NCM 112 QUIZZES PERIOP

39問 • 1年前

問題一覧

A #12 knife blade on a #7 knife handle is most commonly used before for what type of surgery?

Tonsillecetomy

The OR nurse acts in the circulating role during a clients scheduled cesarean section. For what task is this nurse solely responsible?

Performing documentation

An OR nurse is teaching a nursing student about the principles of surgical asepsis as a requirement in the restricted zone of the operating su personal protective equipment should the nurse wear at all times in the restricted zone of the OR?

Mask covering the nose and mouth

The surgical client is a 35-year-old woman who has been administered general anesthesia. The nurse recognizes that the client is in stage II (the excitement stage) of anesthesia. Which intervention would be most appropriate for the nurse to implement during this stage?

Restrain the client

While the surgical client is anesthetized, the scrub nurse hears a member of the surgical team make an inappropriate remark about the clients weight. How should the nurse best respond?

Discourage the colleague from making such comments.

Unless contraindicated by the surgical procedure, which position is preferred for the unconscious client immediately postoperative?

Lateral

The client donated a kidney, and early ambulation is included in her plan of care. But the client refuses to get up and walk. What rationale should the nurse explain to the client for early ambulation?

"Early walking is the best way to prevent postoperative complications."

The nurse has just reassessed the condition of a postoperative client who was admitted 1 hour ago to the surgical unit. The nurse plans to monitor which parameter most carefully during the next hour?

Urine output of 20ml/hour

A postoperative client asks the nurse why it is so important to deep-breathe and cough after surgery. When formulating a response, the nurse incorporates the understanding that retained pulmonary secretions ia a pactoperative client can lead to which condition?

Pneumonia

A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response by the nurse is most likely to stimulate further discussion between the client and the nurse?

"Can you share with me what you've been told about your surgery?"

You are the nurse caring for a client who just had surgery. What is your highest priority?

Maitaining a patent airway.

What are the determining factors for a client to be discharged from the PACU? (Select all that apply.) A. Temperature within normal limit B. Stable blood pressure C. Ability to respond to voice command D. Adequate oxygen saturation E. Adequate respiratory function

B,D,E

The scrub nurse is responsible for:

Preparing the sterile instruments for the surgical procedure

A client is undergoing a perineal surgical procedure. Which of the following actions by the nurse is appropriate?

Place the client in lithotomy position.

Which of the following is often the earliest sign of malignant hyperthermia?

Tachycardia

A client is undergoing a spinal anesthesia. The nurse educates the client about surgical positioning. Which of the following statements by the nurse is appropriate?

"You will be lying on your side with your knees to your chest."

The nurse is teaching the client about usual side effects associated with spinal anesthesia. Which of the following should the nurse include when teaching?

Headache

Which of the following is an inappropriate nursing action by the surgical nurse?

Wearing sterile gloves over artificial nails

The nurse is aware that loss of consciousness occurs with which type of anesthesia?

General Anesthesia

The nurse understands that the purpose of the "time out" is to:

maintain the safety of the client.

A 26-year old client comes into the clinic prior to a Appendectomy. Which action is priority during this phase of surgery?

Pre-operative Assessment

The nurse is conducting the preoperative assessment. The client reports having a cup of black coffee before arriving for the scheduled surgery. What should the nurse do with this information?

Notify the surgeon.

The nurse is reviewing a prescription sheet for preoperative client that states that he client must be NPO after midnight. The nurse would telephone the physician to clarify that which medication should be given to the client and not withheld?

Prednisone

The nurse must obtain surgical consent forms for the scheduled surgery. Which client would not be able to consent legally to surgery?

The 16 year old who has a fractured ankle

The nurse is preparing a client for surgery. Which intervention should the nurse implement first?

Complete the preoperative checklist

The nurse is assessing a client in the day surgery unit who states, "I am really afraid of having this surgery. I'm afraid of what they will find." Which statement would be the best therapeutic response by the nurse?

"Tell me about your fears of having this surgery."

The focus of nursing activities in the preoperative phase is to:

Prepare the patient mentally and physically for surgery.

The focus of nursing care in the intraoperative phase is to:

Ensure patient safety during the surgery.

Which activities are the circulating nurse's responsibilities in the operating room?

Monitor the position of the client, prepare the surgical site, and ensure the client's safety

The circulating nurse and the scrub technician find a discrepancy in the sponge count. Which action should the circulating nurse take first?

Re-count all sponges

Strict hand scrubbing is not important if you are going to put on sterile gloves.

False

Which action describes how the scrub nurse protects the patient with aseptic technique during surgery?

Changes gloves after touching the upper arm of the surgeon's gown

The operating room nurse is providing orientation to a student nurse. Which action would the nurse list as a major responsibility of a scrub nurse?

Keep both hands above the operating table level.

A perioperative nurse is preparing a patient for surgery for treatment of a ruptured spleen as the result of an automobile crash. For what type of surgery would the nurse prepare this patient?

Major, emergency

A 72-year-old woman who is scheduled for a hip replacement is taking several medications on a regular basis. Which drug category might create a surgical risk for this patient?

