CH 15
A circulating nurse wishes to provide emotional support to a client who was just transferred to the operating room. What action by the nurse would be best A. Administer anxiolytics. B. Give the client warm blankets. C. Introduce the surgical staff. D. Remain with the client
D
A client in the operating room has developed malignant hyperthermia. The client's potassium is 6.5 mEq/L. What action by the nurse takes priority A. Administer 10 units of regular insulin. B. Administer nifedipine (Procardia). C. Assess urine for myoglobin or blood. D. Monitor the client for dysrhythmias
A
A client is scheduled for a below-the-knee amputation. The circulating nurse ensures the proper side is marked prior to the start of surgery. What action by the nurse is most appropriate A. Facilitate marking the site with the client and surgeon. B. Have the client mark the operative site. C. Mark the operative site with a waterproof marker. D. Tell the surgeon it is time to mark the surgical site
A
What actions by the circulating nurse are important to promote client comfort (Select all that apply.) A. Correct positioning B. Introducing one's self C. Providing warmth D. Remaining present E. Removing hearing aids
A B C D
The circulating nurse reviews the day's schedule and notes clients who are at higher risk of anesthetic overdose and other anesthesia-related complications. Which clients does this include (Select all that apply.) A. A 75-year-old client scheduled for an elective procedure B. Client who drinks a 6-pack of beer each day C. Client with a serum creatinine of 3.8 mg/dL D. Client who is taking birth control pills E. Young male client with a RYR1 gene mutation
A B C E
A client is having shoulder surgery with regional anesthesia. What actions by the nurse are most important to enhance client safety related to this anesthesia (Select all that apply.) A. Assessing distal circulation to the operative arm after positioning B. Keeping the client warm during the operative procedure C. Padding the client's shoulder and arm on the operating table D. Preparing to suction the client's airway if the client vomits E. Speaking in a low, quiet voice as anesthesia is administered
A C
A student nurse observing in the operating room notes that the functions of the Certified Registered Nurse First Assistant (CRNFA) include which activities (Select all that apply.) A. Dressing the surgical wound B. Grafting new or synthetic skin C. Reattaching severed nerves D. Suctioning the surgical site E. Suturing the surgical wound
A D E
The nursing student observing in the perioperative area notes the unique functions of the circulating nurse, which include which roles (Select all that apply.) A. Ensuring the client's safety B. Accounting for all sharps C. Documenting all care given D. Maintaining the sterile field E. Monitoring traffic in the room
A E
A client is having robotic surgery. The circulating nurse observes the instruments being inserted, then the surgeon appears to "break scrub" when going to the console and sitting down. What action by the nurse is best A. Call a "time-out" to discuss sterile procedure and scrub technique. B. Document the time the robotic portion of the procedure begins. C. Inform the surgeon that the scrub preparation has been compromised. D. Report the surgeon's actions to the charge nurse and unit manager.
B
A nurse is monitoring a client after moderate sedation. The nurse documents the client's Ramsay Sedation Scale (RSS) score at 3. What action by the nurse is best A. Assess the client's gag reflex. B. Begin providing discharge instructions. C. Document findings and continue to monitor. D. Increase oxygen and notify the provider.
C
