Perioperative Care
A nurse is applying for a position as a peri-operative nurse. The nurse would like to work with clients preoperatively. Which of the below descriptions would indicate working in the preoperative area? A- Use of the Aldrete score, discuss post-operative instructions, and assess client's pain B- Client education on the scheduled surgery and obtain informed consent C- Complete the "time-out" and count needles and instruments D- Sterile field preparation and pass instruments to the surgeon
B
There are four clients waiting in the surgical holding area and after the nurse reviews each of their charts which of the following would the nurse be most concerned about? A-40-year-old male patient having a vasectomy with local anesthesia B-80-year-old diabetic having a total knee replacement under general anesthesia C-12-year-old client with no known medical history having a wart removed under moderate sedation D-25-year-old with muscular dystrophy having a frenulectomy under general anesthesia
D
preop should include providing the pt with information about what? A- airborne isolation B-social isolation C-anticoagulants D-surgical procedure
D
what education should the pt revieve to prevent respiratory problems during preop care? A-phlebotomy B-shallow respirations C-kussmaul respirations D-Turn, cough, deep breathe, incentive spirometer
D
what is important during preop care? A- TURP procedure B- blood transfusions C- stent D- universal precautions
D
Which of the following describes the role of a circulator nurse in the peri-operative setting? Select all that apply. A-Provides follow-up instructions to the surgical patient. B-Assists the surgeon to close the surgical site C-Cleans all of the instruments D-Non-sterile member of the operating room team E-Verifies completion of pre-operative orders, lab work, and consent forms by pre-operative nurse
D, E
A nurse is assisting a provider with obtaining informed consent about a medical procedure. Which of the following best describes the nurse's role in obtaining informed consent? A-The provider fills out the consent form and the nurse asks the client if he has any questions about the procedure B-The nurse only acts as a witness to the client's signature C-The nurse describes the process of the surgical procedure as well as its risks and benefits D-The nurse acts as a legal representative for the client to stand by if he does not understand the consent
B
A nurse is preparing a client for a surgical procedure. At the last minute, the nurse realizes that the client has not signed an informed consent for the procedure. Which of the following actions of the nurse is most appropriate? A-Have the client sign the consent in arrears after the surgery B-Notify the provider and ask about the consent C-Notify the family and ask them what they would want D-Contact the house supervisor to reschedule the surgery
B
The nurse brings the client into the operating room to prepare for surgery. The anesthesia team starts to give the client anesthesia and the nurse knows that which of the following is the nursing priority? Select all that apply. A-Assist the scrub tech with initial counts B-Assist the anesthesia team with intubation of the client C-Provide emotional support to the client during induction and intubation D-Inform the healthcare provider that the client is ready for surgery E-Update the family of the start of the procedure
B, C,
A nurse is orienting a new perioperative nurse in the operating room. After bringing the client into the OR the surgeon instructs the new nurse to shave the surgical site and the nurse asks you where they can find a razor. Which of the following is the best response? Select all that apply. A-"We keep razors in the central supply area" B-"Shaving increases the risk of surgical site infection" C-"Even though the surgeon is saying to shave, we only clip clients" D-"Clipping has shown to decrease irritation that shaving can cause" E"Confirm with the surgeon that shaving is what is needed and not clipping"
B, C, D
The preoperative nurse is preparing the client for surgery and the client asks you what will happen during surgery with local anesthesia. Which of the following is the best response by the nurse? A-"When you enter the operating room you will be given medication to make you go to sleep. The nurse anesthetist will place a breathing tube into your trachea to make sure you are ventilated" B-"You will be hooked up to monitors when you enter the operating room by the monitoring nurse. The nurse will watch your vital signs and make sure you are comfortable during the procedure" C-"You will be hooked up to monitors when you enter the operating room, given sedative and pain medications while the monitor nurse makes sure you are stable" D-"You will be given sedative and pain medications to make sure you do not know what is going on so the surgeon can operate"
A
While assessing the client for surgery the nurse notices the client has a cut on their upper lip. Which of the following is the most appropriate action as the circulating nurse? A-Document the presence of the cut prior to intubation B-Ask the client how they got a cut on their lip C-Request that the procedure be cancelled D-Inform the surgeon of the cut on the client's lip
A
You are the circulating nurse and when speaking to the client they casually state that a long time ago their mother had to be "cooled down" during surgery. Having knowledge of the risks associated with malignant hyperthermia, which of the following would be the best next action? A-Notify anesthesia of the possibility of malignant hyperthermia B-Tell the client you suggest they cancel their procedure C-Notify the pharmacy that you need cold IV solution available D-Have Dantrolene available in the operating room
A
You are the preoperative nurse and you are getting your client ready for their procedure and realize the client does not understand that they are receiving local anesthesia when they say which of the following? A-"I am so happy I will be asleep during this procedure" B-"I'm glad I won't feel anything" C-"Will the surgeon talk to me during the procedure?" D-"You will talk to me during the procedure, right?"
