NURS 120 Week 1 Perioperative Care
What is a concept? - answer an idea that can be linked to another concept to create a
picture
Benefit of Using concepts - answer- improves understanding
-removed content overload
- provide focus on what is important
- enhances ability to act during clinical situations
- develops critical thinking and clinical reasoning
- prepares for NCLEX and practice
What nurse needs to know before surgery - answer1. Why they need surgery
2. Psychosocial
3. All tests results and in and review
4. Identify problems or complications
5. Medical history/Get Report
Interview - answer§ Current health conditions
§ History of medications
· Supplements
· Prescription medication
· Over the counter medications
· Herbal medications
§ Substance abuse
§ Allergies
§ Past surgeries
§ Psychosocial questions
o Make sure they have an understanding of their procedure.
o Make sure they understand the teachings provided to them.
o Ask if they had followed preoperative instructions.
Wat do you need to document? - answerSurgical Site
Assessing Psychosocial needs - answer•Fear of loss of control (anesthesia)
•Fear of the unknown (outcome, lack of knowledge)
•Fear of anesthesia (waking up)
•Fear of pain (pain control)
•Fear of death (surgery, anesthesia)
•Fear of separation (support group)
•Fear of disruption of life patterns (ADLs, work)
•Fear of detection of cancer
, •Assessing Socioeconomic and cultural needs - answer•Social, economic, religious,
ethnic, cultural
Assessing Education and experience - answer•Age, Life experiences, Educational level
Informed consent - answer•Ensure MD has provided information including specifics of
procedure, risks involved, outcomes expected, and expectations
•Nurse witnesses signature and places/ensures is on chart
ethics committee - answercommittee made up of individuals who are involved in a
patient's care, including health care practitioners, family members, clergy, and others,
with the purpose of reviewing ethical issues in difficult cases
•Conditions that affect Perioperative Procedures - answer•Age
•Young and older clients' metabolic needs such as temperature changes,
cardiovascular shifts, respiratory needs, and renal function, may not respond to
physiological changes quickly
•
•Mental State
•Anxiety and the effects of medication can alter the client's ability to understand or
follow instructions during the perioperative period
•Health / Physical condition
•Healthy clients have improved outcomes
•Coexisting health problems (diabetes, heart disease) put clients at risk
•Certain medications (anticoagulants, cardiac medications) put clients at greater risk of
complications during surgery
•Nutritional status
•Nutritional status affects tolerance to surgery and recovery
•Carbohydrates and fat—energy producers
•Proteins— build and repair
Avoid herbal supplements - answerGingko, garlic, vitamin e, fish oil can increase
bleeding.
Avoid kava and valerian because they can cause excessive sedation.
Allergies - answerLatex, avocados, bananas, chestnuts, eggs, potatoes, peaches
An overweight patient (BMI 28.1 kg/m2) is scheduled for a laparoscopic
cholecystectomy term-13at an outpatient surgery setting. The nurse knows that:
a. surgery will involve multiple small incisions.
b. This setting is not appropriate for this procedure.
c. Surgery will involve removing a portion of the liver.
What is a concept? - answer an idea that can be linked to another concept to create a
picture
Benefit of Using concepts - answer- improves understanding
-removed content overload
- provide focus on what is important
- enhances ability to act during clinical situations
- develops critical thinking and clinical reasoning
- prepares for NCLEX and practice
What nurse needs to know before surgery - answer1. Why they need surgery
2. Psychosocial
3. All tests results and in and review
4. Identify problems or complications
5. Medical history/Get Report
Interview - answer§ Current health conditions
§ History of medications
· Supplements
· Prescription medication
· Over the counter medications
· Herbal medications
§ Substance abuse
§ Allergies
§ Past surgeries
§ Psychosocial questions
o Make sure they have an understanding of their procedure.
o Make sure they understand the teachings provided to them.
o Ask if they had followed preoperative instructions.
Wat do you need to document? - answerSurgical Site
Assessing Psychosocial needs - answer•Fear of loss of control (anesthesia)
•Fear of the unknown (outcome, lack of knowledge)
•Fear of anesthesia (waking up)
•Fear of pain (pain control)
•Fear of death (surgery, anesthesia)
•Fear of separation (support group)
•Fear of disruption of life patterns (ADLs, work)
•Fear of detection of cancer
, •Assessing Socioeconomic and cultural needs - answer•Social, economic, religious,
ethnic, cultural
Assessing Education and experience - answer•Age, Life experiences, Educational level
Informed consent - answer•Ensure MD has provided information including specifics of
procedure, risks involved, outcomes expected, and expectations
•Nurse witnesses signature and places/ensures is on chart
ethics committee - answercommittee made up of individuals who are involved in a
patient's care, including health care practitioners, family members, clergy, and others,
with the purpose of reviewing ethical issues in difficult cases
•Conditions that affect Perioperative Procedures - answer•Age
•Young and older clients' metabolic needs such as temperature changes,
cardiovascular shifts, respiratory needs, and renal function, may not respond to
physiological changes quickly
•
•Mental State
•Anxiety and the effects of medication can alter the client's ability to understand or
follow instructions during the perioperative period
•Health / Physical condition
•Healthy clients have improved outcomes
•Coexisting health problems (diabetes, heart disease) put clients at risk
•Certain medications (anticoagulants, cardiac medications) put clients at greater risk of
complications during surgery
•Nutritional status
•Nutritional status affects tolerance to surgery and recovery
•Carbohydrates and fat—energy producers
•Proteins— build and repair
Avoid herbal supplements - answerGingko, garlic, vitamin e, fish oil can increase
bleeding.
Avoid kava and valerian because they can cause excessive sedation.
Allergies - answerLatex, avocados, bananas, chestnuts, eggs, potatoes, peaches
An overweight patient (BMI 28.1 kg/m2) is scheduled for a laparoscopic
cholecystectomy term-13at an outpatient surgery setting. The nurse knows that:
a. surgery will involve multiple small incisions.
b. This setting is not appropriate for this procedure.
c. Surgery will involve removing a portion of the liver.