Anticoagulants

Ten minutes after receiving the ordered preoperative opioid by intravenous (IV) injection, the client asks to get up to go to the bathroom to urinate. The most appropriate action by the nurse is to

offer a urinal or bedpan and position the patient in bed to promote voiding.

Proper attire for the semirestricted area of the surgery department is

surgical attire, face mask and head cover.

Activities that the nurse might perform in the role of a scrub nurse during surgery include:

antipate and passing instruments to the surgeon.

An ideal surgical team would consist of a surgeon, an anaesthetist, scrubbed nurse and a circulating nurse, which member of that team is in charge of couting swabs, instruments, needles, blades

The circulating nurse and scrubbed nurse

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問題一覧

A #12 knife blade on a #7 knife handle is most commonly used before for what type of surgery?

Tonsillecetomy

The OR nurse acts in the circulating role during a clients scheduled cesarean section. For what task is this nurse solely responsible?

Performing documentation

Mask covering the nose and mouth

Restrain the client

While the surgical client is anesthetized, the scrub nurse hears a member of the surgical team make an inappropriate remark about the clients weight. How should the nurse best respond?

Discourage the colleague from making such comments.

Unless contraindicated by the surgical procedure, which position is preferred for the unconscious client immediately postoperative?

Lateral

"Early walking is the best way to prevent postoperative complications."

The nurse has just reassessed the condition of a postoperative client who was admitted 1 hour ago to the surgical unit. The nurse plans to monitor which parameter most carefully during the next hour?

Urine output of 20ml/hour

Pneumonia

A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response by the nurse is most likely to stimulate further discussion between the client and the nurse?

"Can you share with me what you've been told about your surgery?"

You are the nurse caring for a client who just had surgery. What is your highest priority?

Maitaining a patent airway.

B,D,E

The scrub nurse is responsible for:

Preparing the sterile instruments for the surgical procedure

A client is undergoing a perineal surgical procedure. Which of the following actions by the nurse is appropriate?

Place the client in lithotomy position.

Which of the following is often the earliest sign of malignant hyperthermia?

Tachycardia

A client is undergoing a spinal anesthesia. The nurse educates the client about surgical positioning. Which of the following statements by the nurse is appropriate?

"You will be lying on your side with your knees to your chest."

The nurse is teaching the client about usual side effects associated with spinal anesthesia. Which of the following should the nurse include when teaching?

Headache

Which of the following is an inappropriate nursing action by the surgical nurse?

Wearing sterile gloves over artificial nails

The nurse is aware that loss of consciousness occurs with which type of anesthesia?

General Anesthesia

The nurse understands that the purpose of the "time out" is to:

maintain the safety of the client.

A 26-year old client comes into the clinic prior to a Appendectomy. Which action is priority during this phase of surgery?

Pre-operative Assessment

The nurse is conducting the preoperative assessment. The client reports having a cup of black coffee before arriving for the scheduled surgery. What should the nurse do with this information?

Notify the surgeon.

Prednisone

The nurse must obtain surgical consent forms for the scheduled surgery. Which client would not be able to consent legally to surgery?

The 16 year old who has a fractured ankle

The nurse is preparing a client for surgery. Which intervention should the nurse implement first?

Complete the preoperative checklist

"Tell me about your fears of having this surgery."

The focus of nursing activities in the preoperative phase is to:

Prepare the patient mentally and physically for surgery.

The focus of nursing care in the intraoperative phase is to:

Ensure patient safety during the surgery.

Which activities are the circulating nurse's responsibilities in the operating room?

Monitor the position of the client, prepare the surgical site, and ensure the client's safety

The circulating nurse and the scrub technician find a discrepancy in the sponge count. Which action should the circulating nurse take first?

Re-count all sponges

Strict hand scrubbing is not important if you are going to put on sterile gloves.

False

Which action describes how the scrub nurse protects the patient with aseptic technique during surgery?

Changes gloves after touching the upper arm of the surgeon's gown

The operating room nurse is providing orientation to a student nurse. Which action would the nurse list as a major responsibility of a scrub nurse?

Keep both hands above the operating table level.

A perioperative nurse is preparing a patient for surgery for treatment of a ruptured spleen as the result of an automobile crash. For what type of surgery would the nurse prepare this patient?

Major, emergency

A 72-year-old woman who is scheduled for a hip replacement is taking several medications on a regular basis. Which drug category might create a surgical risk for this patient?

Anticoagulants

Ten minutes after receiving the ordered preoperative opioid by intravenous (IV) injection, the client asks to get up to go to the bathroom to urinate. The most appropriate action by the nurse is to

offer a urinal or bedpan and position the patient in bed to promote voiding.

Proper attire for the semirestricted area of the surgery department is

surgical attire, face mask and head cover.

Activities that the nurse might perform in the role of a scrub nurse during surgery include:

antipate and passing instruments to the surgeon.

An ideal surgical team would consist of a surgeon, an anaesthetist, scrubbed nurse and a circulating nurse, which member of that team is in charge of couting swabs, instruments, needles, blades

The circulating nurse and scrubbed nurse