Intraoperative PrepU
The nurse is completing a postoperative assessment for a patient who has received a depolarizing neuromuscular blocking agent. The nursing assessment includes careful monitoring of which body system?
Cardiovascular system
What is the priority action by the scrub nurse when the surgeon begins to close the surgical wound?
Count the sponges
The anesthesiologist administered a transsacral conduction block. Which documentation by the nurse is consistent with the anesthesia being administered?
Denies sensation to perineum and lower abdomen
A nurse is reviewing the medical record of a patient who is to receive general anesthesia and notes a nursing diagnosis of anxiety related to surgical concerns. The nurse implements measures to reduce the patient's anxiety based on the understanding of which of the following?
Increased anxiety can increase the patient's postoperative pain level.
A client is undergoing a perineal surgical procedure. The nurse should place the client in which position?
Lithotomy
There are four stages of general anesthesia. Select the stage during which the OR nurse knows not to touch the patient (except for safety reasons) because of possible uncontrolled movements.
Stage II: excitement
Which of the following is an inappropriate nursing action by the surgical nurse?
Wearing sterile gloves over artificial nails
A postoperative client returns to a surgical nursing unit. The nurse assesses the client and notes tachycardia and muscle rigidity. What is the most important nursing action?
administering supplemental O2
A patient is in the operating room for surgery. Which individual would be responsible for ensuring that procedure and site verification occurs and is documented?
circulating nurse
The OR personnel responsible for maintaining the safety of the client and the surgical environment is the:
circulating nurse
What medication should the nurse prepare to administer in the event the client has malignant hyperthermia?
dantrolene sodium
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?
decreased lean tissue mass
The nurse recognizes that the older adult is at risk for surgical complications due to:
decreased renal function
During a procedure, a client's temperature begins to rise rapidly. This is likely the result of which complication?
malignant hyperthermia
A nurse is monitoring a client recovering from moderate sedation that was administered during a colonoscopy. Which finding requires the nurse's immediate attention?
o2 sat of 85%
How would the operating room nurse place a patient in the Trendelenburg position?
on his back with his head lowered so that the plane of his body meets the e horizontal on an angle
Hypothermia may occur as a result of
open body wounds
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?
scrub nurse
The nurse recognizes the client has reached stage III of general anesthesia when the client:
small pupils that react to light
