Exam 4 Question Practice
A nurse is teaching a student about the basic safety rules that need to be followed when providing care to patients during surgery. Which safety rule reiterated by the student is accurate? "Consult with the nursing supervisor before touching or moving an anesthetized patient." "A minimum of two people are needed to assist the patient from the stretcher to the operating room (OR) table." "A safety strap is applied across the patient's abdomen when he or she is on the OR table." "The OR bed and stretcher are unlocked while the patient is being transferred."
"A minimum of two people are needed to assist the patient from the stretcher to the operating room (OR) table."
A nurse is teaching about the genitourinary assessments that need to be performed before surgery. Which statement indicates a need for further teaching? "The nurse should document the need for or use of any devices for urinary elimination." "The nurse should have the patient void before entering the operating suite." "A nurse should discourage a patient to discuss any concerns about urination postoperatively as the patient may feel nervous." "The nurse should document any perineal abnormalities on the chart."
"A nurse should discourage a patient to discuss any concerns about urination postoperatively as the patient may feel nervous."
The nurse is caring for a patient with symptoms of malignant hyperthermia. Which actions should the nurse take? Select all that apply. "Cover the patient with blanket." "Administer dantrolene to the patient." "Perform nasogastric saline lavage on the patient." "Perform cold body cavity lavage on the patient." "Administer cool normal saline to the patient."
"Administer dantrolene to the patient." "Administer cool normal saline to the patient."
The surgeon, after talking to the mother of a 1-year-old infant scheduled for heart surgery, decides to postpone surgery. Which statement made by the infant's mother most likely influenced the surgeon's decision? "I fed the infant formula 2 hours ago." "I fed the infant an apple 8 hours ago." "I fed the infant grape juice 6 hours ago." "I fed the infant breast milk 4 hours ago."
"I fed the infant formula 2 hours ago."
The nurse has concerns that there may be a risk for deep vein thrombosis in a patient who is scheduled for hip replacement. Which statement made by the patient most likely supports the nurse's suspicion? "I drink two glasses of wine per week." "I have been diagnosed with asthma recently." "I am allergic to few anesthetic agents." "I smoke five packs of cigarettes per day."
"I smoke five packs of cigarettes per day."
The registered nurse is teaching the details of the time-out. Which statements indicate effective learning? Select all that apply. "I will assess the temperature of the patient." "I will ensure for correct diagnostic reports." "I will verify antibiotic administration." "I will verify the NPO status of the patient." "I will verify the daily medications used by the patient."
"I will ensure for correct diagnostic reports." "I will verify antibiotic administration."
The registered nurse is teaching about levels of postanesthesia care unit (PACU) care to a nursing student while caring for a patient who is transferred from the operating room to the PACU. Which statement made by the nursing student indicates effective understanding? "I will transfer the patient to phase II when the patient is on a mechanical ventilator." "I will transfer the patient to phase II when the pulse rate is 55 beats/min." "I will transfer the patient to phase II when the pain score is 2." "I will transfer the patient with heavy bleeding to phase III."
"I will transfer the patient to phase II when the pain score is 2."
The registered nurse is teaching about how to prepare a patient before knee surgery. Which statement indicates a need for further teaching? "I will use a razor to shave the leg hair of the patient." "I will use a sterile electric clipper to cut the hair of the patient." "I will shave the hair of the patient after administering anesthesia." "I will instruct the patient to have a shower with hexachlorophene soap."
"I will use a razor to shave the leg hair of the patient."
A nurse is teaching about local anesthetics. Which statement indicates a need for further teaching? "It inhibits all qualities of sensation as well as muscle control when given in high concentrations." "It causes an irreversible conduction blockade of nerve impulses when placed in the proximity of nerve membranes." "It selectively inhibits pain sensation with minimal effect on muscle power when given in lower concentrations." "It diffuses into the nerves and inhibits the propagation of signals for pain and muscle contraction."
"It causes an irreversible conduction blockade of nerve impulses when placed in the proximity of nerve membranes."
A nurse is teaching about malignant hyperthermia. Which statement indicates a need for further teaching? "It is characterized by loss of muscular tension related to a decrease in intracellular calcium ion concentration." "It is characterized by skeletal muscle rigidity, tachycardia, and hypercarbia." "It is a hypermetabolic state that can be caused by exposure to a gas anesthetic." "It is a genetic disorder."
"It is characterized by loss of muscular tension related to a decrease in intracellular calcium ion concentration."
One nurse asks another, "Why do patients not read the consents before signing?" How should the nurse respond? "Most don't read it because there is too much information." "Most don't read it because they trust what their doctor says to them." "I'm not sure, what do you think?" "Most of them are illiterate."
"Most don't read it because there is too much information."
A nurse is teaching about the process of obtaining informed consent before a surgery. Which statement indicates a need for further teaching? "The informed consent given by a patient who cannot physically sign, but is able to make his or her own care decisions, needs to be witnessed by three people." "Informed consent should generally be obtained in the presence of the patient and one witness." "Informed consent of the patient is important if there is any need for blood product." "Informed consent is mandatory even at the risk of death."
"The informed consent given by a patient who cannot physically sign, but is able to make his or her own care decisions, needs to be witnessed by three people." *needs to be witnessed by two people, not three
The anesthesia provider administered lidocaine with a duration of 60 to 120 minutes in a patient weighing 70 kg who is scheduled for a dental extraction. What is the maximum dose for this patient? Record your answer in mg using a whole number. Enter numeral only.
315
An infant is scheduled to undergo surgery. Up until when before the surgery can the infant be given breast milk? 4 hours prior to surgery 6 hours prior to surgery 2 hours prior to surgery 8 hours prior to surgery
4 hours prior to surgery
Which patient is most appropriate for lithotomy position during surgery? A patient scheduled for a craniotomy A patient scheduled for an appendectomy A patient scheduled for hip surgery A patient scheduled for vaginal surgery
A patient scheduled for vaginal surgery
The nurse is reviewing the data of patients who are scheduled for surgery. Which patient may be at higher risk of postoperative bleeding? A patient using antiseizure medications A patient using corticosteroids A patient using antiarrhythmics A patient using antihypertensives
A patient using corticosteroids
Which describes the role and responsibility of a scrub nurse? Select all that apply. A scrub nurse administers anesthetics under the direction of anesthesiologists. A scrub nurse passes instruments, sponges, and other items needed during the surgical procedure. A scrub nurse is responsible for maintaining and supporting the patient's physiological status. A scrub nurse prepares the operating room by setting up surgical instruments, sterile drapes, and sterile solutions. A scrub nurse assists the surgical team don sterile gowns and gloves in preparation for the surgical procedure.
