Brunner Ch 19 – Flashcards

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question
In developing the plan of care for the intraoperative client, the nurse recognizes that it is essential to consider:
answer
the client's cultural beliefs
question
Which stage of surgical anesthesia is also known as excitement?
answer
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?
answer
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?
answer
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?
answer
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?
answer
Stage IV
question
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?
answer
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?
answer
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?
answer
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."
question
Which zone of the surgical area only allows for attire in the form of scrub clothes and caps?
answer
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?
answer
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:
answer
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?
answer
Instruct the client to remain flat for 6 to 12 hours.
question
The nurse recognizes that the older adult is at risk for surgical complications due to:
answer
decreased renal function
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