A
what is important during preop care? A-physical preparation B-splints C-ABGs D-stent
A
which of the following is commonly indicated during preop care? A- NPO B- bed rest C-abduction D- antibiotics
A
The client who is about to have surgery is complaining to the nurse that the hospital is "starving me to death". Which of the following is the nurse's best response to the client? A-"I am sorry that you feel this way, you'll be able to eat soon" B-"I am so sorry you feel this way, would you like to speak with the Director of Surgery?" C-"I am so sorry you are so hungry, can I at least get you some crackers to hold you over?" D-"I am so sorry you feel hungry. We ask clients not to eat or drink before surgery for safety"
D
The PACU nurse is providing discharge teaching to a client who just underwent a bunionectomy under general anesthesia. The nurse knows that which of the following information should be provided regarding anesthesia? Select all that apply A-Do not drink alcohol for 24 hours after anesthesia B-Anesthesia may cause drowsiness C-A caretaker should be available to the client after anesthesia D-Anesthesia may cause dizziness E-Do not drive for 7 days after anesthesia
A, B, C, D
The perioperative nurse who is monitoring the client during the procedure has a good understanding of signs and symptoms associated with local anesthesia including local anesthesia systemic toxicity. The nurse knows that which of the following are signs of this issue? Select all that apply. A-Numbness of lips B-Tachycardia C-Metallic taste D-Shivering E-Bradycardia
A, B, C, D, E
Your client has a known family history of malignant hyperthermia. The nurse knows that which of the following ways would keep the client safe? Select all that apply. A-Have dantrolene available B-Identify the location of the malignant hyperthermia cart C-Have chilled IV solutions available D-Have epinephrine available E-Establish a plan with the anesthesia team
A, B, C, E
The nurse witnessed a non-English-speaking client sign informed consent utilizing the interpreter phone. Which of the following actions are appropriate for the nurse to take? Select all that apply. A-Document that the client was fully informed before the document was signed B-Touch base with the client to ensure understanding of the procedure and informed consent C-Make sure the document was signed with a ball point pen D-Make sure that the informed consent is on the paper chart E-Document the use of an interpreter
A, B, D, E
When the perioperative nurse assesses the client for surgery, the BMI is assessed as low. The nurse knows that which of the following could be a concern? Select all that apply. A-Delayed wound healing B-An increase in surgical complications C-Issues with intubation D-Issues with body temperature regulation E-Risk of pressure ulcers
A, B, D, E
Which of the following describes perioperative nursing? Select all that apply. A-Provide a head-to-assessment to ensure there is no risk for the client having surgery B-Provide cultural care to the surgical client. C-Provide at home care to clients after surgery D-Incorporate client wishes into care as much as possible E-Cares for a client before, during, and after surgery
A, B, D, E
The nurse is caring for a client who is signing informed consent for a procedure. The nurse knows that the client needs to understand which of the following relating to informed consent? Select all that apply. A-The benefits of the procedure B-Privacy rights according to HIPAA C-Alternative treatment options D-Why the procedure is being performed E-The potential consequences if the client does not get the procedure
A, C, D, E
The nurse knows that ventilation and oxygenation are critical when the surgical client is under general anesthesia. The nurse knows that which of the following safety measures are taken to ensure client safety during intubation? Select all that apply. A-Check for condensation in the tube B-Apply tape to eyes to protect the client from corneal abrasions C-Check placement of the endotracheal tube D-Inflate the cuff of the endotracheal tube E-Tape the endotracheal tube to patient
A, C, D, E
Based on the nurse's understanding of local anesthesia which of the following clients would give concern for the procedure? Select all that apply. A-34-year-old client with an allergy to lidocaine B-10-year-old client with an allergy to amoxicillin C-45-year-old client with an allergy to penicillin D-88-year-old client with an allergy to bupivacaine E-76-year-old client with an allergy to cephalexin
A, D
A client is scheduled for abdominal surgery and during the preoperative assessment, it is revealed that the client has a stoma. The nurse knows that which of the following is important to do in terms of prepping this client? Select all that apply. A-Clean the stoma separately from the abdominal area B-Notify the surgeon of the stoma C-Be sure to clean the stoma twice with the prep D-Be sure the prep is appropriate for an open area E-Clean from cleanest to least clean
A, D, E
