Brunner Ch 19 – Flashcards
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In developing the plan of care for the intraoperative client, the nurse recognizes that it is essential to consider:
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the client's cultural beliefs
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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 recognizes older adults require lower doses of anesthetic agents due to:
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decreased lean tissue mass
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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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Which of the following medications would the nurse expect to be used to facilitate intubation of the client?
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attacurium (Tracrium)
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Which of the following interventions would be most appropriate for a client who has undergone surgery for a liver disorder and has started shivering?
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Cover the client with a light blanket.
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The surgical client has been intubated and general anesthesia has been administered. The client exhibits cyanosis, shallow respirations, and a weak, thready pulse. The nurse recognizes that the client is in which stage of general anesthesia?
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Stage IV
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Which of the following is the most common cause of anaphylaxis?
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Medications
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Which nursing diagnosis should the nurse plan to address first in the client upon arrival in the intraoperative setting?
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Anxiety related to ineffective coping with surgical concerns
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Which of the following clinical manifestations is often the earliest sign of malignant hyperthermia?
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Tachycardia (heart rate above 150 beats per minute)
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Which stage of anesthesia is termed surgical anesthesia?
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III
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A nurse who works in the OR is required to assess the patient continuously and protect the patient from potential complications. Which of the following would not be included as a symptom of malignant hyperthermia?
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Increased urine output
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The nurse recognizes the client has reached stage III of general anesthesia when the client:
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Has small pupils that react to light
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A client has been admitted to undergo surgical repair of a torn Achilles' tendon. While meeting with the anesthesiologist, what statement from the client would indicate to the nurse that the anesthesiologist needs to clarify points?
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"I'll receive procedural sedation."
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Which of the following represents a responsibility of the scrub nurse?
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Preparing sutures
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What is the most important postoperative instruction a nurse must give to a client who has just returned from the operating room after receiving a subarachnoid block?
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"Remain supine for the time specified by the physician."
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Which zone of the surgical area only allows for attire in the form of scrub clothes and caps?
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Semirestricted zone
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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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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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Which conduction block produces anesthesia of the nerves supplying the chest, abdominal wall, and extremities?
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Paravertebral anesthesia
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During the surgical procedure, the client exhibits tachycardia, generalized muscle rigidity, and a temperature of 103°F. The nurse should prepare to administer:
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dantrolene sodium (Dantrium)
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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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Instruct the client to remain flat for 6 to 12 hours.
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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
