Medsurg ch. 15&16

hematocrit

. The perioperative laboratory assessment of a 25-year-old male client are hemoglobin: 13.6 g/dL; hematocrit: 33%; white blood cell count: 10.1 103/microL; and platelet counts: 350,000. Which test result indicates a need for intervention before surgery?

"A minimum of two people is needed to assist the client from the stretcher to the operating room (OR) table."

A RN is teaching the nursing student about the basic safety rules that need to be followed when providing care to clients during surgery. Which safety rule reiterated by the nursing student is accurate?

Operating room nurse

A new staff nurse in the operating room requires further education when stating that which team member may be nonsterile?

Metoclopramide HCl

After reviewing the data of a client who is scheduled for surgery, the nurse notes a minor allergic reaction to anesthesia. Which preoperative medication is most beneficial in this client?

Dexamethasone

After reviewing the data of a client who is scheduled for surgery, the nurse suspects a possibility of hemorrhage. Which medication in the prescription may lead to this condition?

"They cause muscle fasciculation."

An RN is teaching a nursing student about nondepolarizing muscle relaxants. Which statement by the nursing student indicates a need for further teaching?

"It is characterized by loss of muscular tension related to a decrease in intracellular calcium ion concentration."

An RN is teaching nursing students about malignant hyperthermia. Which statement made by a nursing student indicates a need for further teaching?

"The informed consent given by a client who cannot physically sign, but is able to make his or her own care decisions needs to be witnessed by three people."

An RN is teaching nursing students about the process of obtaining informed consent before a surgery. Which statement made by a nursing student indicates a need for further teaching?

4 hours prior to surgery

An infant is scheduled to undergo surgery. Up to when before the surgery can the infant be given breast milk?

Applying compression stockings

During a preoperative assessment, the nurse finds that the client has a history of anxiety disorders. Which intervention performed by the nurse is most beneficial in reducing possible postoperative complication?

increased blood pressure levated white blood cell count Patient taking aspirin daily for pain

During the preoperative period, the nurse would notify the healthcare provider of which of the following assessment findings? Select all that apply

Early ambulation Compression devices Incentive spirometer use blood clot prevention

Prior to surgery, the nurse is teaching the patient about interventions used to prevent postoperative complications. Which patient teaching topics may the nurse want to discuss with the patient? Select all that apply.

Anesthesia provider Circulating registered nurse

The health-care team is caring for a client perioperatively. Which health-care professionals are considered nonsterile? Select all that apply.

SpO2 80%

The nurse infused cool 0.9% saline to a postoperative client who is experiencing complications caused by desflurane. Which symptom observed by the nurse supports the intervention?

obtain a full medical history Assess patient's current health status ang prescribed intravenous antibiotic Perform a "time out" at the bedside

The nurse is completing the preoperative checklist for a patient scheduled to undergo knee replacement surgery. Which actions must the nurse take? Select all that apply.

A client using corticosteroids

The nurse is reviewing the data of clients who are scheduled for surgery. Which client may be at higher risk of postoperative bleeding?

ensuring the patient's physiological safety

The nurse prints current lab results and places a copy on the chart.The nurse tells the patient that early ambulation after surgery is best. What is the nurse's highest priority of care during the preoperative phase of care?

the surgical assistant reaches his hands below the waist to pick up an item.

The operating room director must intervene when which action has been reported by the operating room nurse?

operating room doors are left open during surgical procedure

The operating room nurse needs further teaching when which finding is observed?

the nurse asks the patient's spouse to witness the surgical consent.

The preoperative nurse needs further instruction from the nurse manager when which action is observed?

A 30-year-old client who is administered succinylcholine A 40-year-old client who is administered isoflurane

The registered nurse is reviewing the data of the clients who are administered general anesthesia. The nurse suspects a rise of body temperature of 113°F in one of the clients. Which clients may encounter this complication? Select all that apply.

"I will use a razor to shave the leg hair of the client."

The registered nurse is teaching a nursing student about how to prepare an elderly client before knee surgery. Which statement made by the nursing student indicates a need for further teaching?

"I will administer cool normal saline to the client." "I will administer dantrolene to the client." "I will perform nasogastric lavage in the client."

The registered nurse is teaching a nursing student on managing the postoperative clients when signs such as 113°F temperature, 110 beats/min pulse rate, and skeletal muscle rigidity are found. Which statements made by the nursing student indicates effective learning? Select all that apply.

ensuring patient safety and preventing injury

What is the priority role of the operating room nurse during any surgical procedure?

verify the correct procedure. Verify the correct patient. verify the correct site.

Which actions should the operating room team perform according to The Joint Commission's universal protocol? Select all that apply

A client with a history of lung cancer A client with a body mass index (BMI) of 35

Which client is at high risk for developing complications caused by positioning during a surgery? Select all that apply.

Aspiration

Which complication is prevented when cricoid pressure is applied during intubation?

11.7 G/dL

Which is the minimum hemoglobin count of a 25-year-old female adult in the perioperative phase?

8 to 21 mg/dL

Which is the normal serum creatinine test result for a male adult who is scheduled for a surgery?

It includes the reason for the surgery

Which is true regarding informed consent?

Morphine sulfate

Which narcotic analgesics used to alleviate perioperative pain may lead to nausea and vomiting if overused?

piloerection

Which physiological sign indicates postoperative pain?

Delayed wound healing

Which postoperative complications is the nurse most likely to anticipate in a client with a history of chronic smoking who is scheduled for a surgery?

Deep vein thrombosis Increased postoperative pain

Which postoperative complications is the nurse most likely to anticipate in a client with preoperative anxiety who is scheduled for surgery? Select all that apply.

Cefazolin sodium

Which preoperative medication may reduce the risk of infection in a client?

Blood glucose levels

Which should be assessed when the client is suspected to be at risk of postsurgical neurologic complications?

Assessing the client's oxygen saturation level. Assessing the client's breathing for rate, depth, rhythm and adventitious breath sounds. Assessing peripheral pulses, color, skin turgor, capillary refill, temperature and edema. Assessing the client's airways and maintain intubation.

Which steps need to be taken when performing a respiratory assessment on a client in surgery? Select all that apply.

Prone

Which surgical position is also known as the ventral recumbent or ventral decubitus position?