The purpose of this chapter is to review questions related to abdominal surgery. This chapter will review surgeries of the gastrointestinal tract, stomach, and small bowel; postoperative nursing considerations; and drainage devices. Specific diseases such as peptic ulcers, gastroesophageal reflux disease, Crohn’s disease, and diverticular disease will also be presented. Anesthetic techniques, patient outcomes, discharge instructions, and other important aspects of abdominal surgery will be explored.
1.What are the five major parts of the gastrointestinal tract?
2.What surgeries involve the very first part of the gastrointestinal tract, in this case, the esophagus?
3.What are some of the postoperative nursing considerations following surgeries involving the esophagus?
4.What surgeries imply the second part of the gastrointestinal tract, in this case, the stomach?
5.What are some of the postoperative nursing considerations following surgeries involving the stomach?
6.What are some of the postoperative concerns following surgeries involving the stomach?
7.What does a bulb drainage device or a Hemovac do?
8.What surgeries involve the third part of the gastrointestinal tract, in this case, the small bowel?
9.What are some of the postoperative nursing considerations following surgeries involving the small bowel?
10.What is the postoperative care for a patient with an ileostomy?
11.What surgeries imply the fourth part of the gastrointestinal tract, in this case, the large bowel?
12.What are some of the postoperative nursing considerations following surgeries involving the large bowel?
13.What is the postoperative care for a patient with a colostomy?
14.What surgeries imply the fifth part of the gastrointestinal tract, in this case, the lower rectum and anus?
15.What are some of the postoperative nursing considerations following surgeries involving the lower rectum and anus?
16.A patient is undergoing primary colon resection. What would be the major intraoperative expected outcomes?
17.What patient population is subject to gastroenterology procedures?
18.What medications of choice are used for gastrointestinal surgery anesthesia?
19.Are inhalation agents advised during gastrointestinal surgery?
20.How to assess proper sedation according to patient’s past medical history?
21.What are the considerations when choosing the type of anesthesia technique: general, regional or local anesthesia?
22.What are the considerations when choosing spontaneous respirations versus orotracheal sedation in gastrointestinal endoscopy?
23.What postanesthesia complications can occur after gastrointestinal surgery?
24.What is the surgical treatment of choice for patients suffering from peptic ulcers?
25.What surgical repair is available to patients suffering from gastroesophageal reflux disease?
26.What specific postanesthesia care should be provided to an infant following surgery for pyloric stenosis?
27.What surgery is also known as the Whipple procedure?
28.What surgical management is available for patients suffering from Crohn’s disease?
29.What surgical treatment of choice is available for patients suffering of diverticular disease?
30.What postsurgical concern is to be considered after a hemorrhoidectomy?
31.What are the general discharge instructions for the patient undergoing gastrointestinal surgery?
32.What surgical treatment of choice is available for patients suffering from cholelithiasis?
33.What are the possible complications during biliary lithotripsy procedure?
34.What procedures are available to the patient diagnosed with pancreatic cancer?
35.What postsurgical concerns are to be considered after a Whipple procedure?
36.In treating appendicitis, what is the difference between laparoscopy versus a laparotomy approach?
37.Are there any current enhanced recovery after surgery (ERAS) guidelines for abdominal surgery?
Cole , D. J. , & Schlunt , M. (2004). Adult perioperative anesthesia: The requisites in anesthesiology. Philadelphia, PA: Elsevier Mosby.
Enhanced Recovery After Surgery Society. (2015). ERAS Society Guidelines. Retrieved from http://erassociety.org/index.php/eras-guidelines
Ignatavicius , D. D. , & Workman , M. L. (2015). Medical-surgical nursing: Patient-centered collaborative care(8th ed.). St. Louis, MO: Saunders.
Montalvo , I. (2010). The national database of nursing quality indicators [NDNQI]: Future plans and goals for NDNQI. Retrieved from http://www.medscape.com/viewarticle/569395_5
Rothrock , J.C. (2014). Alexander’s Care of the patient in surgery(15th ed.). St. Louis, Missouri: Mosby, Inc.
Schick , L. & Windle , P. (2016). Perianesthesia Nursing Core Curriculum: Preprocedure, Phase I and Phase II PACU Nursing(3nd ed.). Philadelphia, PA: Saunders.