Which statement, if made by a new circulating nurse, is appropriate?
a. I will assist in preparing the operating room for the patient.
b. I will remain gloved while performing activities in the sterile field.
c. I will assist with suturing of incisions and maintaining hemostasis as needed.
d. I must don full surgical attire and sterile gloves while obtaining items from the
unsterile field.
Give this one a try later!
, A
Preparing the operating room for the patient describes the role of a
circulating nurse.
All other answer options describe specific types of scrub nurses. The
circulating nurse performs activities in the unsterile field and is not
scrubbed, gowned, or gloved. The scrub nurse follows the designated
scrub procedure, is gowned and gloved in sterile attire, and performs
activities in the sterile field.
Following an acute myocardial infarction (AMI), a patient ambulates in the hospital
hallway. When the nurse is evaluating the patients response to the activity, which
assessment data would indicate that the exercise level should be decreased?
a. Blood pressure (BP) changes from 118/60 to 126/68 mm Hg.
b. Oxygen saturation drops from 99% to 95%.
c. Heart rate increases from 66 to 92 beats/minute.
d. Respiratory rate goes from 14 to 20 breaths/minute.
Give this one a try later!
C
A change in heart rate of more than 20 beats over the resting heart rate
indicates that the patient should stop and rest.
The increases in BP and respiratory rate, and the slight decrease in oxygen
saturation, are normal responses to exercise.
Proper attire for the semi-restricted area of the surgery department is
a. street clothing.
b. surgical attire and head cover.
,c. surgical attire, head cover, and mask.
d. street clothing with the addition of shoe covers.
Give this one a try later!
B
surgical attire and head cover.
.
.
When scrubbing at the scrub sink, the nurse should
a. scrub from elbows to hands.
b. scrub without mechanical friction.
c. scrub for a minimum of 10 minutes.
d. hold the hands higher than the elbows.
.
Give this one a try later!
D
hold the hands higher than the elbows.
.
Activities that the nurse might perform in the role of a scrub nurse during surgery
include (select all that apply)
a. checking electrical equipment.
, b. preparing the instrument table.
c. passing instruments to the surgeon and assistants.
d. coordinating activities occurring in the operating room.
e. maintaining accurate counts of sponges, needles, and instruments.
Give this one a try later!
B, C, E
b. preparing the instrument table.
c. passing instruments to the surgeon and assistants.
e. maintaining accurate counts of sponges, needles, and instruments.
.
Which statement made by a patient with coronary artery disease after the nurse has
completed teaching about therapeutic lifestyle changes (TLC) diet indicates that
further teaching is needed?
a. I will switch from whole milk to 1% milk.
b. I like salmon and I will plan to eat it more often.
c. I can have a glass of wine with dinner if I want one.
d. I will miss being able to eat peanut butter sandwiches.
Give this one a try later!
D
Although only 30% of the daily calories should come from fats, most of the
fat in the TLC diet should come from monosaturated fats such as are found
in nuts, olive oil, and canola oil. The patient can include peanut butter
sandwiches as part of the TLC diet.
The other patient comments indicate a good understanding of the TLC diet.
a. I will assist in preparing the operating room for the patient.
b. I will remain gloved while performing activities in the sterile field.
c. I will assist with suturing of incisions and maintaining hemostasis as needed.
d. I must don full surgical attire and sterile gloves while obtaining items from the
unsterile field.
Give this one a try later!
, A
Preparing the operating room for the patient describes the role of a
circulating nurse.
All other answer options describe specific types of scrub nurses. The
circulating nurse performs activities in the unsterile field and is not
scrubbed, gowned, or gloved. The scrub nurse follows the designated
scrub procedure, is gowned and gloved in sterile attire, and performs
activities in the sterile field.
Following an acute myocardial infarction (AMI), a patient ambulates in the hospital
hallway. When the nurse is evaluating the patients response to the activity, which
assessment data would indicate that the exercise level should be decreased?
a. Blood pressure (BP) changes from 118/60 to 126/68 mm Hg.
b. Oxygen saturation drops from 99% to 95%.
c. Heart rate increases from 66 to 92 beats/minute.
d. Respiratory rate goes from 14 to 20 breaths/minute.
Give this one a try later!
C
A change in heart rate of more than 20 beats over the resting heart rate
indicates that the patient should stop and rest.
The increases in BP and respiratory rate, and the slight decrease in oxygen
saturation, are normal responses to exercise.
Proper attire for the semi-restricted area of the surgery department is
a. street clothing.
b. surgical attire and head cover.
,c. surgical attire, head cover, and mask.
d. street clothing with the addition of shoe covers.
Give this one a try later!
B
surgical attire and head cover.
.
.
When scrubbing at the scrub sink, the nurse should
a. scrub from elbows to hands.
b. scrub without mechanical friction.
c. scrub for a minimum of 10 minutes.
d. hold the hands higher than the elbows.
.
Give this one a try later!
D
hold the hands higher than the elbows.
.
Activities that the nurse might perform in the role of a scrub nurse during surgery
include (select all that apply)
a. checking electrical equipment.
, b. preparing the instrument table.
c. passing instruments to the surgeon and assistants.
d. coordinating activities occurring in the operating room.
e. maintaining accurate counts of sponges, needles, and instruments.
Give this one a try later!
B, C, E
b. preparing the instrument table.
c. passing instruments to the surgeon and assistants.
e. maintaining accurate counts of sponges, needles, and instruments.
.
Which statement made by a patient with coronary artery disease after the nurse has
completed teaching about therapeutic lifestyle changes (TLC) diet indicates that
further teaching is needed?
a. I will switch from whole milk to 1% milk.
b. I like salmon and I will plan to eat it more often.
c. I can have a glass of wine with dinner if I want one.
d. I will miss being able to eat peanut butter sandwiches.
Give this one a try later!
D
Although only 30% of the daily calories should come from fats, most of the
fat in the TLC diet should come from monosaturated fats such as are found
in nuts, olive oil, and canola oil. The patient can include peanut butter
sandwiches as part of the TLC diet.
The other patient comments indicate a good understanding of the TLC diet.