The nurse is caring for a client who is scheduled to have a total knee replacement. The nurse knows that which of the following preoperative instructions can play a role in possibly preventing surgical site infections? Select all that apply. A-Bathing with a soap preoperatively B-Shaving the surgical site C-Exfoliating the surgical site D-Clipping the surgical site E-Prepping the surgical site
A, D, E
The preoperative nurse is doing a preoperative assessment on a client who is scheduled for a procedure under moderate sedation. The client state that they drink 8 beers a day. Which of the following is correct about alcohol and receiving moderate sedation? A-Have no effect on sedation demands B-Client will have to be administered general anesthesia C-Decrease sedation demands D-Increase sedation demands
D
A 12-year-old client needs to have treatment that involves a surgical procedure that will save the child's life. The parents refuse to give consent for the procedure based on their personal convictions. Which of the following is allowable for the healthcare team in response? A-Contact the court system with the information about the case B-Perform the procedure anyway, citing that it is in the client's best interest C-Allow the 12-year-old to give consent for the procedure D-Transfer the care of the child to the next closest adult relative to sign the consent
A
A client with end-stage COPD has requested a do-not-intubate (DNI) order. The nurse understands that this means which of the following? A-The client wants CPR if necessary, but no intubation B-The client wants only rescue breathing without a ventilator or CPR if needed C-The client does not want any treatment if he becomes incapacitated D-The client prefers use of a nasal pharyngeal tube for breathing rather than an endotracheal tube
A
A nurse is assisting the anesthesiologist to prepare to intubate a client just before surgery. Which of the following injuries is most commonly associated with endotracheal intubation as part of general surgery? A-Broken teeth B-Allergic reaction C-Prolonged oxygen deprivation D-Fractured cervical spine
A
The circulating nurse in the operating room realizes the client did not receive an antibiotic ordered to start preoperatively. Which of the following preoperative nursing priorities was overlooked? A-Decrease risk of infection B-Decrease risk of aspiration C-Decrease risk of excessive bleeding D-Decrease risk of knowledge deficit
A
The nurse is caring for a client scheduled to have general anesthesia. While reviewing their chart the nurse notices that the client told the preoperative nurse that one of their family members temperature "went up really high" during surgery. Which of the following is the best next action for the nurse to take? A-Notify the anesthesia team of a possibility of malignant hyperthermia B-Call the director of surgery and request the case be cancelled C-Ask the client for more information regarding this comment D-Notify the surgeon of the possibility of malignant hyperthermia
A
The nurse is caring for a client who is in respiratory distress and is at a high risk of losing the airway. The doctor decides to intubate the client. The nurse knows that which medication will be given first? A-Propofol B-Succinylcholine C-Rocuronium D-Vecuronium
A
The nurse is caring for a client with a prescription for fentanyl. Which of the following is a condition that is appropriate for this medication to treat? A-Cancer pain B-Myasthenia gravis C-Bowel obstruction D-Anxiety
A
The nurse is having a conversation with the client who is scheduled to start their third round of chemotherapy. The client states "I do not want to do this, my spouse is forcing me." The nurse knows that which of the following components of informed consent is being broken? A-Informed consent must be voluntary B-Informed consent is always a family decision C-The provider determines if the client is able to provide informed consent D-Certain procedures like chemotherapy do not require informed consent
A
The nurse is reviewing discharge instructions with a client to prepare them to go home after an outpatient hernia repair that was under general anesthesia. The client signs the discharge papers and the nurse gets a wheelchair to take the client out of the hospital. The client starts searching for the car keys and states "I wish my spouse could be here to take me home". Which of the following is best response by the nurse to the client? A-"It is not safe for you to drive after having anesthesia" B-"Are you sure you feel ok to drive?" C-"Let me check with your surgeon to see if you are cleared to drive" D-"I think I saw your car keys in your client belongings bag, let me help you find them"
A
The nurse is speaking with a client in the preoperative area before their scheduled cervical fusion. The client states they are planning on completing a triathlon next week. Which of the following is the best action for the nurse to take? A-Coordinate a conversation with the client and the provider before surgery B-Review the side effects, risks, alternatives, and reason for the surgery with the client C-Wish the client good luck on this goal for after a cervical fusion D-Tell the client they should postpone the surgery if they really want to do this triathlon
A