A scrub nurse passes instruments, sponges, and other items needed during the surgical procedure. A scrub nurse prepares the operating room by setting up surgical instruments, sterile drapes, and sterile solutions. A scrub nurse assists the surgical team don sterile gowns and gloves in preparation for the surgical procedure.
Initially upon admission, Mr. Wells remains sleepy and hard to arouse. The PACU nurse anticipates an order for which laboratory test? A. Glucose level B. Arterial blood gas C. Lactate level D. Liver function test
A. Glucose level
The PACU nurse supports Mr. Wells's family by doing which of the following? (Select all that apply.) A. Informing family when the patient arrives in the PACU B. Allowing visitation immediately prior to transfer to his inpatient room C. Allowing visitation as safety and privacy allow D. Providing frequent updates E. Providing a visitation policy that allows visitation after discharge from the PACU
A. Informing family when the patient arrives in the PACU C. Allowing visitation as safety and privacy allow D. Providing frequent updates
Before administering pain medication to Mr. Wells, the nurse's assessments include which of the following? (Select all that apply.) A. Sedation level B. Self-report of pain C. Vital signs D. Bowel sounds E. Urine output
A. Sedation level B. Self-report of pain C. Vital signs
Which is true regarding the role of nurse practitioner (NP) in an operating room (OR)? An NP transports the patient to the OR and helps in positioning him or her on the operating table. An NP helps the scrub nurse to open sterile supplies packages necessary for the procedure. An NP helps in counting sponges, needles, instruments, and other miscellaneous supplies used during the procedure. An NP assists the primary health-care provider in performing the operation.
An NP assists the primary health-care provider in performing the operation.
Which health-care professional accompanies the patient who is transferred from the operating room to the postanesthesia care unit (PACU) after surgery? Physician assistant Anesthesia provider Surgical technologist Operating room technician
Anesthesia provider
The nurse administers midazolam hydrochloride (HCl) to a patient. Which symptom or condition is this used to address preoperatively? Anxiety Infection Vomiting Pneumonia
Anxiety It is a benzodiazepine that is typically prescribed to patients with preop anxiety
The nurse is caring for a patient in the postanesthesia care unit (PACU) who is restless and confused and has a pulse oximeter reading of 89% on room air. What action should the nurse take next? Obtain a chest x-ray. Apply oxygen at 100% nonrebreather mask. Deliver pain medication. Intubate the patient.
Apply oxygen at 100% nonrebreather mask.
The nurse is caring for a patient in the postanesthesia care unit (PACU) whose body temperature is 95.7ᵒF (35.4°C). What action should the nurse take next? Provide warm IV solution. Administer an antipyretic. Apply warm blankets. Administer antibiotics.
Apply warm blankets.
Which complication is prevented when cricoid pressure is applied during intubation? Aspiration Infection Fluid Imbalance Injury
Aspiration
Which steps need to be taken when performing a neurological assessment on a patient in surgery? Select all that apply. Assessing the patient's cognition and ability to understand commands Assessing the movement, strength, and sensation of the extremities Assessing the patient's breathing for rate, depth, rhythm, and adventitious breath sounds Assessing peripheral pulses, color, skin turgor, capillary refill, temperature, and edema
Assessing the patient's cognition and ability to understand commands Assessing the movement, strength, and sensation of the extremities Assessing for the presence of preoperative delirium or confusion
Which steps need to be taken when performing a respiratory assessment on a patient in surgery? Select all that apply. Assessing the patient's oxygen saturation level Assessing the movement, strength, and sensation of the extremities Assessing the patient's breathing for rate, depth, rhythm, and adventitious breath sounds Assessing peripheral pulses, color, skin turgor, capillary refill, temperature, and edema Assessing the patient's airways and maintaining intubation
Assessing the patient's oxygen saturation level Assessing the patient's breathing for rate, depth, rhythm, and adventitious breath sounds Assessing the patient's airways and maintaining intubation
Which course of action should the nurse take to prevent hip dislocations and fractures in a patient placed in the lithotomy position for a vaginal procedure? Ensure that the buttocks do not hang off the edge of the bed. Use stirrups that disperse support and pressure over wide areas. Avoid hyperabduction during the procedure. Apply sequential compression devices.
Avoid hyperabduction during the procedure.
The PACU nurse understands that the first priority for Mr. Wells upon admission to the PACU is which of the following? A. Informing the family of his status B. Checking vital signs and neurological status C. Providing pain medication D. Assessing the nasogastric tube
B. Checking vital signs and neurological status
Which of the following is an example of a local anesthetic? A. Diazepam B. Lidocaine C. Pavulon D. Morphine
B. Lidocaine
The nurse is caring for a patient with a decreased level of consciousness who does not seem to be awakening after surgery. Which should be assessed when the patient is suspected to be at risk of postsurgical neurological complications? Blood glucose levels Serum calcium levels Serum creatinine levels Blood hemoglobin levels
Blood glucose levels
Which assessments should the preoperative nurse obtain prior to surgery? Select all that apply. Blood pressure Pain assessment Insurance authorization White blood cell count Oral temperature
Blood pressure Pain assessment White blood cell count Oral temperature
Upon patient admission to the PACU, the nurse understands that the priority intervention is which of the following? A. Administer antiemetics. B. Administer pain medication. C. Connect patient to the monitor. D. Start IV fluid.
C. Connect patient to the monitor.
Shortly later, Mr. Wells becomes restless, and his heart rate goes up to 100 bpm. As the nurse assesses him, the priority assessment should include which interventions? (Select all that apply.) A. Check his dressing and drains for bleeding. B. Check his breathing and oxygen saturation. C. Check his pain and comfort level. D. Check to see if he has to have a bowel movement. E. Check his blood pressure and fluid volume status.
Check his dressing and drains for bleeding Check his breathing and oxygen saturation Check his pain and comfort level Check his blood pressure and fluid volume status
Which are roles of a preoperative nurse in the health-care facility? Select all that apply. Clarify information and ensure patient understanding. Obtain consent for the procedure. Witness the consent form even if the patient has not signed it in his or her presence. Correct common misconceptions and ease concerns of the patient and family members. Collect information and paperwork necessary for the procedure.
Clarify information and ensure patient understanding. Correct common misconceptions and ease concerns of the patient and family members. Collect information and paperwork necessary for the procedure.
