Surgery Prep-U

The nurse is aware that loss of consciousness occurs with which type of anesthesia?

General

An inappropriate nursing action implemented to keep the client safe includes:

Moving the client swiftly

The client vomits during the surgical procedure. The best action by the nurse is:

Suction the client to remove saliva and gastric secretions.

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?

To prevent cerebrospinal fluid (CSF) leakage

In which zone of the surgical area are street clothes allowed?

Unrestricted

At what point does the preoperative period end?

When the client is transferred onto the operating table

Which health care profession has the ultimate responsibility to provide appropriate information regarding a nonemergent surgery?

Physician

The nurse is caring for the postoperative client in the postanesthesia care unit. Which of the following is the priority nursing action?

Position the client to maintain a patent airway.

When is the ideal time to discuss preoperative teaching

Preadmission visit

What is the major purpose of withholding food and fluid before surgery?

Prevent aspiration

A registered nurse who is responsible for coordinating and documenting patient care in the operating room is a

circulating nurse.

The client asks the nurse how the spinal anesthesia will be administered. The best response by the nurse is:

"The anesthesiologist will inject the anesthetic into the space around your lower spinal cord."

In the immediate postoperative period, vital signs are taken at least every:

15 minutes.

Adequate hourly urine output for a patient with an indwelling urinary catheter is

30 mL/hr.

In preparing the client for transfer to the operating room, which of the following actions by the nurse is inappropriate?

Allow the client to wear dentures.

A client who had abdominal surgery 4 days ago reports that "something gave way" when he sneezed. The nurse observes a wound evisceration. Which nursing action is the first priority?

Applying a sterile, moist dressing

The nurse is changing the dressing of a client who is 4 days postoperative with an abdominal wound. The nurse has changed this dressing daily since surgery. Today, the nurse notes increased serosanguinous drainage, wound edges not approximated, and a ¼-inch gap at the lower end of the incision. The nurse concludes which of the following conditions exists?

Dehiscence

In which instance may a surgeon operate without informed consent?

Emergency situations

Which of the following should be incorporated into the patient teaching plan to prevent deep vein thrombosis?

Hourly leg exercises

Which of the following should not be allowed with regards to the wearing of masks in the operating room?

Let masks hang around the neck

A nurse is monitoring a client recovering from moderate sedation that was administered during a colonoscopy. Which finding requires the nurse's immediate attention?

Oxygen saturation (SaO2) of 85%

Which of the following would be the least important issue concerning safety for the perioperative team prior to proceeding to the operating room?

Patient ambulatory aids

Your client, a 2-year-old male, is scheduled to have surgery related to his cleft palate. You will be preparing this client for which type of surgery?

Reconstructive

A patient is to undergo surgery on his kidney. The patient would be placed in which position for the surgery?

Sims (lateral position)

The nurse is aware that which of the following nutrients promotes normal blood clotting?

Vitamin K

Which of the following sets of clinical data would allow the nurse to conclude that the nursing actions taken to prevent postoperative pneumonia have been effective?

Vital signs within normal limits; absence of chills and cough

It is important for the nurse to assist a postsurgical client to sit up and turn his or her head to one side when vomiting in order to

avoid aspiration.

The primary objective in the immediate postoperative period is

maintaining pulmonary ventilation.

In developing the plan of care for the intraoperative client, the nurse recognizes that it is essential to consider:

the client's cultural beliefs

An example of a curative surgical procedure is

the excision of a tumor.