The nurse knows that all of the following are goals of education for the surgical patient except which of the following? A-Decrease client autonomy B-Decrease fear and anxiety C-Decrease healing time after surgery D-Decrease surgical complications
A
The preoperative nurse is preparing a client for a robotic assisted cholecystectomy. The client is asked when they last had anything to eat or drink and admits to having eggs with coffee for breakfast. Which of the following risks is the nursing priority for the preoperative nurse? A-Aspiration B-Infection C-Anxiety and fear D-DVT
A
A client has just been transferred from the OR into the recovery room and the nurse notes that the endotracheal tube is still in place. The client is beginning to breathe on her own but is not awake and alert yet. Which of the following interventions should the nurse perform next? A-Keep the client's mouth open with a padded tongue depressor B-Maintain the ET tube until the nurse determines the client has adequate spontaneous ventilation C-Remove the ET tube and insert an oral airway D-Turn the client on her side
B
A client is sitting in the preoperative holding area when they casually tell you that they aren't really sure why they are having the procedure. As the preoperative nurse you should do which of the following? A-Ask your client if they would like to cancel their procedure until they are more comfortable B-Request the surgeon come explain alternatives, side effects, risks, and benefits of the client's scheduled procedure C-Ask the client's family if the client has the mental capacity to make their own decisions D-Talk with the client and provide emotional support
B
The preoperative nurse is preparing a client for a thyroidectomy. Which of the following comments makes the nurse concerned about malignant hyperthermia? A-"Will I have a tube in my throat?" B-"I ate a banana this morning" C-"I have never had surgery before, I am nervous" D-"My mom had heat stroke when she had surgery"
D
The staff in the emergency room provide care and treatment for an unconscious client who was brought in by ambulance with no family present. In this emergency situation, the law allows for implied consent, which means which of the following? A-The client would need surgery B-The client does not have the cognitive capacity to make the decision C-The client is a minor and has a legal guardian D-Assume the client would consent under normal circumstances
D
A nurse is working with a client who is preparing to have surgery for an umbilical hernia. The provider has discussed information about the procedure, the risks, benefits, and alternatives to the procedure with the client. After the provider has discussed the situation, the client decides against signing the consent and informs the nurse of the decision. Which of the following is the best example of the nurse acting as a client advocate in this situation? A-Ask to speak with the client's family members about the importance of surgery B-Tell the client that there is not an obligation to sign the consent and have the surgery C-Give the client more time to consider the situation and then ask again D-Move to have the client undergo psychological testing to assess competence
B
An 82-year-old client has returned to have a left knee replacement a year after having their right knee replaced. While inserting an IV the client states "I don't think I was awake last time, I think they put my IV in after I was asleep." Having an understanding of general anesthesia which of the following is the best response for the nurse to give the client? A-"Did they have issues placing your IV last time?" B-"Anesthesia can make you forget, that is completely normal" C-"That isn't possible at all, they would never administer anesthesia without an IV" D-"I think I better look in the chart from your last visit, maybe there was an issue I should know about"
B
If the client provides informed consent the nurse knows that the client can explain all of the following regarding their procedure except which of the following? A-Alternative procedure B-Cost C-Risks D-Reason for procedure
B
The circulating nurse is taking a client to the operating room for a right knee replacement. The nurse is verifying everyone is ready for the procedure. Which of the following would cause a delay in surgery? A-Allergy to penicillin B-Right knee not marked by surgeon C-Client states they are anxious about the surgery D-Client pain rating of 7 out of 10
B
The nurse is getting a client ready for a hysterectomy when the client asks "Will I have a tube down my throat?" The nurse knows that which of the following is the best response? A-"I'm not a member of the anesthesia department, so I cannot answer that" B-"Yes, the anesthesia team will give you more information and answer other questions you may have" C-"It depends the type of anesthesia you are having" D-"It's a necessary requirement if you want to breath during your surgery"
B
The nurse knows that educating the surgical client is extremely important for client safety. The nurse knows that which of the following would be the priority to educate the client on prior to surgery? A-"You might wake up after the procedure with a catheter" B-"Do not eat or drink anything after midnight the night before the procedure" C-"Your family will be updated while you are in surgery" D-"You should be able to go home about 2 hours after the procedure
