Which of the following intraoperative nursing responsibilities
would be performed by the scrub nurse? (Select all that apply.)
A) Documenting intraoperative careB) Keeping track of
irrigation solutions for monitoring of blood
lossC) Passing instruments and supplies to the surgeon by
anticipating his or her needsD) Coordinating the flow and
activities of members of the surgical
team in the surgical suiteE) Performing the count of sponges,
needles, and instruments
used during the surgical procedure - ANSWER>>>>>B) Keeping
track of irrigation solutions for monitoring of blood
loss
C) Passing instruments and supplies to the surgeon by
anticipating his or her needs
E) Performing the count of sponges, needles, and instruments
used during the surgical procedure
Both the scrub nurse and circulating nurse will participate in the
counting of surgical sponges, needles and instruments, whereas
passing instruments to the surgeon is the exclusive
responsibility of the scrub nurse. The circulating nurse takes
primary responsibility for the coordination of the surgical suite
and documentation.
,Unless contraindicated by the surgical procedure, which of the
following positions is preferred for the unconscious patient
immediately postoperative?
A) SupineB) LateralC) Semi-Fowler'sD) High-Fowler's -
ANSWER>>>>>B) Lateral
Unless contraindicated by the surgical procedure, the
unconscious patient is positioned in a lateral "recovery"
position. This recovery position keeps the airway open and
reduces the risk of aspiration. Once conscious, the patient is
usually returned to a supine position with the head of the bed
elevated.
The nurse is caring for a patient admitted with emphysema,
angina, and hypertension. Before administering the prescribed
daily dose of atenolol 100 mg PO, the nurse assesses the
patient carefully. Which of the following adverse effects is this
patient at risk for given the patient's health history?
A) HypocapniaB) TachycardiaC) BronchospasmD) Nausea and
vomiting - ANSWER>>>>>C) Bronchospasm
Atenolol is a cardioselective β1-adrenergic blocker that reduces
blood pressure and could affect the β2-receptors in the lungs
with larger doses or with drug accumulation. Although the risk
of bronchospasm is less with cardioselective β-blockers than
nonselective β-blockers, atenolol should be used cautiously in
patients with COPD.
During recovery from anesthesia in the post anesthesia care
unit (PACU), a patient's vital signs are blood pressure 118/72,
pulse 76, respirations 12, and SpO2 91%. The patient is sleepy
,but awakens easily. Which action should the nurse take at this
time?
A) Place the patient in a side-lying position
B) Encourage the patient to take deep breaths
C) Prepare to transfer the patient from the PACU
D) Increase the rate of the postoperative IV fluids -
ANSWER>>>>>B) Encourage the patient to take deep breaths
The patient's borderline SpO2 and sleepiness indicate
hypoventilation. The nurse should remind the patient to take
deep breaths. Placing the patient in a lateral position is needed
when the patient first arrives in the PACU and is unconscious.
The stable BP and pulse indicate that no changes in fluid intake
are required. The patient is not fully awake and has a low SpO2;
initiating a transfer from the PACU is not appropriate.
The nurse teaches a patient with hypertension that
uncontrolled hypertension may damage organs in the body
primarily by which of the following mechanisms?
A)Hypertension promotes atherosclerosis and damage to the
walls of the arteries.B) Hypertension causes direct pressure on
organs, resulting in
necrosis and replacement of cells with scar tissue.C)
Hypertension causes thickening of the capillary membranes,
leading to hypoxia of organ systems.D) Hypertension increases
blood viscosity, which contributes to
intravascular coagulation and tissue necrosis distal to
occlusions. - ANSWER>>>>>A)Hypertension promotes
atherosclerosis and damage to the
walls of the arteries.
, Hypertension is a major risk factor for the development of
atherosclerosis by mechanisms not yet fully known. However,
once atherosclerosis develops, it damages the walls of arteries
and reduces circulation to target organs and tissues.
In reviewing medication instructions with a patient being
discharged on antihypertensive medications, which of the
following statements would be most appropriate for the nurse
to make when discussing atenolol (Tenormin)?
A)"A fast heart rate is a side effect to watch for while taking
atenolol."B) "Stop the drug and notify your doctor if you
experience any
nausea or vomiting."C) "Because this drug may affect the lungs
in large doses, it may
also help your breathing."D) "Make position changes slowly,
especially when going from a
lying down to a standing position." - ANSWER>>>>>D) "Make
position changes slowly, especially when going from
a lying down to a standing position."
Atenolol is a β1-adrenergic blocker and antihypertensive agent
that can cause orthostatic hypotension. For this reason, the
patient should be instructed to rise slowly, especially when
moving from a recumbent to a standing position.
The nurse is caring for a pt admitted with a history of HTN. The
patient's medication history includes hydrochlorothiazide
(Hydrodiuril) daily for the past 10 years. Which of the following
parameters would indicate the optimal intended effect of this
drug therapy?