Before a client is discharged home following surgery, which criteria must be met? Select all that apply. Client is accompanied by a responsible adult. Client is voiding normally. Client is eating and drinking normally. Surgical wound is clean and dry. Client verbalizes understanding of instructions.
Client is accompanied by a responsible adult. Client is voiding normally. Client is eating and drinking normally. Surgical wound is clean and dry. Client verbalizes understanding of instructions.
Family care in the PACU entails: Making contact every 30 minutes Communicating plans for transfer or discharge Allowing visitation per hospital policy Providing discharge instructions Restricting family visitation unless the client is unstable Teaching family about prevention of postoperative complications
Communicating plans for transfer or discharge Allowing visitation per hospital policy Providing discharge instructions
The nurse is intervening to prevent and treat venous thromboembolism (VTE) in the postoperative patient. Which interventions are most supportive? Select all that apply. Compression stockings Increase fluids Intermittent pneumatic compression boots Anticoagulation therapy Ambulation
Compression stockings Intermittent pneumatic compression boots Anticoagulation therapy Ambulation
Which step followed by a nurse while caring for a patient in the perioperative phase can prevent aspiration during intubation and extubation? Checking heart rate, blood pressure, temperature, and oxygen saturation level Conducting a physical examination of the patient Confirming the last oral intake of the patient Confirming that appropriate skin preparation and bowel preparation has been carried out
Confirming the last oral intake of the patient
Which postoperative complications is the nurse most likely to anticipate in a patient with preoperative anxiety who is scheduled for surgery? Select all that apply. Deep vein thrombosis Delayed wound healing Decreased risk of infection Increased postoperative pain Decreased response to anesthesia
Deep vein thrombosis Increased postoperative pain
A nurse is putting antiembolic/sequential compression stockings on a perioperative patient who has been in the lithotomy position for more than 2 hours. Which complication is the patient most at risk for that can be prevented by the nurse's intervention? Crushed fingers Venous pooling shifts toward head Back strain Deep venous thrombosis (DVT) in lower extremities
Deep venous thrombosis (DVT) in lower extremities
Which postoperative complications is the nurse most likely to anticipate in a patient with a history of chronic smoking who is scheduled for a surgery? Delayed wound healing Limited postoperative pain Decrease in the response to anesthesia Decreased immune system response
Delayed wound healing
The nurse is caring for a patient in the postanesthesia care unit (PACU) who is hypotensive and tachycardic from a large blood loss in surgery. What action should the nurse take next? Assess blood glucose. Deliver anticoagulation medications. Check hemoglobin level. Deliver fluid and blood as prescribed.
Deliver fluid and blood as prescribed.
After reviewing the data of a patient who is scheduled for surgery, the nurse suspects a risk of hemorrhage. Which medication in the prescription may lead to this condition? Sotalol Valsartan Phenytoin Dexamethasone
Dexamethasone It is a corticosteroid that can increase bleeding risk.
The nurse is caring for a patient who continues to be lethargic 30 hours after surgery. Which medication is the cause? Propofol Ketamine Sodium methohexital Diazepam
Diazepam
The nurse places the patient in the position in this image. What assessment is a priority for the nurse? (Jackknife) Distal pulses before, during, and after positioning Place the patient's arm on an arm board. Place a padded roll under the lower axilla. Flex knees slightly.
Distal pulses before, during, and after positioning
The client undergoing a surgical procedure with general anesthesia needs to be repositioned by staff members. Which actions are the responsibility of the RN? Select all that apply. Document all positioning aids used. Determine the position that is appropriate for a specific procedure. Ensure that the client is treated in a dignified manner. Document team members assisting with positioning. Approve the positioning appropriateness of the client.
Document all positioning aids used. Ensure that the client is treated in a dignified manner. ???
What role does the preoperative nurse have in obtaining consent for surgery? Inform client about type of anesthesia and medications to be used Ensure client understands information being presented Inform client about the risks associated with type of anesthesia planned Inform client about how the anesthesia is administered
Ensure client understands information being presented
What postoperative assessment is for possible complications? Assessment of type of IV fluids running Assessment of the smell of the urine Fingerstick glucose level Auscultation of bowel sounds
Fingerstick glucose level
Which actions should the operating room nurse perform to ensure the safety of the client? Select all that apply. Apply safety strap across client's ankles once client is on the OR table. Frequently monitor client's respiratory rate. Ensure the side rails are in the up position. Carefully position client's arms on the instrument table. Cross the client's legs over the calf area instead of the ankles.
Frequently monitor client's respiratory rate. Ensure the side rails are in the up position. ???
Immediately after surgery, the post-anesthesia care unit nurse receives a report from a member of the anesthesia care team. What information should this report contain? Select all that apply. General client report with significant history Pharmacological report including anesthesia and pain medications Procedural report Anesthetic report Discharge instructions
General client report with significant history Pharmacological report including anesthesia and pain medications Procedural report Anesthetic report
Prior to surgery, the nurse is reviewing the client's readiness for surgery. Which observation can be a "show stopper" and requires the surgeon be notified? Select all that apply. Hypertension Use of aspirin Nausea Elevated white blood cells A new cough
Hypertension Use of aspirin Elevated white blood cells A new cough
client is given epidural anesthesia during a surgical procedure. The anesthesiologist requests that a vasopressor be administered.Drag and drop the risk the nurse is attempting to avoid with this intervention. venous pooling of blood diminished lung capacity shearing upper extremity injury deep vein thrombosis in lower extremities brachial plexus injury laryngospasm hypothermia hypoxia
Hypotension
During the preoperative period, the nurse would notify the healthcare provider of which of the following assessment findings? Select all that apply. Increased blood pressure Normal sinus rhythm on ECG tracing Elevated white blood cell count Client taking aspirin daily for pain Fever
Increased blood pressure Elevated white blood cell count Client taking aspirin daily for pain Fever
Which postanesthesia care unit (PACU) setting is suitable to perform lung lobectomy? Procedure unit Intensive care unit (ICU) Inpatient PACU Outpatient PACU
Inpatient PACU
Which is true regarding informed consent? It includes type of instruments used for surgery. It includes the reason for the surgery. It includes the name of the registered nurse. It includes the allergic history of the patient.
It includes the reason for the surgery.
A nurse is caring for a patient in the operating room who is experiencing a laryngospasm during intubation. What is the cause of this? It is caused by placing the endotracheal tube below the carina into one of the main stem bronchi. It is caused by stimulation of the airway by devices, anesthesia, secretions, or gastric contents. It is caused by intubation with excessive force or use of a stylet. It is caused by the regurgitation of stomach contents or other secretions into the lungs.
