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OR Nurse:
doi: 10.1097/01.ORN.0000392913.11903.80
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Abdominoplasty Procedures and perioperative care

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INSTRUCTIONS Abdominoplasty: Procedures and perioperative care


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Abdominoplasty: Procedures and perioperative care

GENERAL PURPOSE: To provide registered nurses with information needed to provide quality perioperative care to patients having abdominoplasty procedures. LEARNING OBJECTIVES: After reading the article and taking this test, the perioperative nurse should be able to: 1. Define abdominoplasty procedures, risk factors, and preoperative considerations. 2. Identify the perioperative nurse's role in abdominoplasty procedures. 3. Describe prevention and treatment of complications associated with abdominoplasty.

1. Over the past 10 years, abdominoplasty procedures in the United States have increased annually by

a. 12%.

b. 32%

c. 55%.

d. 84%.

2. Removal of upper abdominal skin involving closure at the inframammary fold is called

a. panniculectomy.

b. diastasis rectus repair.

c. mini-abdominoplasty.

d. reverse abdominoplasty.

3. Patients undergoing liposuction can expect which result?

a. skin tightening

b. tightened abdominal wall

c. a thinner subcutaneous layer of fat

d. removal of fat around abdominal organs

4. Recovery from abdominoplasty ranges from

a. 1 to 2 weeks.

b. 3 to 8 weeks.

c. 10 to 12 weeks.

d. 14 to 18 weeks.

5. Preoperative preparations for abdominoplasty typically include all except

a. abdominal X-rays.

b. chemistry labs.

c. coagulation studies.

d. history and physical exam.

6. Patients who smoke and desire abdominoplasty

a. must have a pulmonary function test preoperatively.

b. are told to stop smoking before surgery.

c. can't have general anesthesia.

d. have no increased risk of complications.

7. When the patient arrives at the hospital, the perioperative nurse is responsible for

a. performing an anesthesia evaluation.

b. performing informed-consent procedure.

c. performing a preoperative assessment.

d. marking the site of surgery on the patient.

8. Which of the following is a contraindication for elective abdominoplasty

a. a healthy, physically fit patient.

b. a patient with reasonable surgical expectations.

c. a patient with symptomatic issues from skin excess.

d. patient with body dysmorphic disorder.

9. Immediately after surgery, most abdominoplasty patients will require all of the following except

a. blood transfusions.

b. I.V. fluids.

c. a urinary drainage catheter.

d. pain management.

10. Abdominoplasty patients are typically discharged to home

a. the same day or after an overnight stay.

b. 2 days after surgery.

c. 3 to 4 days after surgery.

d. 7 days after surgery.

11. Discharge instructions include

a. avoid pushing or pulling for 2 weeks.

b. abdominal exercises are allowed after 4 weeks.

c. limit lifting for 6 weeks.

d. do not shower until drains and pain pump are removed.

12. Before drain removal, the patient needs follow-up visits with the surgeon at least

a. daily.

b. twice weekly.

c. weekly.

d. every other week.

13. Which complication is usually associated with obesity and excess lower back skin?

a. hematoma

b. seroma

c. scarring

d. recurrent laxity

14. Minor wound healing problems will need

a. vacuum-assisted closure.

b. negative pressure therapy.

c. debridement of necrotic tissue.

d. cleansing, dressing, and coverage.

15. Which complication is usually associated with prolonged intraoperative hypothermia?

a. infection

b. seroma

c. hematoma

d. VTE

16. Which statement about hematomas after abdominoplasty is true?

a. They usually resolve spontaneously.

b. They may be confirmed with computed tomography scan.

c. They may require injection of a sclerosing agent.

d. They usually manifest within a few hours after surgery.

17. Risk factors for thromboembolism include all of the following except

a. obesity.

b. positioning.

c. hormone use.

d. acetaminophen use.

18. Hypertrophic scarring with abdominoplasty is usually treated with

a. surgical scar revision.

b. sclerosant therapy.

c. injection with a dilute corticosteroid.

d. serial needle aspirations.

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