A)Weight loss of 2 lb.
would be performed by the scrub nurse? (Select all that apply.)
A) Documenting intraoperative careB) Keeping track of
irrigation solutions for monitoring of blood
lossC) Passing instruments and supplies to the surgeon by
anticipating his or her needsD) Coordinating the flow and
activities of members of the surgical
team in the surgical suiteE) Performing the count of sponges,
needles, and instruments
used during the surgical procedure - ANSWER>>>>>B) Keeping
track of irrigation solutions for monitoring of blood
loss
C) Passing instruments and supplies to the surgeon by
anticipating his or her needs
E) Performing the count of sponges, needles, and instruments
used during the surgical procedure
Both the scrub nurse and circulating nurse will participate in the
counting of surgical sponges, needles and instruments, whereas
passing instruments to the surgeon is the exclusive
responsibility of the scrub nurse. The circulating nurse takes
primary responsibility for the coordination of the surgical suite
and documentation.
,Unless contraindicated by the surgical procedure, which of the
following positions is preferred for the unconscious patient
immediately postoperative?
A) SupineB) LateralC) Semi-Fowler'sD) High-Fowler's -
ANSWER>>>>>B) Lateral
Unless contraindicated by the surgical procedure, the
unconscious patient is positioned in a lateral "recovery"
position. This recovery position keeps the airway open and
reduces the risk of aspiration. Once conscious, the patient is
usually returned to a supine position with the head of the bed
elevated.
The nurse is caring for a patient admitted with emphysema,
angina, and hypertension. Before administering the prescribed
daily dose of atenolol 100 mg PO, the nurse assesses the
patient carefully. Which of the following adverse effects is this
patient at risk for given the patient's health history?
A) HypocapniaB) TachycardiaC) BronchospasmD) Nausea and
vomiting - ANSWER>>>>>C) Bronchospasm
Atenolol is a cardioselective β1-adrenergic blocker that reduces
blood pressure and could affect the β2-receptors in the lungs
with larger doses or with drug accumulation. Although the risk
of bronchospasm is less with cardioselective β-blockers than
nonselective β-blockers, atenolol should be used cautiously in
patients with COPD.
During recovery from anesthesia in the post anesthesia care
unit (PACU), a patient's vital signs are blood pressure 118/72,
pulse 76, respirations 12, and SpO2 91%. The patient is sleepy
,but awakens easily. Which action should the nurse take at this
time?
A) Place the patient in a side-lying position
B) Encourage the patient to take deep breaths
C) Prepare to transfer the patient from the PACU
D) Increase the rate of the postoperative IV fluids -
ANSWER>>>>>B) Encourage the patient to take deep breaths
The patient's borderline SpO2 and sleepiness indicate
hypoventilation. The nurse should remind the patient to take
deep breaths. Placing the patient in a lateral position is needed
when the patient first arrives in the PACU and is unconscious.
The stable BP and pulse indicate that no changes in fluid intake
are required. The patient is not fully awake and has a low SpO2;
initiating a transfer from the PACU is not appropriate.
The nurse teaches a patient with hypertension that
uncontrolled hypertension may damage organs in the body
primarily by which of the following mechanisms?
A)Hypertension promotes atherosclerosis and damage to the
walls of the arteries.B) Hypertension causes direct pressure on
organs, resulting in
necrosis and replacement of cells with scar tissue.C)
Hypertension causes thickening of the capillary membranes,
leading to hypoxia of organ systems.D) Hypertension increases
blood viscosity, which contributes to
intravascular coagulation and tissue necrosis distal to
occlusions. - ANSWER>>>>>A)Hypertension promotes
atherosclerosis and damage to the
walls of the arteries.
, Hypertension is a major risk factor for the development of
atherosclerosis by mechanisms not yet fully known. However,
once atherosclerosis develops, it damages the walls of arteries
and reduces circulation to target organs and tissues.
In reviewing medication instructions with a patient being
discharged on antihypertensive medications, which of the
following statements would be most appropriate for the nurse
to make when discussing atenolol (Tenormin)?
A)"A fast heart rate is a side effect to watch for while taking
atenolol."B) "Stop the drug and notify your doctor if you
experience any
nausea or vomiting."C) "Because this drug may affect the lungs
in large doses, it may
also help your breathing."D) "Make position changes slowly,
especially when going from a
lying down to a standing position." - ANSWER>>>>>D) "Make
position changes slowly, especially when going from
a lying down to a standing position."
Atenolol is a β1-adrenergic blocker and antihypertensive agent
that can cause orthostatic hypotension. For this reason, the
patient should be instructed to rise slowly, especially when
moving from a recumbent to a standing position.
The nurse is caring for a pt admitted with a history of HTN. The
patient's medication history includes hydrochlorothiazide
(Hydrodiuril) daily for the past 10 years. Which of the following
parameters would indicate the optimal intended effect of this
drug therapy?
A)Weight loss of 2 lb.