It is caused by stimulation of the airway by devices, anesthesia, secretions, or gastric contents.
Which is true regarding the mask in this image? Select all that apply. It is used for a patient undergoing anesthesia for brief and simple surgeries. It is inserted into the trachea. It is inserted into the pharynx. It is placed externally covering the nose and mouth. It does not require muscle relaxants or laryngoscopy for placement.
It is used for a patient undergoing anesthesia for brief and simple surgeries. It is inserted into the pharynx. It does not require muscle relaxants or laryngoscopy for placement.
A patient is about to have surgery. The nurse learns that the patient is taking corticosteroids for a chronic medical condition. The nurse anticipates that it will impact surgery in what way(s)? Select all that apply. It may increase the healing time. It may alter response to muscle relaxants. It may increase the risk of hemorrhage. It may affect tolerance of anesthesia. It may mask signs of infection.
It may increase the healing time. (blocks collagen formation) It may increase the risk of hemorrhage. It may mask signs of infection.
Which is true regarding time-out during a surgical procedure? It starts on the patient's admission to the health-care facility. It occurs in the operating room and is used to identify the correct patient, correct procedure, and correct surgical site. It is the duty of the preoperative or circulating nurse to mark the surgical site using a permanent marker. It is essential to confirm the patient's complete name along with email identification.
It occurs in the operating room and is used to identify the correct patient, correct procedure, and correct surgical site.
Which position would be most appropriate to perform a surgery in the gluteal region? Fowler's position Jackknife position Lithotomy position Trendelenburg position
Jackknife position
Which surgical procedure can be performed in an outpatient surgical postanesthesia care unit (PACU)? Craniotomy Mastectomy Open reduction Exploratory laparotomy
Mastectomy
A nurse is recovering a patient in the postanesthesia care unit (PACU). The nurse notes that the patient is restless, tachycardic, and has facial grimacing. What action should the nurse take? Assess the urine output. Medicate for pain. Notify the surgeon. Reposition the patient.
Medicate for pain.
The nurse has received a patient from the operating room to the postanesthesia care unit. After assessing the vital signs, what are the priority assessments? Select all that apply. Monitor for nausea and vomiting. Monitor urine output. Check for bleeding of the surgical site and drains. Monitor for sign of malignant hyperthermia. Address physiological signs of pain.
Monitor for nausea and vomiting. Monitor urine output. Check for bleeding of the surgical site and drains. Monitor for sign of malignant hyperthermia. Address physiological signs of pain.
The nurse in the preoperative area knows that a complete informed consent prior to surgery includes which components? Select all that apply. Name of the surgeon performing surgery Consent to administer blood products Consent for anesthesia Length of time surgery is to take Description of how the surgery will benefit the client
Name of the surgeon performing surgery Consent to administer blood products Consent for anesthesia Description of how the surgery will benefit the client
Which information should the patient be given about the procedure before surgery is performed? Select all that apply. Name, type, and reason for surgery Name of the apparatus needed to be used for surgery Reason that intervention will benefit patient Name of all the members present in the operating room All alternative options to surgery
Name, type, and reason for surgery Reason that intervention will benefit patient All alternative options to surgery
Which drug reverses the action of nondepolarizing agents that are administered during surgery? Atropine Etomidate Neostigmine Succinylcholine
Neostigmine
The nurse removes a dressing in the postanesthesia care unit (PACU) and observes this image. What action should the nurse take next? Nothing; this is normal. Replace the existing dressing and document. Redress with a new sterile dressing. Notify the surgeon.
Notify the surgeon.
Which perioperative action can help to avoid complications in a patient taking antiarrhythmic medications? Assessing for hyperglycemia Obtaining baseline coagulation studies (PT, INR, aPTT) Assessing for infection Obtaining baseline electrocardiogram and vital signs
Obtaining baseline electrocardiogram and vital signs
Which preoperative medication may reduce the risk of vomiting in the patient? Diazepam Glycopyrrolate Vancomycin HCl Ondansetron HCl
Ondansetron HCl
Who are the members of the nonsterile surgical team? Select all that apply. Operating room (OR) coordinator Unlicensed assistive personnel Scrub nurse Surgical assistant Anesthesia provider
Operating room (OR) coordinator Unlicensed assistive personnel Anesthesia provider
The registered nurse is performing the steps of a time-out. Which components should be included? Select all that apply. Patient stating his/her full name Patient stating his/her date of birth Patient stating the site of the procedure Patient stating his/her social security number Patient stating his/her allergies
Patient stating his/her full name Patient stating his/her date of birth Patient stating the site of the procedure Patient stating his/her social security number
The nurse reviews the patient's identification band as seen in this image. Which components are acceptable to be used as identifiers? Select all that apply. Patient, John Q 7/31/1985 9/1/2016 123-45-67 86753099
Patient, John Q 7/31/1985
The nurse is caring for a patient in the postanesthesia care unit (PACU) who has not voided since surgery despite having over 2 liters of fluid infused. What action should the nurse take next? Perform a bladder scan. Insert a Foley catheter. Notify the provider. Obtain blood pressure.
Perform a bladder scan.
Which surgical procedure is performed in high lithotomy position? Renal procedures Gluteal procedures Perineal procedures Laparoscopic procedures
Perineal procedures
Which surgical position is also known as the ventral recumbent or ventral decubitus position? Supine Prone Trendelenburg Fowler's
Prone
Which laboratory finding is most likely to indicate that the patient is at risk of postoperative bleeding? Red blood cell (RBC) count White blood cell (WBC) count Hemoglobin Prothrombin time
Prothrombin time
The nurse recognized that postoperatively the patient is at risk for bleeding, fluid loss, electrolytes imbalance, renal function, and clotting abnormalities. Which laboratory results indicate a possible problem? Select all that apply. Prothrombin time (PT) 15 seconds Creatinine 2.0 mg/dL Glucose 87 mg/dL Potassium 3.7 mEq/L White blood cells 13.6 10ᶟ/mmᶟ
Prothrombin time (PT) 15 seconds Creatinine 2.0 mg/dL White blood cells 13.6 10ᶟ/mmᶟ
The nurse is caring for a client who is hypothermic during surgery. What action can the nurse take to prevent this? Select all that apply. Provide warm irrigation Increase the room temperature of the operating room Warm the packed red blood cells that are infusion Provide a warm blanket Place socks on the client
Provide warm irrigation Provide a warm blanket ???
