FA DAVIS Care of the Surgical Patient

The nurse is preparing to accompany the health-care provider to obtain an informed consent for surgery. Which factors does the nurse understand as being part of an informed consent? Select all that apply. A A clear definition of the procedure to be performed B Available alternatives to the procedure C A complete list of risks and possible complications D Expected or desired outcomes to the procedure E Credentials of the persons performing the procedure

A A clear definition of the procedure to be performed B Available alternatives to the procedure D Expected or desired outcomes to the procedure

The process of removing an endotracheal tube after surgery is reffered to as A Extubation B Bier block C Conscious sedation D Regional anesthesia

A Extubation

The nurse is preparing a patient to have surgery for a lower left leg amputation. Both of the patient's lower legs exhibit signs of poor circulation. Which practice does the nurse perform to protect the patient from a surgical error? A Marks the left lower leg with "Yes" and the right lower leg with "No" with an indelible ink marker B Marks the left lower leg with a large "X" using an indelible ink marker C Instructs the patient to mark the leg that is being amputated with an indication for amputation D Asks the patient repeatedly to verbally identify which leg is to be amputated

A Marks the left lower leg with "Yes" and the right lower leg with "No" with an indelible ink marker

The nurse in the operating room is aware that each person has a specific purpose. Which member of the surgical team is responsible for sustaining the patient's life and ensuring that the patient remains comfortable? A The anesthesia provider B The surgeon C The first surgical assistant D The scrub nurse

A The anesthesia provider

The licensed practical nurse/licensed vocational nurse (LPN/LVN) scrub nurse is participating in a surgery. The registered nurse (RN) circulating nurse calls for a time-out prior to the surgery beginning. Which information does the scrub nurse expect to be verified? Select all that apply. A The identity and birthdate of the patient B Informed consent form signed by the patient C Presence of correct x-rays and other diagnostic films D Statement of the correct procedure to be performed E Inquiry as to whether the patient has questions

A The identity and birthdate of the patient B Informed consent form signed by the patient C Presence of correct x-rays and other diagnostic films D Statement of the correct procedure to be performed

The nurse is preparing to apply a pair of thigh-high antiembolism (AE) hose to a patient after surgery. In order assure a proper fit, the nurse will use various measurements. Which measurement is unnecessary for selecting the size of AE hose? A The length from the knee to the gluteal fold B The length from the gluteal fold to the heel C The circumference of the thigh at the largest point D The circumference at the fullest part of the lower leg

A The length from the knee to the gluteal fold

A tonsillectomy means that which of the following will occur to the tonsils? A They will be removed. B A cut will be made in them or they will be separated. C They will be uprooted and replaced. D An opening will be created in them.

A They will be removed.

The nurse is performing presurgical assessments on patients scheduled to have elective surgery at a surgical center. Which reason does the nurse identify as the primary purpose for the presurgical assessment? A To provide for patient safety B To obtain an updated medical history C To determine if the patient has existing risks D To decide if the patient is precleared for surgery

A To provide for patient safety

The nurse assists in an outpatient surgery center. For which procedure does the nurse expect the use of procedural sedation and analgesia? A A skin biopsy from the back B A diagnostic colonoscopy C For setting a simple finger fracture D For the repair of a facial laceration

B A diagnostic colonoscopy

The nurse is providing care to a patient diagnosed with a hemorrhagic cardiovascular accident. The nurse expects preparation for which type of surgery? A Salvage surgery B Emergency surgery C Urgent surgery D Elective surgery

B Emergency surgery

The nurse works in the postanesthesia care unit (PACU). A patient arrives in the PACU after facial reconstruction surgery. Which assessment will be the nurse's priority? A Baseline vital signs for comparison with continued assessments B Presence of a patent airway and oxygen saturation levels C Level of pain related to the trauma caused by surgical intervention D Level of consciousness because of administration of anesthesia

B Presence of a patent airway and oxygen saturation levels

The licensed practical nurse/licensed vocational nurse (LPN/LVN) is being trained in the skills of a scrub nurse. The training nurse strongly emphasizes the measures taken to protect a patient from microorganisms and infection. Of which methods has the LPN/LVN become aware? Select all that apply. A Operating room (OR) staff with artificial nails must double-glove. B Special ventilation systems are installed in the OR. C Sterile surgery bed straps are changed with each surgical case. D Surgical hand scrubs are performed by all OR personnel. E Room temperature and humidity are tightly controlled.

