cop. 18 prep u
Which of the following is the appropriate response to the statement, "I'm so nervous about my surgery"?
"You seem nervous about your surgery."
A client is undergoing a lumbar puncture. The nurse educates the client about surgical positioning. Which statement by the nurse is appropriate? -"You will be placed flat on the table, face down." -"You will be on your back with the head of the bed at 30 degrees." -"You will be lying on your side with your knees to your chest." -"You will be flat on your back with the table slanted so your head is below your feet."
"You will be lying on your side with your knees to your chest."
The circulating nurse must be vigilant in monitoring the surgical environment. Which of the following actions by the nurse is inappropriate? -Monitor for faulty electrical equipment. -Alert personnel who break sterile technique. -Allow unnecessary personnel to enter the OR environment. -Maintain the positive pressure OR environment.
Allow unnecessary personnel to enter the OR environment.
A client undergoing coronary artery bypass surgery is subjected to intentional hypothermia. The client is ready for rewarming procedures. Which action by the nurse is appropriate?
Apply a warm air blanket, gradually increasing body temperature.
Which intervention should the nurse plan to implement to decrease the client's risk for injury during the intraoperative period? -Allow the client to verbalize fears. -Assess the client for allergies. -Verify the client's preoperative vital signs. -Keep the family informed of the client's status.
Assess the client for allergies.
What medication should the nurse prepare to administer in the event the patient has malignant hyperthermia?
Dantrolene sodium (Dantrium)
An obese client is undergoing abdominal surgery. During the procedure a surgical resident states, "The amount of fat we have to cut through is disgusting." What is the best response by the nurse? -Ignore the comment. -Report the resident to the attending surgeon. -Discuss concerns regarding the comments with the charge nurse. -Inform the resident that all communication needs to remain professional.
Inform the resident that all communication needs to remain professional.
As a circulating nurse, what task are you solely responsible for?
Keeping records.
A student nurse is scheduled to observe a surgical procedure. The nurse provides the student nurse with education on the dress policy and provides all attire needed to enter a restricted surgical zone. Which observation by the nurse requires immediate intervention?
Mask is placed over nose and extends to bottom lip.
How would the operating room nurse place a patient in the Trendelenburg position?
On his back with his head lowered so that the plane of his body meets the horizontal on an
A patient is to receive general anesthesia with sevoflurane. The nurse anticipates the need for which of the following?
Oxygen
A scrub nurse is diagnosed with a skin infection to the right forearm. What is the priority action by the nurse?
Report the infection to an immediate supervisor.
A nurse who is part of the surgical team is involved in setting up the sterile tables. The nurse is functioning in which role? -Registered nurse first assistant -Scrub role -Circulating nurse -Anesthetist
Scrub role
The client vomits during the surgical procedure. The best action by the nurse is:
Suction the client to remove saliva and gastric secretions.
A perioperative nurse is conducting an in-service education program about maintaining surgical asepsis during the intraoperative period. Which of the following would the nurse emphasize? -The edges of a sterile package, once opened, are considered unsterile. -A distance of 3 feet must be maintained when moving around a sterile field. -If a tear occurs in a sterile drape, a new sterile drape is applied on top of it. -Circulating nurses may come in contact with the sterile field without contaminating it.
The edges of a sterile package, once opened, are considered unsterile.
A patient is having a surgical procedure that requires the patient to be in the prone position. What is an expected patient outcome?
The patient remains free of perioperative positioning injury.
The nurse recognizes older adults require lower doses of anesthetic agents due to:
decreased lean tissue mass.
The nurse understands that the purpose of the "time out" is to:
maintain the safety of the client.