A new staff nurse in the operating room requires further education when stating that which team member may be nonsterile? Scrub nurse Anesthesia provider Circulating registered nurse Operating room director
Scrub nurse
The nurse is discharging a patient to home. What criteria must be met? Select all that apply. Skin is intact, surgical site is clean and dry. No adverse reactions to medications Vital signs below preoperative values Voiding Passing stool
Skin is intact, surgical site is clean and dry. No adverse reactions to medications Voiding Passing stool
.Who are considered to be the sterile team members in the operating room? Select all that apply. Circulating RN Surgeon Operating room (OR) director Surgical assistants Scrub nurse
Surgeon Surgical assistants Scrub nurse
The operating room nurse should intervene when making which observation during a surgical procedure? The anesthesiologist hands the surgeon a sterile instrument. The chief surgeon dons a pair of sterile gloves. The circulating nurse obtains additional sterile supplies. Unlicensed assistive personnel close the operating room doors.
The anesthesiologist hands the surgeon a sterile instrument. ???
The preoperative nurse needs further instruction from the nurse manager when which action is observed? The nurse places compression stockings on the client's legs before the procedure. The nurse asks the client's spouse to witness the surgical consent. The nurse prints current lab results and places a copy on the chart. The nurse tells the client that early ambulation after surgery is best.
The nurse asks the client's spouse to witness the surgical consent.
The nurse in an outpatient surgical center is discharging a patient after surgery. What criteria must be met before discharge to home? The patient must verbalize that they are ready to go home. The patient has received and understands written discharge instructions and prescriptions. The patient has arranged for taxi cab for pick up. The patient is nauseated and cannot keep fluids down.
The patient has received and understands written discharge instructions and prescriptions.
Which nursing personnel works under the supervision of a perioperative RN? Unlicensed assistive personnel Anesthesia provider Nurse practitioner (NP) Surgeon
Unlicensed assistive personnel
The nurse inspects this image upon admission. At what point are these identifiers used as a time-out during the surgical process? By the anesthesiologist before a medication is delivered Upon admission, when the wristband is placed Before the patient is moved into the surgical suite Before family is able to see the patient Before the incision is made.
Upon admission, when the wristband is placed Before the patient is moved into the surgical suite Before the incision is made.
During phase I of the postoperative period, the nurse will perform which priority assessments? Select all that apply. Capillary refill Auscultation of bowel sounds Vital signs Level of consciousness Airway patency
Vital signs Level of consciousness Airway patency
A patient has undergone general anesthesia during hip replacement surgery. The nurse should perform which priority assessment when the patient first arrives to the post-anesthesia care unit? Ability to ambulate safely Understanding of post-operative care Vital signs evaluation Check surgical wound
Vital signs evaluation
The nurse is caring for an unconscious patient in the postanesthesia care unit (PACU). The provider has added an order for a patient-controlled analgesia (PCA) pump for pain medication delivery. What action should the nurse take? Connect and begin the PCA. Wait for the PCA to be started once the patient is awake. Contact the provider and question the order. Deliver the medication IV push instead.
Wait for the PCA to be started once the patient is awake.
Jason is being prepared for knee surgery. The nurse completes the preoperative checklist, health history, and admitting assessment. A latex allergy is noted.Drag and drop the safety action that the nurse should take next. cefazolin sodium heparin informed consent client history preoperative checklist opioid narcotics time-out blood consent allergy band
allergy band
The nurse reviews the blood work to confirm that all preventive measures are in place before Joe's scheduled orthopedic surgery. It is possible that he will require blood products during surgery. Drag and drop the additional requirement for blood delivery. cefazolin sodium heparin informed consent client history preoperative checklist opioid narcotics time-out blood consent allergy band
blood consent
Monitoring for potential complications in the PACU should include: Assessing level of consciousness Assessing vital signs Monitoring urine output Determining last bowel movement Medicating for pain and nausea Checking glucose level
Assessing level of consciousness Assessing vital signs Medicating for pain and nausea Checking glucose level
What should be the immediate nursing intervention when a patient is transferred to the postanesthesia care unit (PACU) after surgery? Assessing the vital signs Providing IV fluids Administering acetaminophen Administering metoclopramide
Assessing the vital signs
The nurse is caring for a client placed in the jackknife position for surgery. Which assessment is the priority? Auscultation of the lungs Assessment of distal extremities Assessment of the pressure points Auscultation of the bowel sounds
Assessment of distal extremities
Which of the following is an airway used to support airway management? (Select all that apply.) A. MAC B. MH C. LMA D. ETT E. PCP
C. LMA (laryngeal mask airway) D. ETT (endotracheal tube)
The nurse understands PACUs are designed for which of the following? A. Managing the transition from anesthesia to long-term care B. Managing the transition from anesthesia through phase III of recovery C. Managing the transition from anesthesia through phase II of recovery D. Managing the transition from anesthesia through rehabilitation
C. Managing the transition from anesthesia through phase II of recovery
The nurse understands that the immediate postoperative assessment upon admission to the PACU includes which of the following? (Select all that apply.) A. Medical history B. Full system review C. Neurological assessment D. Blood pressure E. Surgical-site drainage
C. Neurological assessment D. Blood pressure E. Surgical-site drainage
3. Because of Maria's smoking history, the nurse understands she is at great risk for which of the following? (Select all that apply.) A. Increased postoperative pain B. Difficulty with anesthesia C. Respiratory depression during the procedure D. Increased healing time after the procedure E. Deep vein thrombosis after the procedure
C. Respiratory depression during the procedure D. Increased healing time after the procedure E. Deep vein thrombosis after the procedure
If Ms. Doe indicates there is a family history of problems with anesthesia, it is important to discuss this with the anesthesia provider in order to avoid the use of which MH-triggering agent? A. Nitrous oxide B. Morphine C. Succinylcholine D. Ketamine
C. Succinylcholine
The OR nurse is completing a perioperative assessment for a patient who is scheduled for exploratory surgery. Which of the following interventions must be completed prior to this patient going into the OR? (Select all that apply.) A. Verify operative consent has been signed. B. Ensure allergy and ID bands are in place. C. Remove the patient's personal clothing. D. Determine evidence of advance directive. E. Validate completed patient history and physical examination. F. Determine NPO status (last food/fluid consumed).
A. Verify operative consent has been signed.B. Ensure allergy and ID bands are in place.C. Remove the patient's personal clothing.D. Determine evidence of advance directive.E. Validate completed patient history and physical examination.F. Determine NPO status (last food/fluid consumed).
