.
Maintain the safety of the client Correct Answers The nurse
understands that the purpose of the "time out" is to:
A. verify all necessary supplies are available.
B. identify the client's allergies.
C. maintain the safety of the client.
D. clarify the roles of the OR personnel
15 mins Correct Answers Vitals should be done every _____ in
the immediate post op period
3 hours Correct Answers Roughly how long does local
anesthesia last
7 or higher Correct Answers Patients can't be discharged from
PACU until their aldrete score is ___ or ____ (higher/lower).
Anxiety related to ineffective coping with surgical concerns
Correct Answers Which nursing diagnosis should the nurse plan
to address first in the client upon arrival in the intraoperative
setting?
Apply a warm air blanket, gradually increasing body
temperature Correct Answers A client undergoing coronary
artery bypass surgery is subjected to intentional hypothermia.
The client is ready for rewarming procedures. Which action by
the nurse is appropriate?
, Appropriately position the client using adequate padding and
support Correct Answers A 78-year-old client is undergoing
surgery to repair a right hip fracture. What nursing action is
appropriate during the intraoperative phase
Central venous pressure Correct Answers The nurse is
responsible for monitoring cardiovascular function in a
postoperative patient. What method can the nurse use to measure
cardiovascular function?
Circulating nurse Correct Answers Who documents procedure
and site verification?
Eviscerated Correct Answers A client with an abdominal
surgical wound sneezes and then states, "Something doesn't feel
right with my wound." The nurse asses the upper half of the
wound edges, noticing that they are no longer approximated and
the lower half remains well approximated. The nurse would
document that following a sneeze, the wound
Evisceration Correct Answers Which term refers to the
protrusion of abdominal organs through the surgical incision
Hourly leg exercises Correct Answers Which action should be
incorporated into the client teaching plan to prevent deep vein
thrombosis
I'll be sleepy but able to respond to your questions Correct
Answers After teaching a patient scheduled for ambulatory
surgery using moderate sedation, the nurse determines that the