B
The preoperative nurse assessing a client for a mass removal of the foot is reviewing allergies and the client states they are only allergic to bananas. The nurse knows that which of the following would be the most appropriate next action? A-Continue with the preoperative assessment, since food allergies are not significant to the surgery B-Ask if they are allergic to latex, report this finding to the anesthesiologist and the OR staff C-Ask how serious the reaction is since banana allergies are often associated with a penicillin allergy D-Ask the client the reaction they have from bananas and document it
B
The preoperative nurse is asked by the client when they will be able to leave. The nurse knows that which of the following is the best response to give the client? A-"You will have to ask your surgeon that question, I'm not sure how extensive your surgery is going to be or how much anesthesia you will require" B-"It varies between patients, there is certain criteria for you to meet in the recovery area that indicates it is safe for you to go home " C-"We are really busy, we like clients to be out of the recovery area within 30 minutes so hopefully you will wake up easily after anesthesia" D-"It all depends on how well your surgery goes and how well you do when you wake from anesthesia"
B
The preoperative nurse knows that all except which of the following are goals of assessment? A-Share critical values with perioperative team members B-Provide education to the client regarding postoperative wound care C-Identify risk factors to the surgery D-Identify client specific needs
B
While preparing your client for surgery the client tells you how afraid they are to feel pain while under anesthesia. Based on your knowledge of general anesthesia which of the following is the most appropriate response to the client? A-"I understand your concern but pain is not an issue with general anesthesia. If you would like I could request the anesthesia team come and speak with you again" B-"I understand your concern, there is always a component of pain with surgery but with anesthesia you will not feel what is happening. It is possible you might have pain when you wake up" C-"You will definitely feel pain with surgery but the anesthesia will make sure you are unconscious during the entire process. You also will have a muscle relaxant and you will not be breathing on your own" D-"I see you signed your consent form, typically we request that if the client has any concerns regarding anesthesia or surgery, they speak with the surgeon before signing the consent form"
B
You are the circulating nurse and receiving a client from the emergency room for surgery. During report from the emergency room nurse you are told that the client is American Society of Anesthesiologists (ASA) physical status classification VI. Which of the following clients would best describes the client you are going to take care of? A-An 80-year-old with advanced colon cancer who needs to have a colon resection B-A 60-year-old brought into the emergency room after a motorcycle accident, the client is coming to the OR for organ procurement C-A 23-year-old who presented to the emergency room with severe abdominal pain is now coming to the OR for an appendectomy D-A 30-year-old client with no co-morbidities and is coming to the OR for a stat cesarean section
B
what is important during preop care? A- steroids B-handoff to surgery C- blood transfusion D- stent
B
what is important during preop care? A-Exchange transfusion B- preop checklist C-TURP procedure D-splints
B
what is important to preoperatively provide for a pt? A-exchange transfusion B-pain management C-cryotherapy D-blood transfusion
B
what is most important to obtain before surgery or procedures? A-steroids B-informed consent C-epidurals D-radiation
B
The nurse is interviewing a client going to the operating room for a total hip replacement. During the interview, the client is unable to state their name or birthdate. The client takes medication for dementia. The nurse would expect which of the following when obtaining the informed consent? Select all that apply. A-The client signed their name to the written consent form B-The client's legal surrogate decision-maker is aware of the information related to the procedure C-The client is not considered "competent" which is necessary with informed consent D-The client's legal surrogate has signed their name to the written consent form E-The client and their surrogate decision-maker signed their names to the consent form
B, C, D
An 88-year-old client from a local nursing home is having surgery for a bladder tumor. The nurse knows that which of the following are ways to assess the cognitive abilities of the client? Select all that apply A-Confirm medical power of attorney paperwork is included in the client's chart B-Ask the client to point to where the healthcare provider be operating C-Ask the client if they can state what they are having done D-Confirm the client's vital signs are within normal limits E-Ask the client to state their name, birth date, procedure, and healthcare provider's name