The preoperative nurse is admitting a client for same-day surgery. What is the nurse's priority action? Teach the client how to use an incentive spirometer Assess the client's vital signs Complete the preoperative checklist Start a large bore intravenous line
Complete the preoperative checklist
Which of the following patients presents the greatest risk for a negative response to anesthesia? A. A 40-y.o. male with high blood pressure B. A 20-y.o. female with no prior surgical history C. A 29-y.o. female with a history of stage II acute renal failure D. An 85-y.o. male who drinks one glass of scotch every night
D. A 29-y.o. female with a history of stage II acute renal failure
During phase I of the postoperative period, the nurse notices that the client's surgical dressing contains an area of bright, red bleeding. Which action should the nurse take first? Assess the client's temperature. Notify the anesthesiologist. Reinforce the surgical dressing. Measure urinary output for the past hour.
Reinforce the surgical dressing.
The nurse is completing the preoperative checklist for a client scheduled to undergo knee replacement surgery. Which actions must the nurse take? Select all that apply. Obtain a full medical history Assess client's current health status Give client a copy of current lab work Hang prescribed intravenous antibiotic Perform a "time-out" at the bedside
Obtain a full medical history Assess client's current health status Hang prescribed intravenous antibiotic Perform a "time-out" at the bedside
The post-anesthesia care unit nurse should administer pain medications based on which assessment findings in a patient who remains very drowsy? Select all that apply. Restlessness Relaxed jaw Pupil dilation Heart rate of 118 beats/minute Respiratory rate of 10 breaths/minute
Restlessness Pupil dilation Heart rate of 118 beats/minute ???
The client is prescribed patient-controlled analgesia pump for pain control. What important education is needed? To continue to push the button for the best pain control. Only the patient can push the button, no one else. The medication is delivered intramuscularly. NSAIDS are commonly delivered via this route.
Only the patient can push the button, no one else. ???
Which of these situations are important for the nurse to include in hand-off from the PACU to the inpatient unit? Select all that apply. Surgical procedure Surgical complications Admitting diagnosis Current vital signs Pre-surgical blood work
Surgical procedure Surgical complications Current vital signs ????
The operating room nurse needs further teaching when which finding is observed? Two people are assisting the client to the operating room table Irrigation fluid is being warmed before administration Operating room doors are left open during surgical procedure Mask, head cover, gown, and shoe covers are worn in a sterile area
Operating room doors are left open during surgical procedure
What is a common laboratory test done postoperatively? Select all that apply. PT/PTT BUN, creatinine Glucose Hematocrit/hemoglobin Liver function tests
PT/PTT BUN, creatinine Hematocrit/hemoglobin ???
The nurse performs an assessment on a surgical client and discovers the axillary temperature to be very low. What actions should the nurse take? Select all that apply. Apply warm blankets Infuse warm irrigation Increase the room temperature Perform a rectal temperature Reassess the temperature in 15 minutes
Apply warm blankets Infuse warm irrigation
A client scheduled for abdominal surgery states that he is concerned about post-operative pain. Which action by the nurse is most appropriate? Offer assurance that he will not have pain. Ask him his acceptable pain score. Deliver pain meds before surgery. Make a note of this on the chart.
Ask him his acceptable pain score.
The nurse is managing pain for a patient in the postanesthesia care unit (PACU). Which actions are the priority? Assessing for an increase in heart rate, respirations, and blood pressure Using strong opioids for pain control Monitoring the depth of sleep Holding pain medications until the patient requests them
Assessing for an increase in heart rate, respirations, and blood pressure
Pain management nursing actions include: Assessing for restlessness Monitoring for decreases in HR, RR, and BP Holding pain medications until the patient is alert and oriented Administering prescribed pain medications Monitoring for facial grimacing or moaning Using a multimodal pharmacological therapy approach
Assessing for restlessness Administering prescribed pain medications Monitoring for facial grimacing or moaning Using a multimodal pharmacological therapy approach
Potential adverse effects of the supine position for Ms. Doe's surgery include which of the following? (Select all that apply.) A. Skin breakdown in the heels and elbows B. Venous pooling in the legs C. Ulnar nerve injury D. Retinal detachment E. Cerebral edema
A. Skin breakdown in the heels and elbows B. Venous pooling in the legs C. Ulnar nerve injury
When planning discharge education for a 65-y.o. male who is having a hip replacement, it is appropriate for the nurse to consider which of the following? (Select all that apply.) A. The patient's resources at home for completing activities of daily living B. The number of stairs in the patient's home C. Transportation to follow-up appointments D. Pre-existing medical conditions E. The number of bathrooms in the home
A. The patient's resources at home for completing activities of daily living B. The number of stairs in the patient's home C. Transportation to follow-up appointments D. Pre-existing medical conditions
While Ms. Doe is in the OR, what considerations will be taken to ensure her safety and positive outcome? (Select all that apply.) A. Time-out B. Maintenance of sterile technique C. Continuous patient monitoring D. Instrument count/sponge count E. Breaks for personnel
A. Time-out B. Maintenance of sterile technique C. Continuous patient monitoring D. Instrument count/sponge count
Prior to the start of Ms. Doe's surgical procedure, all members of the surgical team participate in a time-out. Which of the following are components of the time-out? (Select all that apply.) A. Correct procedure B. Correct site C. Correct equipment D. Laterality E. Correct OR
A. Correct procedure B. Correct site D. Laterality
During the initial assessment and admission questions, the nurse asks Maria for the time of her last oral intake. The patient replies, "I had dinner last night at 8 p.m., but I took a few sips of water this morning with my vitamins. The nurse's best response is which of the following? A. Explain to the patient that just a sip of water should not be a problem for anesthesia but that the vitamins may be a problem. That information will be passed on to the anesthesiologist. B. Tell the patient that the sip of water is not an issue because it was only a sip. C. Inform the patient that her surgery will not be performed today because the risk is too high for a negative outcome. D. Inform the patient that taking her vitamins before surgery was a good plan.
A. Explain to the patient that just a sip of water should not be a problem for anesthesia but that the vitamins may be a problem. The information will be passed on to the anesthesiologist.
The nurse should report which of the following findings from a patient's history as increasing the risk for DVTs postoperatively? (Select all that apply.) A. History of smoking B. Age C. History of DVTs with previous pregnancy D. Borderline hypertension E. Allergies
A. History of Smoking C. History of DVTs D. Borderline hypertension
The nurse understands that which actions are essential when providing support to the intraoperative patient and family during the OR experience? (Select all that apply.) A. Introduce the patient and family to the surgical team members. B. Give family members updates every 2 hours as possible during the procedure. C. Explain what to expect from the operative experience. D. Alert the family to mealtimes. E. Explain that once the procedure is complete, the surgeon will discuss surgery outcomes.
