Perioperative Care

Operating Room Nurse, Marshall Islands Hospital, Majuro RMI
photo copyright carol b. allen

Resource for this content:
http://www.aorn.org

Study/Discussion Questions:
1. Describe the types of surgery using the categories of seriousness, urgency and purpose.
2. Discuss the nurse's role in perioperative care.
3. Identify factors to include in a preoperative client assessment.
4. Discuss the effects of age, nutrition, smoking, and emotions on the risks of surgery.
5. Identify routine laboratory tests that are usually completed prior to surgery.
6. Formulate three-part NANDA diagnoses for perioperative clients.
7. Describe the nurse's role in relation to the surgical consent. What is the nurse attesting to when signing the consent as a witness.
8. State the goal and write learning objectives in each of the three domains for preoperative teaching. List content included in preoperative teaching for clients who will have general anesthesia. List content to be included when the client is to have local or regional anesthesia.
9. Discuss the types of anesthesia and the post operative care required following their use.
10. Describe the effects of positioning in the OR on discomfort experienced by post operative clients.
11. Identify postoperative nursing interventions to prevent complication of the respiratory, circulatory, gastrointestinal, genitourinary and integumentary systems.

Case: Mrs. Boorda is a 52-year-old client who will have abdominal surgery in the a.m. She has a history of smoking one pack of cigarettes per day for 30 years. What areas will you concentrate on when doing her pre-op teaching? Why?

You are asked to witness her surgical consent. What is your legal responsibility as a "witness"?

List the assessments you will do on Mrs. Boorda when she is brought to the recovery room.

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