B, C, E
You are the perioperative nurse caring for a client under general anesthesia. The nurse anesthetist is concerned that the client is showing signs of malignant hyperthermia. You would expect to see which of the following signs and symptoms? Select all that apply. A-Bradycardia B-Tachycardia C-Metabolic alkalosis D-Rigidness E-Increase in body temperature
B, D, E
A nurse providing moderate sedation to a client undergoing a surgical procedure is assessing vital signs, sedation level, and level of consciousness. The nurse realizes the client is not responding to the nurse's questions. Which of the following administrations would be necessary? Select all that apply. A-Versed B-Romazicon C-Propofol D-Ketamine E-Narcan
B, E
A client is concerned that they won't breathe during their surgery. Which of the following is the most appropriate response from the perioperative nurse? A-"What type of anesthesia are you scheduled to have?" B-"You are right, general anesthesia will stop your breathing" C-"While under anesthesia the anesthesia team will make sure you are breathing with a special tube" D-"You will be sleeping so you really don't need to worry about that"
C
A nurse in the ICU is caring for a client who is intubated and sedated on a ventilator after a motor vehicle collision. The client requires significant pain control, but is ready to be extubated. Which medication order should be clarified before the client is extubated? A-5 mg oxycodone PO q6hr PRN B-50 mcg fentanyl IV q1hr PRN C-Propofol 10 mcg/kg/min IV D-1 mg hydromorphone IV q4hr PRN
C
A nurse is assessing a client's health history as the client prepares to undergo surgery. The nurse learns that the client takes St. John's wort. Which best describes why the client should not use this supplement before surgery? A-St. John's wort can cause excess bleeding B-St. John's wort causes electrolyte imbalance C-St. John's wort may prolong the effects of anesthesia D-St. John's wort leads to hypovolemia and a drop in blood pressure
C
An unconscious client is brought in to the emergency room and needs immediate surgery for bleeding from the chest. A staff member explains that surgery cannot be done because the client cannot consent. Which of the following is the best response by the nurse? A-"I can provide the consent for the client as a registered nurse" B-"Consent is never a requirement in the emergency room if the client is conscious or not" C-"Implied consent applies to this situation" D-"Hopefully someone who knows this client will show up soon and the procedure can start"
C
Based on the nurse's knowledge of local anesthesia the nurse realizes that the type of local anesthesia is chosen by the provider with all of the following in mind except which of the following? A-Desired action B-Patient's health status C-Immunization status D-Surgical site
C
The nurse knows that all are true of playing a role in preventing wrong-site surgery preoperatively except which of the following? A-Client confirms the site B-Site marked by surgeon or healthcare provider's initials C-Counts confirmed intraoperatively D-Client confirms the procedure
C
The perioperative nurse and you have been assigned as the preceptor for a nursing student. The student is observing the case of a client under moderate sedation. The nursing student understands that sedation levels must be assessed in these clients but does not know how. Which of the following is the best response by the nurse? A-We use the Glasgow Coma Scale to assess sedation B-We use the ASA Physical Status Classification to assess sedation C-We use the Ramsay Sedation Scale to assess sedation D-We use the ACE scale to assess sedation
C
You are a perioperative nurse and have just been hired to work for private practice. The healthcare provider that you are working for has informed you that the next client will be under moderate sedation and you will be giving the drugs to the patient. Which of the following is the best next action to take? A-Gather the medications that will be necessary to administer B-Assess your client's allergies, mental status, and current medications C-Check the state board of nursing guidelines to verify scope of practice D-Take your client's vital signs and verify informed consent
C
Your client is a 4-year-old scheduled for a tonsillectomy. During the preoperative assessment the mother informs the nurse that the client was eating fruit snacks on the way to the hospital. Because of this the surgery has been cancelled. The nurse knows that which of following is the best response to give the mother regarding NPO education? A-"When a client has a full stomach anesthesia doesn't work as well" B-"The next time your child is scheduled for surgery, you should probably keep a closer watch by making sure she doesn't eat anything" C-"It is so important for the child to have an empty stomach before surgery to prevent aspiration" D-"If your child ate fruit snacks who knows what else was eaten"
C
what is helpful to prevent DVT? A-shoulder shrugging B-bed rest C-lower extremity exercises D-corticosteroids
