Pre-Lecture Quizzes: Peri-operative

What are the phases of post anesthesia?

1) Immediate post op care 2) Education, preparing for discharge 3) Discharge

T/F: Surgery classification based on the degree of urgency is considered emergent if it is scheduled within 24 to 30 hours (e.g., acute gallbladder infection).

False

T/F: Most materials in contact with the surgical wound or used within the sterile field must be sterile.

False: ALL materials

T/F: Cardiogenic shock is the most common type of shock that occurs as a postoperative complication.

False: most common is Hypovolaemic shock

T/F: Tachycardia (heart rate greater than 150 bpm) is often the earliest sign of malignant hyperthermia.

False:an increased in end tidal carbon dioxide is the earliest sign

________________ obstruction occurs when the lower jaw and tongue fall backward and air passages become obstructed.

Hypopharyngeal

T/F: A protein deficiency prior to surgery should be corrected before surgery to provide adequate protein for tissue repair and collagen deposition

True

T/F: Aspirin, a common OTC medication that inhibits platelet aggregation, should be prudently discontinued 7 to 10 days before surgery or the patient may be at increased risk for bleeding.

True

T/F: Assessment of respiratory status in the hospitalized postoperative patient is imperative because pulmonary complications are the most frequent problem encountered by the surgical patient.

True

T/F: Inadvertent hypothermia during surgery can depress neuronal activity and decrease cellular oxygen requirements below the minimum levels normally required for continued cell viability.

True

T/F: Increased age positively correlates to increased cardiovascular complications during and after surgery.

True

T/F: The Valsalva maneuver can prevent wound healing by producing tension on surgical wounds.

True

T/F: The first symptom of deep vein thrombosis may be a pain or a cramp in the calf.

True

T/F: The primary objective in the immediate postoperative period is to maintain ventilation and prevent hypoxemia and hypercapnia.

True

T/F: Versed is an intravenous anesthetic agent that acts as a hypnotic and amnesic.

True

Respiratory and __________ complications are the leading causes of postoperative morbidity and mortality in older adults.

cardiac

The ______________ nurse is responsible for coordinating the care of the patient in the OR.

circulating

The ___________ stage of general anesthesia is characterized by struggling, shouting, laughing, or crying and can often be avoided if the anesthetic is administered smoothly and quickly.

excitement

The most commonly used opioid IV medication that may cause chest wall rigidity is _________________.

fentanyl

An uncommon yet serious complication of surgery that can result in hypovolemic shock and death is _________________.

hemorrhage

Headache, an after-effect of spinal anesthesia, is related to three factors: the size of the spinal needle used, leakage of fluid from the subarachnoid space through the puncture site, and the patient's ______________ status.

hydration

The patient with diabetes is at risk for _______________, either during anesthesia or postoperatively, from inadequate carbohydrates or excessive administration of insulin

hypoglycemia

Scrub nurses and circulating nurses care for patients during the ____________ phase of perioperative nursing.

intraoperative

The preferred anesthetic method in any surgical procedure is __________ anesthesia

local

Risk factors for surgical complications of an endocrine nature include diabetes, _______________ disorders, and thyroid malfunction.

metabolic

An obese patient tends to have shallow respirations when supine, increasing the risk of hypoventilation and postoperative _____________ complications.

pulmonary

Many hospitals use a scoring system, called the _________ Score, which is used to determine the patient's general condition and readiness for transfer from the PACU.

Aldrete

T/F: It is the nurse's responsibility to provide appropriate information concerning surgery and obtain the written surgical consent

False

A major nursing diagnosis in the postoperative period may include decreased _______________ output related to shock or hemorrhage.

Cardiac