CH 18 Practice Questions

A nurse is monitoring a client recovering from moderate sedation that was administered during a colonoscopy. Which finding requires the nurse's immediate attention? A) Oxygen saturation (SaO2) of 85% B) Decreased cough and gag reflexes C) Blood-tinged stools D) Heart rate of 84 beats/minute

A

A student nurse is scheduled to observe a surgical procedure. The nurse provides the student nurse with education on the dress policy and provides all attire needed to enter a restricted surgical zone. Which observation by the nurse requires immediate intervention? A) Mask is placed over nose and extends to bottom lip. B) Hair is pulled back and covered by a cap. C) Scrub top and drawstring are tucked into pants. D) Shoe covers are used.

A

Nursing students are reviewing information about agents used for anesthesia. The students demonstrate understanding when they identify which of the following as an inhalation anesthetic? A) Halothane B) Fentanyl C) Succinylcholine D) Propofol

A

The circulating nurse is unsure whether proper technique was followed when an object was placed in the sterile field during a surgical procedure. What is the best action by the nurse? A) Remove the entire sterile field from use. B) Remove the item from the sterile field. C) Ask another nurse to review the technique used. D) Mark the client's chart for future review of infections.

A

A 78-year-old client is undergoing surgery to repair a right hip fracture. What nursing action is appropriate during the intraoperative phase? A) Withhold pain medication due to decreased renal function. B) Appropriately position the client using adequate padding and support. C) Maintain an operating room temperature of 18°C to prevent hypothermia. D) Discuss with the anesthesiologist the need for higher doses of anesthetic agents

B

As a circulating nurse, what task are you solely responsible for? A) Estimating the client's blood loss. B) Keeping records. C) Handing instruments to the surgeon. D) Counting sponges and needles.

B

The anesthesiologist administered a transsacral conduction block. Which documentation by the nurse is consistent with the anesthesia being administered? A) Yelling and pulling at equipment B) Denies sensation to perineum and lower abdomen C) Unresponsive to verbal or tactile stimuli D) No movement in right lower leg

B

A client is brought to the operating room for an elective surgery. What is the priority action by the circulating nurse? A) Document the start of surgery. B) Count sponges and syringes. C) Verify consent. D) Acquire ordered blood products.

C

A patient who has received general anesthesia has reached stage II. Which of the following would the nurse expect the patient to exhibit? A) Weak, thready pulse and cyanosis B) Dizziness and a feeling of detachment C) Pupillary dilation and rapid pulse D) Unconsciousness and regular respirations

C

The circulating nurse is performing a skin preparation for a client who is unconscious from general anesthesia when the scrub nurse states, "I know her, she sure has gotten fat!" What is the best response by the circulating nurse? A) "If you say anything like that again, I will report you to the nurse manager." B) "She sure has gained weight. I hope that she will heal after the surgery." C) "It is inappropriate to make comments even when clients appear to be unconscious from anesthesia." D) "Be sure you don't say anything like that when she is coming out of the anesthesia in case she hears you."

C

The circulating nurse must be vigilant in monitoring the surgical environment. Which of the following actions by the nurse is inappropriate? A) Monitor for faulty electrical equipment. B) Alert personnel who break sterile technique. C) Allow unnecessary personnel to enter the OR environment. D) Maintain the positive pressure OR environment.

C

What medication should the nurse prepare to administer in the event the client has malignant hyperthermia? A) Thiopental sodium B) Fentanyl citrate C) Dantrolene sodium D) Naloxone

C

A 70-year-old patient who is to undergo surgery arrives at the operating room (OR). The nurse, when reviewing the patient's medical record, understands that this patient will require a lower dose of anesthetic agent because of which of the following? A) Impaired thermoregulation B) Increased anxiety level C) Increased tissue elasticity D) Decreased lean tissue mass

D

A client is placed on the operating room table for the surgical procedure. Which surgical team member is responsible for handing sterile instruments to the surgeon and assistants? A) First assistant B) Circulating nurse C) Certified registered nurse anesthetist D) Scrub nurse

D

A client is scheduled for a prostatectomy, and the anesthesiologist plans to use a spinal (subarachnoid) block during surgery. In the operating room, the nurse positions the client according to the anesthesiologist's instructions. Why does the client require special positioning for this type of anesthesia? A) To prevent confusion B) To prevent cardiac arrhythmias C) To prevent seizures D) To prevent cerebrospinal fluid (CSF) leakage

D

A client receiving moderate sedation for a minor surgical procedure begins to vomit. What should the nurse do first? A) Provide a basin. B) Administer an antiemetic medication. C) Suction the mouth. D) Roll the client onto his or her side.

D

The scrub nurse is responsible for: A) Calling the "time-out" to verify the surgical site and procedure B) Monitoring the administration of the anesthesia C) Monitoring the operating-room personnel for breaks in sterile technique D) Preparing the sterile instruments for the surgical procedure

D

Which of the following is the appropriate response to the statement, "I'm so nervous about my surgery"? A) "Relax. Your recovery period will be shorter if you're less nervous." B) "Stop worrying. It only makes you more nervous." C) "You needn't worry. Your doctor has done this surgery many times before." D) "You seem nervous about your surgery."

D

Which of the following techniques least exhibits surgical asepsis? A) Placing the sterile field at least one foot away from personnel B) Adding only sterile items to a sterile field C) Keeping sterile gloved hands above the waist D) Suctioning the nasopharyngeal cavity of a client

D

Which statement by the client indicates further teaching about epidural anesthesia is necessary? A) "I will lose the ability to move my legs." B) "I will be able to hear the surgeon during the surgery." C) "A needle will deliver the anesthetic into the area around my spinal cord." D) "I will become unconscious."

D