C
There are four clients in the preoperative holding area who are scheduled for a procedure under moderate sedation. The nurse knows that a client with which of the following would be most concerning to the anesthesiologist for proper ventilation during the procedure? A-A BMI of 20 and missing teeth B-History of ovarian cancer and hypertension C-A surgical history of a tonsillectomy D-Previous cervical fusion and BMI of 35
D
A surgeon is telling a client about an upcoming surgical procedure so that the client can provide informed consent. Which of the following describes the concept of a reasonable client standard when signing informed consent? Select all that apply. A-The information is general and applies to most surgical procedures B-The data is tailored precisely to the client's needs C-The information that is needed to know to be able to make a decision and sign consent is provided D-The information is what a typical client would need to know to sign consent E-The data is what any provider would say when explaining the procedure
C, D
A client is having difficulty breathing while coming out of anesthesia following surgery. The nurse inserts an oral airway to assist with this client's breathing. Which of the following items that are true regarding placement of an oral airway? Select all that apply. A-An oral airway should only be used in a client who is awake B-The airway should be measured from the corner of the mouth to the top of the nose C-When inserting the airway, the curved end should first be pointed upward D-The airway should be rotated 180 degrees once the end reaches the back of the client's mouth during placement E-The flange of the airway should be outside of the client's mouth
C, D, E
A 26-year-old client is admitted to the hospital in severe respiratory distress. His oxygen saturation is 80% despite supplemental oxygen provided by facemask. The provider decides to intubate the client to help with oxygenation. Which medication would the nurse most likely administer when assisting with intubation? A-Modafinil (Provigil) B-Zolpidem (Ambien) C-Phentermine (Adipex-P) D-Etomidate (Amidate)
D
A 30-year-old client is scheduled for an endometrial ablation and is concerned about "what everyone will see" during the procedure. The nurse knows that which of the following is the best response to this comment? A-"I understand your concern but you will be under anesthesia so you really won't care at that point" B-"I understand your concern but certain things must be done and exposed in order for the surgeon to operate" C-"I understand your concern. Would you like to speak with your surgeon about this issue?" D-"I understand your concern. The circulating nurse will be with you and make sure your privacy is protected"
D
A circulating nurse in the operating room is caring for a client scheduled to have a dental procedure under general anesthesia. The nurse knows that which of the following is true about intubation for this client? A-Intubation with an endotracheal tube B-No intubation C-Intubated with a laryngeal mask airway D-Intubated with a nasotracheal tube
D
A client asks the nurse her role as a nurse first assist. Which of the following is the best explanation of a nurse first assist? A-"I take care of clients after the surgery is over to make sure their vital signs and breathing are ok" B-"I make sure the client is positioned properly in surgery and that sterile technique is being used" C-"I am the first nurse to see the client before surgery and I review their medications with them" D-"I have had additional training and I work closely with the surgeon in the operating room."
D
A nurse is working in the recovery room of the surgical unit in a hospital. A client is brought in who just underwent a single-lung transplant without complications. The client is intubated and requires a ventilator for breathing. Which of the following outcomes should the nurse strive to achieve during the time this client is in the recovery room? A-Extubation to room air B-Management and control of intracranial pressure C-Establishment of central venous access D-Hemodynamic stabilization
D
A perioperative nurse works in surgery and is prepping a client for the procedure. The nurse understands that prepping the surgical site properly with no contaminated areas means which of the following? A-Prepping from the "dirty" area to the "clean" area B-Prepping from cleanest to least clean C-Prepping from the periphery to the incision site D-Prepping from the incision site to the periphery
D
The client is sitting in the preoperative department as they are being prepared for surgery. They ask the nurse "why did I have to shower with that special soap last night?" Which of the following is the best response by the nurse? A-"We need to make sure you are clean before surgery" B-"The surgeon requests this because it helps with the surgery" C-"It's hospital policy that all surgical clients bathe with this soap before surgery" D-"This helps to decrease any bacteria on your skin"
D
during preop, what is helpful to prevent deep vein thromboses? A- avoid aspirin products B-compression stockings C-immobilization D-ABGs
compression stockings