A. Introduce the patient and family to the surgical team members. B. Give family members updates every 2 hours as possible during the procedure. C. Explain what to expect from the operative experience.
The nurse understands that surgical attire is worn for what purpose? (Select all that apply.) A. Prevent transmission of microorganisms between the patient and the team B. Promote cleanliness in the OR suite C. Prevent the spill of blood and body fluids to the surgical team's apparel D. Promote confidentiality of patient and staff identity E. Facilitate the surgical team working together collaboratively
A. Prevent transmission of microorganisms between the patient and the team C. Prevent the spill of blood and body fluids to the surgical team's apparel
Maria's surgeon has asked that thromboembolic-deterrent (TED) stockings be placed on the patient before surgery as well as sequential compression devices on both legs to the knees. Maria asks the nurse what these devices will do for her. Which response by the nurse is most appropriate? A. "They work together to make sure that you do not have a decrease in arterial blood flow in your legs during the surgery." B. "They complement each other to prevent blood from backing up in your legs and causing a deep vein thrombosis due to your immobility during the surgery." C. "They prevent deep tissue clotting during the surgery." D. "The two devices do the same thing, but one is better during the surgery, and the other is better postoperatively.
B. "They complement each other to prevent blood from backing up in your legs and causing a deep vein thrombosis due to your immobility during the surgery."
Which statement is true about the complicated nature of managing pain medication in the immediate post-anesthesia patient? A. All patients respond to pain in the same way but have different medications ordered. B. All patients respond to pain in different ways, potentially requiring different medications. C. The synergy of all multimodal pain management is unpredictable. D. Nonpharmacological methods of pain control do not work in the PACU setting.
B. All patients respond to pain in different ways, potentially requiring different medications.
Maria expresses her anxiety about the procedure and anesthesia to her nurse. Which is the most appropriate response? A. Tell her, "It's okay; we do this every day." B. Assure her that her fears are normal and encourage her to use her consultation time with the surgeon and anesthesiologist to address her concerns. C. Share a story about your friend who had similar fears prior to her surgery. D. Document her concerns in the chart so that the PACU nurse will expect her to be anxious during recovery.
B. Assure her that her fears are normal and encourage her to use her consultation time with the surgeon and anesthesiologist to address her concerns.
Maria is allergic to latex. What is the appropriate action to prevent an allergic reaction in the patient who is having surgery? A. Terminally clean the OR before her case and remove all latex products. B. Maria should be the first case of the day, and only nonlatex items should be used. C. All surgical suites are latex-free, so this is not a concern. D. Anesthesia should be prepared to intubate and treat her if a reaction occurs because there is no way to ensure a latex-free environment.
B. Maria should be the first case of the day, and only nonlatex items should be used.
4. The nurse recognizes teaching has been effective by which of the following statements? A. "My neighbor was able to eat right up to the time of her procedure." B. "I know there is nothing you can do about nausea after the procedure." C. "So that IV line will stay in throughout the procedure?" D. "I know I will need blood during this procedure."
C. "So that IV line will stay in throughout the procedure?"
You are preparing a patient for surgery and have asked her to verify her information on her patient identification band. She tells you that the birth date is incorrect on her identification band. The most appropriate action by the nurse at this time is which of the following? A. Cross out the birth date and put the correct one in its place with the nurse's initials. B. Ask the family members to validate the patient's birth date. C. Call the surgeon's office to validate the birth date. D. Ask the admissions office to please send a corrected identification band.
D. Ask the admissions office to please send a corrected identification band
5. What is the priority responsibility of Maria's nurse before the procedure? A. Explaining the procedure and having Maria sign the consent form B. Reviewing the risks of anesthesia C. Marking the surgical site with the patient D. Ensuring completion of the preoperative assessment
D. Ensuring completion of the preoperative assessment
The nurse understands that a patient undergoing right upper lobe lobectomy requiring general anesthesia will receive recovery care in which of the following settings? A. Outpatient PACU B. Procedure area PACU C. Surgical center PACU D. Inpatient PACU
D. Inpatient PACU
The nurse caring for a patient in the supine position on the OR table incorporates which nursing diagnosis into the plan of care? A. Risk for fluid volume deficit B. Risk for knowledge deficit C. Risk for aspiration D. Risk for potential alteration in skin integrity
D. Risk for potential alteration in skin integrity
Which of the following is the identified leader of the surgical team? A. The circulating registered nurse B. The anesthesia provider C. The scrub nurse D. The surgeon
D. The surgeon
Handoff communication between OR and PACU staff: Occurs with two members of the OR team Includes a detailed health history assessment by system Details the procedure performed Includes medications received during surgery, including pain medications Includes all laboratory results since admission Patient identification with one identifier
Details the procedure performed Includes medications received during surgery, including pain medications
To identify whether a client is developing malignant hyperthermia, which assessment finding should the nurse identify early on? Severe muscle rigidity Elevated heart rate Elevated end tidal carbon dioxide Brown urine output
Elevated heart rate
What is the priority role of the perioperative nurse during any surgical procedure? Ensuring client safety and preventing injury Assuming team leader duties Verifying accuracy of client's medical history Documenting the details of the procedure
Ensuring client safety and preventing injury
What is the nurse's highest priority of care during the preoperative phase of care? Teaching to prevent complications Ensuring the client's physiological safety Explaining the 0-10 pain assessment scale Asking the client about support system
Ensuring the client's physiological safety
A patient's family is in the waiting room outside the postanesthesia care unit (PACU). What is the priority of the PACU nurse? Make contact with the family every hour. Encourage the family to leave the area and wait at home. Ask the surgeon to speak with the family. Take them coffee and make them comfortable.
Make contact with the family every hour.
Which action should a nurse take for a patient placed in the Trendelenburg position? Roll the patient side to side. Monitor respiratory functions closely. Place a padded roll under the lower axilla. Provide ventilator support.
Monitor respiratory functions closely.
PACU phase I assessment includes: Monitoring heart rate Continuous airway monitoring Continuous electrocardiogram monitoring Monitoring blood pressure Palpating a brachial pulse Assessing surgical site
Monitoring heart rate Continuous airway monitoring Continuous electrocardiogram monitoring Monitoring blood pressure Assessing surgical site
Which findings would a nurse most likely observe during phase II of the postoperative period? Select all that apply. Client responds to painful stimuli Normal oxygen saturation rate Blood pressure stabilization Client verbalizes pain 9/10 on 0-10 scale Client has minimal nausea
Normal oxygen saturation rate Blood pressure stabilization Client has minimal nausea
The nurse is performing a postsurgical dressing assessment in the postanesthesia care unit. The dressing is noted in this image. Place the steps in order that the nurse needs to take. Document the event. Reinforce the dressing. Notify the provider. Empty and measure the drains.
