE NURSING &
HEMATOLOGICAL DISORDERS EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS GRADED A++
Periop nursing begins
Periop nursing begins when the decision to proceed with surgical intervention is made
and ends with transfers of the patient onto the OR room.
Periop Assessment includes:
• Health hx and physical exam
• Medications/ allergies
• Nutritional / fluid status
• Dentition
• Drugs or alcohol use
• Respiratory or cardiovascular, hepatic or renal status
• Endocrine, immune, previous medications use and psychosocial factors
Meds that CAN affect surgical experience:
• Steroids
• Anticoagulants
• Anticonvulsant
,• Thyroid hormone
• Opioids
• OTC/herbals
• Diuretics
• Phenothiazines
• Tranquilizers
• Insulin
• Antibiotic
Gerontologic periop considerations:
Cardiac reserves are lower and respiratory is compromised
• Hepatic and renal functions are depressed
• GI activity is lowered
• Decreased subQ fat; more susceptible to temp changes
• Education maybe needed to be enhanced
Intraoperative phases begins when
the patient is transferred onto the OR beds and ends with admissions to the PACU
Anesthesia complications (ssx) awareness
- N/V, anaphylaxis, hypoxia/ respiratory complications, hypothermia, malignant
hyperthermia, infection
Post op nursing begins with
the admission of the patient to the PACU and ends with the follow-up evaluation in the
clinical setting or home.
AE of surgery/anesthesia:
, allergic reactions, cardiac dysrhythmia, CNS changes, oversedation, nerve damage
(laryngeal), hypotension, thrombosis
RN postop responsibilities:•
Return to cognitive baseline
• Clear airway
• Controlled N/V
• Stable vital signs
• Administer post-op meds
• Keep HOB 30 degrees unless contraindicated
Postop SSX of Hypovolemic Shock/Hemorrhage:
• Pallor
• Cool, moist skin
• Rapid respirations
• Cyanosis
• Rapid, weak, thread pulse
• Decreasing pulse pressure
• Low BP
• Concentrated urine
Patient postop education
• Deep breathing, coughing, incentive spirometry
• Mobility
• Pain management
HEMATOLOGICAL DISORDERS EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS GRADED A++
Periop nursing begins
Periop nursing begins when the decision to proceed with surgical intervention is made
and ends with transfers of the patient onto the OR room.
Periop Assessment includes:
• Health hx and physical exam
• Medications/ allergies
• Nutritional / fluid status
• Dentition
• Drugs or alcohol use
• Respiratory or cardiovascular, hepatic or renal status
• Endocrine, immune, previous medications use and psychosocial factors
Meds that CAN affect surgical experience:
• Steroids
• Anticoagulants
• Anticonvulsant
,• Thyroid hormone
• Opioids
• OTC/herbals
• Diuretics
• Phenothiazines
• Tranquilizers
• Insulin
• Antibiotic
Gerontologic periop considerations:
Cardiac reserves are lower and respiratory is compromised
• Hepatic and renal functions are depressed
• GI activity is lowered
• Decreased subQ fat; more susceptible to temp changes
• Education maybe needed to be enhanced
Intraoperative phases begins when
the patient is transferred onto the OR beds and ends with admissions to the PACU
Anesthesia complications (ssx) awareness
- N/V, anaphylaxis, hypoxia/ respiratory complications, hypothermia, malignant
hyperthermia, infection
Post op nursing begins with
the admission of the patient to the PACU and ends with the follow-up evaluation in the
clinical setting or home.
AE of surgery/anesthesia:
, allergic reactions, cardiac dysrhythmia, CNS changes, oversedation, nerve damage
(laryngeal), hypotension, thrombosis
RN postop responsibilities:•
Return to cognitive baseline
• Clear airway
• Controlled N/V
• Stable vital signs
• Administer post-op meds
• Keep HOB 30 degrees unless contraindicated
Postop SSX of Hypovolemic Shock/Hemorrhage:
• Pallor
• Cool, moist skin
• Rapid respirations
• Cyanosis
• Rapid, weak, thread pulse
• Decreasing pulse pressure
• Low BP
• Concentrated urine
Patient postop education
• Deep breathing, coughing, incentive spirometry
• Mobility
• Pain management
