Med surg quiz 3
A patient has an MH incident during surgery to whom does the nurse report this incident? A. north american malignant hyperthermia registry B. the joint commission C. centers for disease control D. occupation safety and health administration
A
Immediately after receiving spinal anesthesia a client develops hypotension to what phyisologic change does the nurse attribute to decreased blood pressure? A. dilation of blood vessels B. decreased response of chemoreceptors C. decreased strength of cardiac contractions D. disruption of cardiac accelerator pathways
A
Which nursing interventions will prevent the potential intraoperative complication of radial nerve complications? A. support the wrist with padding; do not over tighten wrist straps B.place pillows or foam padding under bony prominences, maintain good body alignment; and slightly flex joints and support with pillows and pads C. pad the elbow, avoid excessive abduction, and secure the arm firmly on the arm board positioned at shoulder level D. place a safety strap above or below the area. place a pillow or padding under the knees
A
Which clinical features are found in malignant hyperthermia crisis? A. sinus tachycardia B. jaw muscle rigidity C. hypotension D. a decrease in end tidal carbon dioxide level E. skin mottling and cyanosis F. an extremely elevated temperature at onset
A B C E F
To reduce the incidence of patients with a known history of risk of malignanth hyperthermia MH what best practices are put in place in the operating room? A. list of medications available for emergency treatment of MH B. Genetic counseling after each episode of MH C. dedicated MH cart with treatment medications D. treatment before, during, and after surgery if the patient has a known history or risk E. additional nursing support on call if MH develops F. available MH hotline number
A C D E F
Which patient would be a candidate for moderate sedation? A. endoscopy B. c section C. closed fracture reduction D. cardiac catheterization E. abdominal surgery F.cardioversion
A C D F
A CBC urinalysis and x ray examination of the chest are ordered for a client before surgery. The client asks why these tests are done which is the best reply by the nurse? A. Dont worry these tests are routine B. they are done to identify other health risks C. they determine whether surgery will be safe D. I dont know your health care provider ordered them
B
The patient received moderate sedation intravenously prior to a bronchoscopy procedure. Before allowing the patient to have oral liquids what must the nurse assess in this patient? A. the patient is arousable B. the patient is able to speak C. the patients gag reflex is working D. the patient is able to rotate his head
C
The patient in the OR holding area tells the nurse that his surgery is for the right foot. The patients chart states that the surgery is for his left foot. what is the nurses best action? A. do nothing because the patient is confused after receiving premedications B. make a note about this in the nursing notes of the patients chart C. call the nurse anesthesist to check whether the chart of patient is incorrect D. notify the surgeon immediately before the patient goes into the OR about this discrepency
D
Which duties are within the scope of practice of the circulating nurse in the operative setting? A. manages the patients care while the patient is in this area and initiates documentation on a periooperative nursing record B. sets up sterile field; assists with draping of the patient; and hands sterile supplies and equipment and instruments to the surgeon C. assumes responsibility for the surgical procedure and any surgical judgements about the patient D. coordinates, oversees, and participates in the patient's nursing care while the patient is in the operating room
D
