MS Perioperative quiz

Which of the following would be included as a responsibility of the scrub nurse? a) Coordinating activities of other personnel b) Obtaining and opening wrapped sterile equipment c) Handing instruments to the surgeon and assistants d) Keeping all records and adjusting lights

Handing instruments to the surgeon and assistants

The nurse admits a patient to the PACU with a blood pressure of 132/90 mm Hg and a pulse of 68 beats per minute. After 30 minutes, the patient's blood pressure is 94/47 mm Hg, and the pulse is 110. The nurse documents that the patient's skin is cold, moist, and pale. Of what is the patient showing signs? a) Malignant hyperthermia b) Neurogenic shock c) Hypothermia d) Hypovolemic shock

Hypovolemic shock

Which stage of anesthesia is termed surgical anesthesia? a) I b) IV c) III d) II

III

During surgery, a patient develops malignant hyperthermia. Which of the following is done to treat this condition? a) Immediately cease anesthesia and surgery, and administer dantrolene sodium b) Administer oxygen, and continue anesthesia and surgery c) Warm the patient, and then continue surgery d) Switch to a different type of anesthetic agent to continue surgery

Immediately cease anesthesia and surgery, and administer dantrolene sodium

Your client required reversal drugs after surgery. What nursing intervention is required when caring for a client who is treated with reversal drugs? a) Help the client slowly move to an upright or standing position. b) Instruct the client to lie flat. c) Emphasize the dietary restriction. d) Observe the client for an extended period.

Observe the client for an extended period.

Fentanyl (Sublimaze) is categorized as which type of intravenous anesthetic agent? a) Tranquilizer b) Opioid c) Dissociative agent d) Neuroleptanalgesic

Opioid

Which of the following is a classic sign of hypovolemic shock? a) High blood pressure b) Dilute urine c) Bradypnea d) Pallor

Pallor

The nurse is caring for a patient on the medical-surgical unit postoperative day 5. During each patient assessment, the nurse evaluates the patient for infection. Which of the following would be most indicative of infection? a) Rectal temperature of 99.5ºF (37.5ºC) b) Red, warm, tender incision c) Presence of an indwelling urinary catheter d) White blood cell (WBC) count of 8,000/mL

Red, warm, tender incision

The PACU nurse is caring for a patient who has arrived from the OR. During the initial assessment, the nurse observes that the patient's skin has become blue and dusky. The nurse looks, listens, and feels for breathing, and determines the patient is not breathing. What is the priority intervention? a) Treat the possible airway obstruction by tilting the head back and pushing forward on the angle of the lower jaw. b) Reintubate the patient. c) Assess the arterial pulses, and place the patient in the Trendelenburg position. d) Check the patient's oxygen saturation level, continue to monitor for apnea, and perform a focused assessment.

Treat the possible airway obstruction by tilting the head back and pushing forward on the angle of the lower jaw.

An adult patient is in the recovery room following a nephrectomy performed for the treatment of renal cell carcinoma. The patient's vital signs and level of consciousness stabilized, but the patient then complains of severe nausea and begins to retch. What should the nurse do next? a) Turn the patient completely to one side. b) Administer a dose of IV analgesic. c) Offer the patient a small amount of ice chips. d) Apply a cool cloth to the patient's forehead.

Turn the patient completely to one side.

A client who experiences sudden and severe chest pain 2—3 days after surgery with general anesthesia has most likely developed a) wound dehiscence b) hemorrhage c) a pulmonary embolism d) a wound infection

a pulmonary embolism

A client had a nephrectomy 2 days ago and is now complaining of abdominal pressure and nausea. The first nursing action should be to: a) insert a rectal tube. b) palpate the abdomen. c) change the client's position. d) auscultate bowel sounds.

auscultate bowel sounds.

The nurse is assessing a postoperative patient. Which of the following findings would the nurse correctly evaluate as being the earliest indicator of hemorrhage or shock that should be reported to the physician? a) nausea b) polyuria c) fever d) tachycardia

tachycardia

A patient refuses to remove her wedding band when preparing for surgery. What is the best action for the nurse to take? a) Discuss the risk for infection caused by wearing the ring. b) Notify the surgeon to cancel surgery. c) Allow the ring to stay on the patient and cover it with tape. d) Remove the ring once the patient is sedated.

Allow the ring to stay on the patient and cover it with tape.

A surgical patient has just been admitted to the unit from PACU with patient-controlled analgesia (PCA). The nurse should know that the requirements for safe and effective use of PCA include what? a) An understanding of how to adjust the medication dosage b) A caregiver who can administer the medication as ordered c) A clear understanding of the need to self-dose d) An expectation of infrequent need for analgesia

A clear understanding of the need to self-dose

Which of these patients would the nurse recognize as in the best condition for surgery and at lowest risk for complications? a) A 55-year-old morbidly obese patient b) A 66-year-old patient who is a marathon runner c) A 23-year-old patient 30 lb less than ideal weight d) A 40-year-old patient who plans to quit smoking after surgery

A 66-year-old patient who is a marathon runner

A nephrectomy (performed for renal cancer that has not spread beyond the kidney) is an example of which category of surgical procedures? a) Diagnostic b) Palliative c) Curative d) Exploratory

Curative

At which time does the nurse realize that it is best to begin teaching about care needed during the postoperative period? a) At the time of discharge instructions b) During the preoperative period c) Upon arrival to the surgical unit d) Following the surgical procedure

During the preoperative period

The surgeon's preoperative assessment of a patient has identified that the patient is at a high risk for venous thromboembolism. Once the patient is admitted to the postsurgical unit, what intervention should the nurse prioritize to reduce the patient's risk of developing this complication? a) Maintain the head of the bed at 45 degrees or higher. b) Encourage early ambulation. c) Perform passive range-of-motion exercises every 8 hours. d) Encourage oral fluid intake.

Encourage early ambulation.

The nurse is caring for a patient who has just been transferred to the PACU from the OR. What is the highest nursing priority? a) Maintaining a patent airway b) Assessing for hemorrhage c) Managing the patient's pain d) Assessing vital signs every 30 minutes

Maintaining a patent airway

An OR nurse is teaching a nursing student about the principles of surgical asepsis as a requirement in the restricted zone of the operating suite. What personal protective equipment should the nurse wear at all times in the restricted zone of the OR? a) Reusable shoe covers b) Mask covering the nose and mouth c) Gloves d) Goggles

Mask covering the nose and mouth

A client just entered the post anesthesia care unit following abdominal surgery. The client is showing frank, increased bleeding, and his blood pressure is plummeting. Which of the following interventions will the nurse perform to manage and minimize hemorrhage and shock? a) Providing back rub b) Elevating the head of bed c) Encouraging deep breathing d) Reinforcing dressing and applying pressure

Reinforcing dressing and applying pressure

A nurse is witnessing a patient sign the consent form for surgery. After the patient signs the consent form, the patient starts asking questions regarding the risks and benefits of a surgical procedure. What action by the nurse is most appropriate? a) Place the consent form in the patient's medical record. b) Request that the surgeon come and answer the questions. c) Answer the patient's questions. d) Notify the nurse manager of the patient's questions.

Request that the surgeon come and answer the questions.

Which method of wound healing is one in which wound edges are not surgically approximated and integumentary continuity is restored by granulation? a) First-intention healing b) Second-intention healing c) Primary-intention healing d) Third-intention healing

Second-intention healing

You are caring for a client 6 hours post surgery. You observe that the client voids urine frequently and in small amounts. You know that this most probably indicates what? a) Urine retention b) Urinary infection c) Calculus formation d) Requirement of intermittent catheterization

Urine retention