Assessment

Question 1

What are nurses doing by respecting the rights of the patient?

Answer 1

we can serve as the patient’s advocate

Question 2

Every patient has the right to what?

Answer 2

1. considerate, respectful care
2. self-determination about care and treatments
3. privacy
4. confidentiality
5. information as it relates to their diagnosis, treatment, and prognosis

Question 3

Patients are responsible for what 3 things?

Answer 3

1. providing accurate information
2. providing information about their known conditions
3. participation in their treatment and care decisions

Question 4

SDOH. What can impact an individual’s availability for health care access?

Answer 4

transportation options

Question 5

what is crime and violence an example of?

Answer 5

neighborhood and build environment

Question 6

What is access to primary care an example of?

Answer 6

health and healthcare

Question 7

What is discrimination an example of?

Answer 7

social and community

Question 8

What is language and literacy an example of?

Answer 8

education

Question 9

What is food insecurity an example of?

Answer 9

economic stability

Question 10

What 3 reasons make an H&P super important prior to any procedure?

Answer 10

1. to provide a patient-specific needs assessment
2. to address a patient’s condition
3. to include a plan of care

Question 11

Who is the most reliable source for patient information?

Answer 11

the patient

Question 12

Why is documentation of information essential to patient care?

Answer 12

1. allows for evaluation of care provided
2. provides information for planning patient care
3. offers information in the event of a malpractice suit

Question 13

What is the baseline for perioperative care>

Answer 13

data collected by Periop nurse

Question 14

Where is patient date found?

Answer 14

in physician notes, medical history, physical exam, preoperative diagnostic studies, unit progress notes, nursing care plans, consultation with health care team members, patient and family interviews, observation, and physical assessment of the patient.

Question 15

During the preoperative assessment and interview, what do you want to include?

Answer 15

1. physiological status
2. body size
3. mobility
4. preexisting health conditions
5. planned duration of the procedure
6. type of anesthesia

Question 16

What happens during the preoperative visit?

Answer 16

• Introduce yourself to your patient and ask your patient how they would like to be addressed.
• Confirm your patient’s identity with two patient identifier according to the facility’s policy and procedure.
• Use the same scale for pain assessment throughout all patient care areas.
• Consider all elements of patient care needs prior to surgery.
• Consider how the required surgical position may impact a current condition that the patient contends with.

Question 17

If your patient discusses suicidal thoughts during the preoperative visit what do you want to do?

Answer 17

report this immediately by following your

facility’s policy and procedure.

Question 18

What are 3 key advantages of ERAS?

Answer 18

1. shortened stay
2. faster recovery
3. fewer complications

Question 19

define cisgender

Answer 19

biological sex aligns with gender identity

Question 20

define intersex

Answer 20

infant with ambiguous or non-binary chromosomal make-up, and/or hormone levels

Question 21

define gender expression

Answer 21

how an individual conveys their gender by mannerisms, clothing, hairstyle, etc.

Question 22

Gender identity

Answer 22

how a person feels and believes to be in the category of gender

Question 23

What are SDOH?

Answer 23

conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks

Question 24

What are the 5 elements of SDOH?

Answer 24

1. economic stability
2. education
3. social and community context
4. health and health care
5. neighborhood and build environment

Question 25

What kind of effect can antibiotics have on anesthetic?

Answer 25

potentiate action of anesthetic agents

Question 26

What kind of effect can antidysrhythmics have on anesthesia?

Answer 26

1. reduce contractility | 2. impair cardiac conduction

Question 27

What kind of effect can anticoagulants have on anesthesia?

Answer 27

Alter normal clotting factors and increase risk of hemorrhage

Question 28

What kind of effect can antihypertensives have on anesthesia?

Answer 28

1. Cause bradycardia, hypotension, and impaired circulation due to anesthetic agent interaction 2. Inhibit synthesis and storage of norepinephrine in sympathetic nerve endings

Question 29

What are risk factors for hypothermia?

Answer 29

* Extremes in the patient’s age (eg, pediatric, elderly) * History of diabetes * Low body weight * Peripheral vascular disorders * Thyroid disorders

Question 30

What is an example of a procedural risk for hypothermia?

Answer 30

open-cavity surgery

Question 31

What are passive methods for warming a patient?

Answer 31

1. reflective material 2. cotton blanket 3. thermal clothing

Question 32

What are active methods for warming a patient?

Answer 32

1. forced air warming blanket 2. increased room temperature 3. warmed IV fluids

Question 33

What are the acute and chronic effects of cannabis?

Answer 33

``` Anxiety, euphoria, memory dysfunction Tachycardia, atherosclerosis Airway edema, chronic bronchitis Increased appetite, hyperemesis Paranoia, BIS elevation, unknown tolerance to analgesics Potential increase in pain ```

Question 34

When should anticoagulants be discontinued prior to surgery?

Answer 34

48 hours

Question 35

What is not a route of elimination for cannabis?

Answer 35

sweat

Question 36

When assessing the patient for med use, it is important to ask questions about what?

Answer 36

1. prescription meds 2. herbal preps 3. recreational/street drugs 4. drugs, alcohol, smoking. 5. patient risk factors due to alcoholism

Question 37

How can herbal preparations effect surgery?

Answer 37

o may accentuate the toxicity of anesthetics. o interfere with drug metabolism or clearance. o might affect bleeding times.

Question 38

close observation must be maintained for what?

Answer 38

symptoms of withdrawal from recreational/street drugs, especially during and after long procedures.

Question 39

What kind of concerns might a chemically dependent patient have?

Answer 39

concerns about medication he or she is given

Question 40

What can drugs, alcohol and smoking do?

Answer 40

alter lab values or system assessment

Question 41

What are patient risk factors due to alcoholism?

Answer 41

1. Lowered immunity 2. Prolonged bleeding times 3. Increased stress response 4. Cardiac complications

Question 42

what is a multidisciplinary team approach to surgical specialty management with the goal to reduce the patient’s surgical stress response and facilitate recovery?

Answer 42

ERAS

Question 43

What is program-specific safety issues that address Joint Commission topics such as sentinel event alerts and performance measures?

Answer 43

national patient safety goals

Question 44

What is a focus on the patient and the patient’s individual health care needs with the goal of engaging patients as active participants in their health care?

Answer 44

patient centered care