NSG 501: WEEK 8 CARE OF SURGICAL PATIENTS AND WOUND
CARE EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS
perioperative nursing
preoperative (before), intraoperative (in surgery),
postoperative (after)
Length of Stay average goal
1-2 days
surgery seriousness
major (large risk to health or life)
minor
surgery urgency
elective (patient's choice)
urgent (patient needs but can wait 24-48 hours)
emergency (patient cannot wait)
surgery purpose (7)
Diagnostic - confirm diagnosis.
Ablative - excision or removal of diseased body part or removal of a growth
Palliative - relieves or reduces intensity of disease symptoms
Reconstructive - restores function or appearance to traumatized or malfunctioning
tissue.
Transplant - replaces malfunctioning organs or structures.
,Constructive - restores function lost or reduced as result of congenital anomalies
Cosmetic - alteration of personal appearance
Surgical risk factors
smoking, age, nutrition, obesity, obstructive sleep apnea (OSA), immunosuppression,
fluid and electrolyte balance
perioperative communication
(through EPIC)
prevents complications
-SSI
-glycemic control
-infection prevention
-respiratory/cardiac complications
-pressure injury prevention
NCJMM preoperative subjective assessment
med hx
surgical hx (very important)
knowledge and pt/family expectations regarding surgery
medication hx
allergies
smoking habits/substance use
family support
feelings/coping resources
cultural/spiritual factors
, occupation
body image
NCJMM preoperative physical assessment
general survey
head and neck
skin
thorax and lungs
heart and vascular system
abdomen
neurological status
preoperative nursing diagnoses
anxiety, difficulty coping, risk for aspiration, acute pain, lack of knowledge, impaired
mobility, risk for infection, risk for impaired skin integrity
preoperative patient goals
early ambulation, safe from harm, free from infection
(set priorities, use teamwork and collaboration - give patients instructions to prepare
their home for surgery recovery)
preoperative interventions
informed consent
health promotion (preoperative teaching, postoperative exercises, early mobility,
activity resumption, nutrition, rest)
acute care (minimize infection risk, skin care, fluid balance, preventing bowel
incontinence and contamination with bowel prep)
CARE EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS
perioperative nursing
preoperative (before), intraoperative (in surgery),
postoperative (after)
Length of Stay average goal
1-2 days
surgery seriousness
major (large risk to health or life)
minor
surgery urgency
elective (patient's choice)
urgent (patient needs but can wait 24-48 hours)
emergency (patient cannot wait)
surgery purpose (7)
Diagnostic - confirm diagnosis.
Ablative - excision or removal of diseased body part or removal of a growth
Palliative - relieves or reduces intensity of disease symptoms
Reconstructive - restores function or appearance to traumatized or malfunctioning
tissue.
Transplant - replaces malfunctioning organs or structures.
,Constructive - restores function lost or reduced as result of congenital anomalies
Cosmetic - alteration of personal appearance
Surgical risk factors
smoking, age, nutrition, obesity, obstructive sleep apnea (OSA), immunosuppression,
fluid and electrolyte balance
perioperative communication
(through EPIC)
prevents complications
-SSI
-glycemic control
-infection prevention
-respiratory/cardiac complications
-pressure injury prevention
NCJMM preoperative subjective assessment
med hx
surgical hx (very important)
knowledge and pt/family expectations regarding surgery
medication hx
allergies
smoking habits/substance use
family support
feelings/coping resources
cultural/spiritual factors
, occupation
body image
NCJMM preoperative physical assessment
general survey
head and neck
skin
thorax and lungs
heart and vascular system
abdomen
neurological status
preoperative nursing diagnoses
anxiety, difficulty coping, risk for aspiration, acute pain, lack of knowledge, impaired
mobility, risk for infection, risk for impaired skin integrity
preoperative patient goals
early ambulation, safe from harm, free from infection
(set priorities, use teamwork and collaboration - give patients instructions to prepare
their home for surgery recovery)
preoperative interventions
informed consent
health promotion (preoperative teaching, postoperative exercises, early mobility,
activity resumption, nutrition, rest)
acute care (minimize infection risk, skin care, fluid balance, preventing bowel
incontinence and contamination with bowel prep)
