NCM 112 Class 2022 rectum.

But it will not cure the cancer

itself.
Perioperative Nursing

Name________________________________________
3. Write 3 physiological consideration to look
Date_________________Score_________Rating______ into preoperatively and defend your answer:
Ex: Nutrition (obesity) = obese clients are
Answer briefly the following according to the space prone for complication due to problems in
provided: mobility and breathing
a. Age = Older patients have more risks
1. Differentiate medical asepsis from surgical
because they have weaker body
asepsis.
- Medical asepsis or clean technique
b. Heart problems = to prevent
includes all practices that reduce the
complications like hypertension and
dumber, growth, transfer and spread of
hypotension
pathogenic microorganisms. They include
hand washing, bathing, cleaning
c. Vital Signs = client’s with unstable vitals
environment, gloving, gowning, wearing
signs are communicating some complications
mask, hair and shoe covers, disinfecting
that needs to be addressed
articles and use of antiseptics.
- Surgical asepsis or sterile technique
4. Give the rationale for including the following
involves practices that keep an area or
in your history taking:
objects free from all microorganisms non-
a. Allergies = During surgery the patient will
pathogenic and pathogenic including
be exposed to different kinds of drugs and
spores and viruses.
anesthetics. It is important in history
taking to avoid possible allergic
2. Classify the following surgical operation
complication
according to purpose and give your rationale.
b. Surgical history = it is important so that
a. Appendectomy = Emergency Surgery
the healthcare team can communicate
because having symptoms of appendicitis
effective clinical decisions
can be life-threatening when the
condition is left untreated, the appendix
c. Understanding of the surgery = it is
can burst and release bacteria and other
important that the patient have sufficient
harmful substances into the abdominal
knowledge about the operation to avoid
cavity.
confusion and anxiety.
b. Rhinoplasty = Cosmetic Surgery;
rhinoplasty involves alteration of the nose
5. Can a client with recent myocardial infarction
shape.
(2 months ago) undergo elective operation?
Yes or no. Defend your answer.
c. Exploratory laparotomy = Exploration
Yes. According to research, prior to such
Surgery because it is to find the cause of
operations, the use of an approved cardiac
problems that testing could not diagnose.
risk calculator and functional status index
should guide further management. Optimal
preoperative evaluation requires the
d. Colostomy due to colon cancer =
involvement of and communication between
Palliative Surgery this will help the
the entire patient care team, including the
patient to relieve solid waste and gas exit
patient, surgeon, anesthesiologist, primary
the body without passing through the
 care physician, and any necessary Answer briefly the following according to the space
consultants. provided:
6. Why is it necessary to postpone elective
operations if client has respiratory infections? 1. Identify 3 preoperative health teachings and
= elective surgeries are postponed due to the give the importance:
increased risk for perioperative respiratory a.
adverse events (PRAE). These events include
laryngospasm, bronchospasm, breath
holding, desaturation and unexpected need
for oxygen supplementation postoperatively, b.
which can lead to prolonged admission or
unexpected escalation in care, such as
admission to the intensive care unit. c.

7. Why is it important to check liver function for

client subjected to operation?
2. Give the rationale:
= to avoid postoperative liver failure and
a. Empty bladder before surgery
death

8. Identify one herbal medicine that should be

withheld prior to surgery and give the b. Secure antiembolic stocking especially for
possible effect to surgery. elderlies and pelvic area surgery
Ginkgo. This is used to improve memory. But
it may cause prolonged bleeding during or
after surgery. It may also make the sedation
effects of anesthesia last longer. c. Only shave hair that will interfere in the
surgery immediately prior to operation
Ginseng. This is commonly used for an energy
boost or to lower blood sugar levels. During
surgery, ginseng may cause high blood
d. Remove nail polish before surgery
pressure and a rapid heart rate.

Garlic. Garlic supplements are used to lower

e. Instruct clients not to get out of bed after
blood pressure and cholesterol. Garlic can
giving the pre-medication
increase the effects of medicines used to
control blood sugar, blood thinners, and some
OTC pain relievers. It can also increase
bleeding during or after surgery. f. Secure consent of patient prior to surgery

3. Why is it important for OR nurses to be

NCM 112 Class 2022 knowledgeable with the human anatomy and
physiology?
Perioperative Nursing

Name________________________________________

Date_________________Score_________Rating______
 4. What is the importance of doing instruments,
needles and sponges count intraoperatively?
5. What is the estimated amount of blood in a
single sponge? ______________ml
6. List factors to consider in deciding what
anesthesia to use:
a.
b.
c.
1. What is the medication used to reverse the
respiratory depression (RR <10/min) due to
anesthesia?_____________________________
2. Medication for malignant hyperthermia as a
reaction to anesthesia?____________________
3. Identify 5 types of sponges and give example each
a.
b.
c.
d.

e.
7. Describe the 4 stages of general anesthesia
and give an intervention appropriate for each 4. Determine what type of drain are the following:
stage.
a. Hemovac

b. Jackson pratt

c. Sump drain

d. T-tube

e. Penrose drain

5. Draw a clamp and identify the different parts

8. Identify the appropriate position for the

following operations:
a. TAHBSO
b. Right nephrectomy
c. Craniectomy at occipital area
d. Hemorrhoidectomy

NCM 112 Class 2022

Name__________________________________ 6. Identify the “what type of retractor” are the

Date________________Score_________Rating______ following:
Answer briefly the following according to the space
provided: a. Balfour with bladder retractor

b. Army navy
c. malleable 1. Why do you have to maintain the urinary catheter
of clients who are receiving pain medication via
d. weitlaner epidural catheter?
e. deaver

7. What is the purpose of draping?

2. Differentiate wound dehiscence from wound

8. Recommended position immediate post-op after evisceration
omentectomy under spinal anesthesia
______________________________________

9. Recommended position immediate post-op after

mastectomy under general anesthesia

______________________________________ 3. A post gastrectomy patient accidentally pulled

out the NGT, as per instruction by your CI never
10. What is the purpose of incentive spirometer for re-insert the NGT. Why?
post-op clients?

4. Differentiate the following type of drainage

11. Spell-out the following ACRONYMS according to color
MRM Serous

Sanguineous

BKA Serosanguineous

TAHBSO with BLND 5. What are movements contraindicated for post hip
replacement patients post-operatively

TMA

NCM 112 Class 2022

Name__________________________________
Date________________Score_________Rating______ 6. Why is it important to monitor the intake and
Answer briefly the following according to the space output postoperatively?
provided:
 1. What are the criteria of a valid informed consent?
a.

7. Draw a 3 way bottle chest drainage system and b.

label it with tubings.
c.

d.

2. The following nutrients are essential for wound

healing. Write the rationale of the need to
increase the intake of these nutrients.

a. Protein

b. Vitamin A

8. Write 2 purposes of cystoclysis after TURP c. Vitamin K

a.

b.
d. Zinc
9. Give 3 health teachings for patients after cataract
extraction

a. 3. Phases of wound healing

b.

c.

NCM 112 Class 2022 4. Types of Surgical Instruments

Name__________________________________
Date________________Score_________Rating______

Answer the following questions briefly according to

the space provided.
5. Identify five ways to account for instruments,
needles and sponges?

a.

b.

c.

d.

e.

6. What is the responsibility of the operating room

nurse with the client’s specimen?