B Special ventilation systems are installed in the OR. D Surgical hand scrubs are performed by all OR personnel. E Room temperature and humidity are tightly controlled.

The nurse at a stand-alone surgery center is interviewing a patient scheduled for elective surgery. Which finding discovered during the interview will the nurse report as a reason to change the patient's surgery to an outpatient location? A The patient is an older adult who does not have anyone to stay with him or her B The patient had a serious reaction to general anesthesia as an adolescent C The patient's blood pressure is elevated after being checked two times D The patient is questioning the decision to have the surgery at this time

B The patient had a serious reaction to general anesthesia as an adolescent

The nurse is providing care for a patient in a free-standing surgical center who is preparing for cataract removal. The patient asks about the health-care provider's choice of procedural sedation and analgesia for the procedure. Which advantage does the nurse share with the patient? A The patient will be able to hear but not respond. B The patient will be able to maintain their own airway. C The patient will be in a twilight state of sleep and will dream. D The patient will awaken fully from the sedation in 2 hours.

B The patient will be able to maintain their own airway.

The nurse is providing care for a patient just returned from the postanesthesia care unit (PACU) after surgery with a spinal anesthetic. The nurse will monitor the patient for continued recovery and side effects. For which side effects related to the anesthesia does the nurse monitor the patient? Select all that apply. A Pain and cramping in the lower extremities B Urinary retention or the inability to void C An excessive drop in blood pressure D Expression of a severe headache E Decreased cardiac and respiratory function

B Urinary retention or the inability to void C An excessive drop in blood pressure D Expression of a severe headache E Decreased cardiac and respiratory function

The nurse is explaining the use of sequential compression devices (SCDs) to a patient who is scheduled for surgery. Which statement by the patient indicates to the nurse that additional information is necessary? A "I think that I will enjoy the massage-like feeling on my lower legs." B "It seems that the leg wraps are fairly easy to get on and off." C "The only downside to the system is not being able to get out of bed." D "I understand about preventing leg clots; my friend died from one."

C "The only downside to the system is not being able to get out of bed."

The nurse in a health-care provider's office is interviewing a young adult patient with a knee injury that will likely require arthroscopic surgery. Which facility does the nurse expect the health-care provider to recommend for the procedure? A A hospital outpatient surgery department B An inpatient hospital-based surgery C A stand-alone surgery center D An in-office surgery

C A stand-alone surgery center

During surgery a patient's vital signs are closely monitored by the anesthesia provider. The patient's temperature is carefully watched for a condition called malignant hyperthermia. Which factor is relative to this condition? A It causes an increase in temperature due to a malignancy. B It indicates that the body has been invaded by infectious pathogens. C It occurs because of an inherited genetic trait. D It is in response to intravenous medications.

C It occurs because of an inherited genetic trait.

The nurse is checking the abdominal dressing on a patient who just returned from surgery. The nurse notes the dressing is saturated with bright red drainage. Which action does the nurse perform first? A Reinforce the dressing and continue to monitor for bleeding. B Outline the drainage in ink and add the time and the nurse's initials. C Palpate the abdomen for distention and rigidity. D Change the dressing using strict sterile technique.

C Palpate the abdomen for distention and rigidity.

The nurse works in a surgical setting as a scrub nurse. The facility employs medical doctor anesthesiologists (MDAs), certified registered nurse anesthetists (CRNAs), and anesthesiologist assistants (AAs). Which division of responsibility does the nurse recognize as correct? A The CRNA and AA are both supervised by the MDA. B The MDA is responsible to intubate the patients of both the CRNA and the AA. C The MDA is the only anesthetic provider who is a health-care provider. D The AA is a registered nurse with a master's degree in allied health.

C The MDA is the only anesthetic provider who is a health-care provider.

The nurse is asked to go with a health-care provider to get an informed consent form from a patient who will have surgery. Which responsibility for informed consent does the nurse assume? A Verifying that the health-care provider explained all of the patient's options B Validating that the patient was given adequate time to ask questions C Witnessing that the patient or authorized person signed the consent form D Confirming that the patient understands expected outcomes and risks

C Witnessing that the patient or authorized person signed the consent form

The nurse is reviewing information about pain and discomfort control after surgery. Which information is most important for the nurse to reinforce with a patient? A Being able to move about and cough and deep-breathe is easier with pain medication. B The strength of the pain medication will be decreased as the pain decreases. C Pain is easier to control if pain medication is given before the pain is severe. D Research shows that the body recovers and heals faster when pain is controlled.

D Research shows that the body recovers and heals faster when pain is controlled.