MSN 277 EXAM ONE STUDY GUIDE
QUESTIONS WELL ANSWERED
ALREDY PASSED
What is the purpose of the pre-op phase of surgery? - correct answer ✔✔ To identify risk
factors
Why is it important to identify risk factors during the pre-op phase? - correct answer ✔✔ -In
case they interfere with surgery
-To identify complications
How do you identify risk factors during pre-op? - correct answer ✔✔ -Health history
-Baseline testing
-Consent
-Psych status
-Patient Education
What are drugs that are red flags during pre-op? - correct answer ✔✔ -Anticoagulants
-Aspirin
-Anti-hypertensives
-Recreational drugs
-Insulin
What do you do if you have a patient on aspirin? - correct answer ✔✔ Stop use
,Why is anti-hypertensive medication a concern with pre-op? - correct answer ✔✔ Because
anesthesia causes vasodilation
Why are recreational drugs a concern during pre-op? - correct answer ✔✔ Because users
require more anesthesia
Why is insulin a concern for pre-op? - correct answer ✔✔ -Lowers blood glucose
-NPO decreases blood glucose
-Stress increases blood glucose
-If on oral hypoglycemics, may be switched to insulin
What are common conditions that create risks for surgery? - correct answer ✔✔ -Bleeding
disorders
-Diabetes
-Heart disease
-Obstructive sleep apnea
-URI
-Liver disease
-Fever
-Chronic respiratory disease
-Immunological disorders
Why are bleeding disorders a risk for surgery? - correct answer ✔✔ Increased risk for
hemorrhaging
Why is diabetes a risk for surgery? - correct answer ✔✔ -Increased risk for infection
-Delayed wound healing
,Why is heart disease a risk for surgery? - correct answer ✔✔ -Anesthesia decreases cardiac
function
-Stress of surgery increases workload on heart
Why is obstructive sleep apnea a risk for surgery? - correct answer ✔✔ Increased risk of airway
obstruction during surgery
Why is a URI a risk for surgery? - correct answer ✔✔ Increased risk for respiratory complications
during surgery
Why is liver disease a risk for surgery? - correct answer ✔✔ -Alters metabolism of drugs
administered during surgery
-Delays clotting
-Impairs wound healing
Why is fever a risk for surgery? - correct answer ✔✔ Risk for fluid and electrolyte balances
Why is chronic respiratory disease a risk for surgery? - correct answer ✔✔ Reduces
compensation for acid/base imbalances
Why are immunological disorders a risk for surgery? - correct answer ✔✔ -Increased risk for
infection
-Delayed wound healing
What are components of a health history? - correct answer ✔✔ -Drugs
-Family history
-Allergies
, -Past hospitalizations
-Past surgeries
-Check for illnesses/comorbidities
What is most important during a pre-op family history? - correct answer ✔✔ Reaction to
anesthesia because of malignant hyperthermia
What allergy is most important for pre-op history? - correct answer ✔✔ Latex
What foods are indicative of a latex allergy? - correct answer ✔✔ -Avocado
-Kiwi
-Potatoes
-Peaches
-Eggs
Why is identifying comorbidities important for pre-op assessment? - correct answer ✔✔ To
identify drugs, OTC meds, and herbal supplements that may cause interactions
What are examples of baseline testing? - correct answer ✔✔ -LOC
-Orientation
-Ability to maintain thought patterns and respond to questions
-Vital signs
What is the purpose of conducting baseline testing? - correct answer ✔✔ Determines and
prevents intra and post-op complications
QUESTIONS WELL ANSWERED
ALREDY PASSED
What is the purpose of the pre-op phase of surgery? - correct answer ✔✔ To identify risk
factors
Why is it important to identify risk factors during the pre-op phase? - correct answer ✔✔ -In
case they interfere with surgery
-To identify complications
How do you identify risk factors during pre-op? - correct answer ✔✔ -Health history
-Baseline testing
-Consent
-Psych status
-Patient Education
What are drugs that are red flags during pre-op? - correct answer ✔✔ -Anticoagulants
-Aspirin
-Anti-hypertensives
-Recreational drugs
-Insulin
What do you do if you have a patient on aspirin? - correct answer ✔✔ Stop use
,Why is anti-hypertensive medication a concern with pre-op? - correct answer ✔✔ Because
anesthesia causes vasodilation
Why are recreational drugs a concern during pre-op? - correct answer ✔✔ Because users
require more anesthesia
Why is insulin a concern for pre-op? - correct answer ✔✔ -Lowers blood glucose
-NPO decreases blood glucose
-Stress increases blood glucose
-If on oral hypoglycemics, may be switched to insulin
What are common conditions that create risks for surgery? - correct answer ✔✔ -Bleeding
disorders
-Diabetes
-Heart disease
-Obstructive sleep apnea
-URI
-Liver disease
-Fever
-Chronic respiratory disease
-Immunological disorders
Why are bleeding disorders a risk for surgery? - correct answer ✔✔ Increased risk for
hemorrhaging
Why is diabetes a risk for surgery? - correct answer ✔✔ -Increased risk for infection
-Delayed wound healing
,Why is heart disease a risk for surgery? - correct answer ✔✔ -Anesthesia decreases cardiac
function
-Stress of surgery increases workload on heart
Why is obstructive sleep apnea a risk for surgery? - correct answer ✔✔ Increased risk of airway
obstruction during surgery
Why is a URI a risk for surgery? - correct answer ✔✔ Increased risk for respiratory complications
during surgery
Why is liver disease a risk for surgery? - correct answer ✔✔ -Alters metabolism of drugs
administered during surgery
-Delays clotting
-Impairs wound healing
Why is fever a risk for surgery? - correct answer ✔✔ Risk for fluid and electrolyte balances
Why is chronic respiratory disease a risk for surgery? - correct answer ✔✔ Reduces
compensation for acid/base imbalances
Why are immunological disorders a risk for surgery? - correct answer ✔✔ -Increased risk for
infection
-Delayed wound healing
What are components of a health history? - correct answer ✔✔ -Drugs
-Family history
-Allergies
, -Past hospitalizations
-Past surgeries
-Check for illnesses/comorbidities
What is most important during a pre-op family history? - correct answer ✔✔ Reaction to
anesthesia because of malignant hyperthermia
What allergy is most important for pre-op history? - correct answer ✔✔ Latex
What foods are indicative of a latex allergy? - correct answer ✔✔ -Avocado
-Kiwi
-Potatoes
-Peaches
-Eggs
Why is identifying comorbidities important for pre-op assessment? - correct answer ✔✔ To
identify drugs, OTC meds, and herbal supplements that may cause interactions
What are examples of baseline testing? - correct answer ✔✔ -LOC
-Orientation
-Ability to maintain thought patterns and respond to questions
-Vital signs
What is the purpose of conducting baseline testing? - correct answer ✔✔ Determines and
prevents intra and post-op complications
