Online Companion: Fundamentals of Nursing Standards and Practice 2E

Frequently Asked Questions

What factors determine the type of anesthesia used in a surgical procedure?

The type of anesthesia selected for use on a particular client is determined by the anesthesia provider after interviewing and examining the client. The surgical procedure itself, the extent of the surgery, the expected length of the procedure are factors that are considered. Client factors, such as overall health state of the client, pre-existing illness, history of smoking or respiratory disease, presence of hypertension, history of allergies, are also weighed in the decision to select the anesthesia type and drugs that will maintain a pain-free surgical experience with the minimum amount of systemic effects possible.

What does the client need to know and understand about the surgery in order to meet the standard for informed consent?

The elements of informed consent require that the client shows evidence that he knows and understands the nature of the surgical procedure, the risk factors involved in performing the surgery and the expected outcomes of the surgery. The explanation of these elements is the responsibility of the surgeon. The nurse is often asked to clarify or repeat some explanation of the surgery.

What factors affect wound healing in the postoperative phase?

Wound healing begins as early as 2 hours after surgery. The client is at risk for infection in the postoperative phase. Factors such as age of the client, location of the incision, client's nutritional status, absence of infection or other wound healing complications affect the client's ability to heal the surgical wound.