Reinforce the dressing. Empty and measure the drains. Notify the provider. Document the event.
An operating room (OR) nurse is teaching about the responsibility in ensuring patient safety. Which statement indicates a need for further teaching? The OR nurse maintains that siderails are always up when the patient is in the bed or on the stretcher. The OR nurse applies safety straps across the patient's thighs on the OR table. The OR nurse confirms that the patient's legs are crossed. The OR nurse confirms that the table and stretcher are both locked during transfer.
The OR nurse confirms that the patient's legs are crossed.
Bill is placed in a lateral position during a surgical procedure. The nurse places a padded roll under the lower axilla.Drag and drop the risk the nurse is attempting to avoid with this intervention. venous pooling of blood diminished lung capacity shearing upper extremity injury deep vein thrombosis in lower extremities brachial plexus injury laryngospasm hypotension hypothermia hypoxia
brachial plexus injury
The nurse is reviewing Juan's allergies and documents that he is allergic to penicillin. The nurse then reviews the preoperative medication list to ensure that Juan has not been prescribed a penicillin product. Drag and drop the medication the nurse should question. cefazolin sodium heparin informed consent client history preoperative checklist opioid narcotics time-out blood consent allergy band
cefazolin sodium
The nurse is admitting Alvin for sinus surgery. Alvin tells the nurse "I've been hospitalized 25 times in my 72 years of life."Drag and drop the information the nurse should collect next. cefazolin sodium heparin informed consent client history preoperative checklist opioid narcotics time-out blood consent allergy band
client history
Claire must be repositioned to a jackknife position during a surgical procedure. The nurse monitors Claire's distal pulses before, during, and after repositioning. Drag and drop the risk the nurse is attempting to avoid with this intervention. venous pooling of blood diminished lung capacity shearing upper extremity injury deep vein thrombosis in lower extremities brachial plexus injury laryngospasm hypotension hypothermia hypoxia
deep vein thrombosis in lower extremities
Mark is placed in the Trendelenburg position for a surgical procedure. The nurse closely monitors Mark's respiratory status during the surgery.Drag and drop the risk the nurse is attempting to avoid with this intervention. venous pooling of blood diminished lung capacity shearing upper extremity injury deep vein thrombosis in lower extremities brachial plexus injury laryngospasm hypotension hypothermia hypoxia
diminished lung capacity
The nurse conducts client education based on the information collected during the client history and physical assessment process. The nurse suggests DVT prophylaxis. Drag and drop the medication often given for this. cefazolin sodium heparin informed consent client history preoperative checklist opioid narcotics time-out blood consent allergy band
heparin
The nurse covers Shirley with warm blankets and suggests the use of warm irrigation solution during a surgical procedure.Drag and drop the complication the nurse is attempting to avoid with this intervention. venous pooling of blood diminished lung capacity shearing upper extremity injury deep vein thrombosis in lower extremities brachial plexus injury laryngospasm hypotension hypothermia hypoxia
hypothermia
Sylvia is placed in a reversible unconscious state for a surgical procedure. The anesthesiologist plans to administer a combination of volatile gases, intravenous agents, and muscle relaxants.Drag and drop the complication that you assessed which necessitates the administration of an increased amount of oxygen. venous pooling of blood diminished lung capacity shearing upper extremity injury deep vein thrombosis in lower extremities brachial plexus injury laryngospasm hypotension hypothermia hypoxia
hypoxia
Melva is scheduled for a heart surgery. The surgeon comes to the preoperative area to review the surgical procedure with her. Alternatives are discussed, along with the benefits and risks associated with the surgery. Melva says she understands everything. Drag and drop the action the nurse should complete next. cefazolin sodium heparin informed consent client history preoperative checklist opioid narcotics time-out blood consent allergy band
informed consent
The nurse suctions Ted's airway during the emergence stage of anesthesia.Drag and drop the complication the nurse is attempting to avoid with this intervention. venous pooling of blood diminished lung capacity shearing upper extremity injury deep vein thrombosis in lower extremities brachial plexus injury laryngospasm hypotension hypothermia hypoxia
laryngospasm
The nurse notes that Marlene smokes and documents this for the surgical team to review. The surgeon plans to provide pain medication post-operatively. Drag and drop the pain medication that the nurse should question. cefazolin sodium heparin informed consent client history preoperative checklist opioid narcotics time-out blood consent allergy band
opioid narcotics
Julie is admitted to a surgical clinic in preparation for breast reduction surgery. During the initial assessment, she informs the nurse of her allergy to penicillin and notes that she smokes 10 cigarettes each day. Her vital signs are obtained. cefazolin sodium heparin informed consent client history preoperative checklist opioid narcotics time-out blood consent allergy band
preoperative checklist
Sarah is placed in Fowler's position for a surgical procedure. The nurse tilts the client's torso slightly away from the OR bed to allow the skin to realign with skeletal structures.Drag and drop the risk the nurse is attempting to avoid with this intervention. venous pooling of blood diminished lung capacity shearing upper extremity injury deep vein thrombosis in lower extremities brachial plexus injury laryngospasm hypotension hypothermia hypoxia
shearing
The nurse obtains the wristband and allergy band for a preoperative client, Samuel. He confirms that this information on the bands is correct. The nurse reviews the information on the wristband with the client and asks him to name the procedure and surgical site.Drag and drop the action the nurse completed. cefazolin sodium heparin informed consent client history preoperative checklist opioid narcotics time-out blood consent allergy band
time-out
Debbie is placed in a prone position during a surgical procedure. The nurse places Debbie's arms on an armboard to ensure that they are flexed and pronated.Drag and drop the risk the nurse is attempting to avoid with this intervention. venous pooling of blood diminished lung capacity shearing upper extremity injury deep vein thrombosis in lower extremities brachial plexus injury laryngospasm hypotension hypothermia hypoxia
upper extremity injury
The nurse places sequential compression devices (SCDs) on George's legs because he will remain in a supine position for a surgical procedure that is scheduled to last 12 hours.Drag and drop the risk the nurse is attempting to avoid with this intervention. venous pooling of blood diminished lung capacity shearing upper extremity injury deep vein thrombosis in lower extremities brachial plexus injury laryngospasm hypotension hypothermia hypoxia
venous pooling of blood
