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A patient is in the operating room for surgery. Which individual would be responsible
for ensuring that procedure and site verification occurs and is documented? correct
answers
Circulating nurse
A patient begins to vomit during surgery. Place the actions below in the order in which
they would be performed.
Turn the patient to the side.
Lower the head of the surgical table.
Provide a basin for collection.
Suction to remove saliva.
A client is undergoing a perineal surgical procedure. The nurse should place the client
in which position? correct answers
Lithotomy
What are the circulating nurse's responsibilities, in contrast to the scrub nurse's
responsibilities? correct answers
Coordinating the surgical team
The patient is having a repair of a vaginal prolapse. What position does the nurse
place the patient in? correct answers
Lithotomy position
,A client is scheduled for a prostatectomy, and the anesthesiologist plans to use a
spinal (subarachnoid) block during surgery. In the operating room, the nurse positions
the client according to the anesthesiologist's instructions. Why does the client require
special positioning for this type of anesthesia? correct answers
To prevent cerebrospinal fluid (CSF) leakage
The nurse is teaching the client about usual side effects associated with spinal
anesthesia. Which of the following should the nurse include when teaching? correct
answers
Headache
When integrating the principles for maintaining surgical asepsis during surgery, which
of the following would be most appropriate? correct answers
Ensuring gown sleeves remain sterile 2 inches above the elbow to cuff
A patient is scheduled for surgery with spinal anesthesia. When explaining this type of
anesthesia to the patient, which body area would the nurse describe as being affected
first? correct answers
Perineum
The nurse is caring for a client during an intra operative procedure. When assessing
vital signs, which result indicates a need to alert the anesthesiologist immediately?
correct answers
Temperature of 102.5°F (39°C)
A client is undergoing a lumbar puncture. The nurse educates the client about
surgical positioning. Which statement by the nurse is appropriate? correct answers
You will be lying on your side with your knees to your chest."
,The circulating nurse is unsure whether proper technique was followed when an
object was placed in the sterile field during a surgical procedure. What is the best
action by the nurse? correct answers
Remove the entire sterile field from use.
There are four stages of general anesthesia. Select the stage during which the OR
nurse knows not to touch the patient (except for safety reasons) because of possible
uncontrolled movements
Stage II: excitement
The client is undergoing a surgical procedure that is expected to last several hours.
Which nursing diagnosis is most related to the duration of the procedure? correct
answers
Risk for perioperative positioning injury related to positioning in the OR
Which statement by the client indicates further teaching about epidural anesthesia is
necessary? correct answers
"I will become unconscious."
A nurse is working as part of the surgical team in the semi-restricted area. Which of
the following would be appropriate to wear? correct answers Select all that apply.
Scrub clothes
Caps
A client receiving moderate sedation for a minor surgical procedure begins to vomit.
What should the nurse do first? correct answers
, Roll the client onto his or her side.
A client at risk for malignant hyperthermia returns to the surgical unit. For what time
period will the nurse monitor the client for development of malignant hyperthermia?
correct answers
The client can develop malignant hyperthermia up to 24 hours after surgery.
Which stage of surgical anesthesia is also known as excitement? correct answers
2
Which nursing diagnosis should the nurse plan to address first in the client upon
arrival in the intraoperative setting? correct answers
Anxiety related to ineffective coping with surgical concerns
As a circulating nurse, what task are you solely responsible for? correct answers
Keeping records.
A nurse is working as a registered nurse first assistant as defined by the state's nurse
practice act. This nurse practices under the direct supervision of which surgical team
member? correct answers
Surgeon
A perioperative nurse is conducting an in-service education program about
maintaining surgical asepsis during the intraoperative period. Which of the following
would the nurse emphasize? correct answers
The edges of a sterile package, once opened, are considered unsterile.