Gold standard for nclex Exam 8 2024

What responsibilities do a circulating nurse and a scrub nurse both have in common that could prevent sentinel (never ever) events? Select all that apply. a.Reviews anatomy, physiology, and surgical procedure b.Assess patient's physical and emotional status c.Participates in surgical time out d.Assists with induction of anesthesia e.Maintains accurate count of sponges, needles, and instruments - a,c,e This is a duty of both a scrub nurse and a circulating nurse.Not only do both the scrub and circulating nurses have to participate in time out, but also all the other members of the surgical team.This is a duty of both scrub and circulating nurse which can prevent the sentinel event of retained surgical supplies, devices, or instruments inside the patient Malignant hyperthermia, a rare but catastrophic complication that can occur in the operating room, is said to be caused by both anesthetics and other miscellaneous factors such as stress. Which of the following is the primary trigger of this disorder? a) Stress b) Succinylcholine (Anectine) c) A high temperature d) Dantrolene (Dantrium) e) Trauma - b, Succinylcholine, especially when combined with a general anesthetic such as a volatile inhalation agent, has been documented to be the primary trigger to cause malignant hyperthermia (chapter 18, p 327). Succinylcholine is a muscle relaxant which acts as an adjunct drug to the general anesthetic (chapter 18, p 323). A 22-year-old patient comes into the E.D. with a complex facial fracture presenting with local edema, localized pain, and ecchymosis. What are the nurse's priorities after inspection? Select all that apply a.Position the patient sitting upright. b.Apply ice to face/nose in 10-20-minute intervals. c.Administer acetaminophen. d.Administer aspirin. e.Encourage hot showers. - a,b,c, The best way to maintain the airway is to keep the patient sitting upright Applying ice to the face/nose in 10-20-minute intervals helps reduce edema and bleeding Acetaminophen is preferred over NSAID's or Aspirin A patient comes into the E.D. from a motor vehicle accident and is diagnosed with a mandibular fracture. After a surgical procedure to reduce the fracture, which of the following is NOT one of the nurse's priorities regarding their care? a) Tape a wire cutter to the head of the patient's bed. b) Provide the patient with a dry erase board. c) Reassure the patient of the ability to breathe normally. d) Place an NG tube as a primary route of nutrition. e) Observe for signs of respiratory distress. - d, An NG tube can be used as a route of nutrition, but the patient can still drink liquids. NG tubes are primarily used for decompression and suctioning of the stomach to prevent vomiting The nurse is teaching a patient and caregiver about care during the first 2 to 3 days following a head injury. The nurse will include which of the following in his/her teaching: (Select all that applies) (Bucher, 2017, Pg. 1332) a) The patient may drive as needed if they are feeling up to it b) The patient should notify the health care provider if there is a change in vision, motor problems, or increased drowsiness c) The patient should avoid antiemetic medications d) The patient can take hot baths to wash e) The patient needs someone to stay with them - b,e These signs and symptoms may indicate complications and need further assessment to determine additional issues the patient may be having.