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Nurses have a variety of roles and functions associated with the patient’s surgical management.

Nurses provide care


of a client before, during, and after surgical operation, this is collectively called as Perioperative Nursing. It is a
specialized nursing area wherein a registered nurse works as a team member of other surgical health care
professionals. Absence or limitation of preoperative preparation and teaching increases the need for postoperative
support in addition to managing underlying medical conditions.

Here are 13 nursing diagnosis for a client undergoing surgery or perioperative nursing care plans (NCP): 

1. Deficient Knowledge (Pre-op)

2. Fear/Anxiety

3. Risk for Injury

4. Risk for Injury (Pre-op)

5. Risk for Infection

6. Risk for Imbalanced Body Temperature

7. Ineffective Breathing Pattern

8. Altered Sensory/Thought Perception

9. Risk for Deficient Fluid Volume

10. Acute Pain

11. Impaired Skin Integrity

12. Risk for Altered Tissue Perfusion

13. Deficient Knowledge (Post-op)

14. Other Possible Nursing Care Plans


1. Deficient Knowledge
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Deficient Knowledge
Nursing Diagnosis

 Deficient Knowledge
May be related to

 Lack of exposure/recall, information misinterpretation


 Unfamiliarity with information resources
Possibly evidenced by

 Statement of the problem/concerns, misconceptions


 Request for information
 Inappropriate, exaggerated behaviors (e.g., agitated, apathetic, hostile)
 Inaccurate follow-through of instructions/development of preventable complications
Desired Outcomes

 Verbalize understanding of disease process/perioperative process and postoperative expectations.


 Correctly perform necessary procedures and explain reasons for the actions.
 Initiate necessary lifestyle changes and participate in treatment regimen.

Nursing Interventions Rationale

Facilitates planning of
preoperative teaching
Assess patient’s level of understanding.
program, identifies content
needs.

Provides knowledge base


from which patient can
Review specific pathology and anticipated make informed therapy
surgical procedure. Verify that appropriate choices and consent for
consent has been signed. procedure, and presents
opportunity to
clarify misconceptions.

Specifically designed
Use resource teaching materials,
materials can facilitate the
audiovisuals as available.
patient’s learning.

Implement individualized preoperative teaching program: 

Preoperative or postoperative procedures


and expectations, urinary and bowel Enhances patient’s
changes, dietary considerations, activity understanding or control
levels/ transfers, respiratory/ cardiovascular and can relieve stress
exercises; anticipated IV lines and tubes related to the unknown or
(nasogastric [NG] tubes, drains, and unexpected.
catheters).

Helps reduce the possibility


of postoperative
complications and
Preoperative instructions: NPO time,
promotes a rapid return to
shower or skin preparation, which routine
normal body
medications to take and hold,
function. Note: In some
prophylactic antibiotics,
instances, liquids and
or anticoagulants, anesthesia premedication.
medications are allowed up
to 2 hr before scheduled
procedure.

Intraoperative patient safety: not crossing Reduced risk of


legs during procedures performed under complications or untoward
local or light anesthesia. outcomes, such as injury to
the peroneal and tibial
Nursing Interventions Rationale

nerves with postoperative


pain in the calves and feet.

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