Prep-U Chapter 18: Intraoperative Nursing Management – Flashcards
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A patient is to receive general anesthesia with sevoflurane. The nurse anticipates the need for which of the following? You selected:
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Oxygen
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The scrub nurse is responsible for:
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Preparing the sterile instruments for the surgical procedure
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Hypothermia may occur as a result of?
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open body wounds.
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A nurse is working as a registered nurse first assistant as defined by the state's nurse practice act. This nurse practices under the direct supervision of which surgical team member?
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Surgeon
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The OR personnel responsible for maintaining the safety of the client and the surgical environment is the:
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Circulating nurse
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Which of the following actions by the nurse is appropriate?
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Discarding an object that comes in contact with the 1-inch border
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The client asks the nurse how the spinal anesthesia will be administered. The best response by the nurse is:
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"The anesthesiologist will inject the anesthetic into the space around your lower spinal cord."
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A patient is undergoing general anesthesia. The nurse anesthetist starts to administer the anesthesia. The patient starts giggling and kicking her legs. What stage of anesthesia would the nurse document related to the findings?
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II
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There are four stages of general anesthesia. Select the stage during which the OR nurse knows not to touch the patient (except for safety reasons) because of possible uncontrolled movements.
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Stage II: excitement
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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 needed attire to enter a restricted surgical zone. Which observation by the nurse requires immediate intervention?
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Mask is placed over nose and extends to bottom lip.
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The nurse is caring for a client during an intra operative procedure. When assessing vital signs, which result indicates a need to alert the anesthesiologist immediately?
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Temperature of 102.5° F
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A patient is to receive general anesthesia with sevoflurane. The nurse anticipates the need for which of the following?
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Oxygen
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A patient is brought to the operating room for an elective surgery. What is the priority action by the circulating nurse?
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Verify consent.
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Which stage of surgical anesthesia is also known as excitement?
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II
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The nurse caring for a patient who is at risk for malignant hyperthermia subsequent to general anesthesia would assess for the most common early sign of:
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Tachycardia (HR ;150 bpm).
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The nursing instructor is talking with her class about spinal anesthesia. What would be the nursing care intervention required when caring for a client recovering from spinal anesthesia?
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• Monitor respiratory rate and sensation every 2 hours or as per ordered. • Instruct the client to stay in bed until sensation and movement returns. • Turn the client from side to side at least every 2 hours.
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The nurse positions the client in the lithotomy position in preparation for
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Perineal surgery
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Which nursing diagnosis is most important for the client who is undergoing a surgical procedure expected to last several hours?
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Risk for perioperative positioning injury related to positioning in the OR
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What are the circulating nurse's responsibilities, in contrast to the scrub nurse's responsibilities?
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Coordinating the surgical team
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A scrub nurse is diagnosed with a skin infection to the right forearm. What is the priority action by the nurse?
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Report the infection to an immediate supervisor.
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The nurse recognizes that the older adult is at risk for surgical complications due to:
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decreased renal function
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The anesthesiologist administered a transsacral conduction block. Which of the following documentation by the nurse is consistent with the anesthesia being administered?
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Denies sensation to perineum and lower abdomen
