Nursing · NCLEX-RN

NCLEX Perioperative Nursing

Pre-op, intra-op, and post-op nursing care priorities, including surgical safety checklist concepts.

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What are the three phases of surgical care?
Preoperative, intraoperative, and postoperative.
What is the main purpose of a preoperative checklist?
To verify the patient is physically and legally ready for surgery.
Who is responsible for obtaining informed consent for a surgical procedure?
The surgeon.
What is the nurse's role in the informed consent process?
Witnessing the patient's signature and confirming the patient understands the procedure.
What should a nurse do if a preoperative patient cannot explain the procedure they signed a consent for?
Notify the surgeon before the patient goes to the operating room.
Why is a patient kept NPO before surgery?
To reduce the risk of aspiration during anesthesia.
What preoperative teaching helps prevent postoperative atelectasis?
Coughing and deep breathing exercises.
What is the purpose of an incentive spirometer after surgery?
To promote deep lung expansion and prevent atelectasis.
Why are anti-embolism stockings or sequential compression devices applied before surgery?
To help prevent deep vein thrombosis.
Why is jewelry and metal removed before surgery?
To prevent burns and interference with surgical equipment.
Who marks the surgical site before an operation?
The surgeon or provider performing the procedure.
What are the three components of the Universal Protocol for surgical safety?
Pre-procedure verification, site marking, and a time out.
When is the surgical time out performed?
Immediately before the procedure begins, in the operating room.
What is confirmed during a surgical time out?
Correct patient, correct procedure, and correct surgical site.
What preoperative history finding raises concern for malignant hyperthermia risk?
A family history of adverse reactions to anesthesia.

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