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While completing the preoperative assessment, a nurse notices the pt
R knee has been marked by the surgeon but the pt is scheduled for
the L Knee arthroplasty. What is the best action for the nurse? -
ANSWER-verify with the surgeon
A pt age 7 is scheduled for a tonsillectomy and adenoidectomy at the
ambulatory surgery center. During the preoperative telephone
interview, the mother asks the preoperative nurse if her daughter will
be able to take her favorite stuffed animal into the OR. Which of the
following is the best response based on the child's developmental
level - ANSWER-we will make sure the toy stays with your daughter
until the anesthetic takes effect
The perioperative registered nurse notes that the pt is taking garlic as
a prophylactic cold remedy. This information is reported to which of
,the following health care providers? - ANSWER-Anesthesia care
provider, because garlic can prolong bleeding
A pt who has just received a local anesthetic block is beginning to
demonstrate decreased breathing rate & depth, tremors, and muscle
twitching, the nurse should suspect a/and - ANSWER-toxic reaction to
the local anesthesia
the perioperative nurse can expect they would /ostomy/continence
nurse to mark the site for the stoma for a colostomy at - ANSWER-
rectus muscle
During a local procedure, the nurse notices that the pt is exhibiting a
sense of uneasiness, agitation, coughing & wheezing. The nurse
should suspect a/and - ANSWER-allergic reaction to the local
anesthesia
the 3 tops risk factors associated w/ pt falls are medications, gait, and
- ANSWER-previous fall
normal hematocrit for pt age 10 years ranges from - ANSWER-34-40%
universal protocol is a process to keep pt safe in surgery. Verbal
confirmation is performed at 3 points during the perioperative period.
Which of the following is identified as 1 of the 3 critical points? -
ANSWER-sign in before induction of anesthesia
a 12-year-old boy is scheduled for surgery to repair a fracture to the
knee involving the epiphyseal plate. The perioperative nurse
recognizes the primary complication resulting from the injury is -
ANSWER-impaired growth to the affected leg
,a pt suffers a cardiac arrest following the injection of bupivacaine 0.5%
w/ epi 1:200,000 25 mL as a peripheral nerve block for L knee
arthroscopy. The perioperative nurse can anticipate obtaining which
of the following drugs for the anesthesia care provider? - ANSWER-
20% lipid emulsion
Which of the following is an assessment parameter monitored
through the use of perioperative nurse process? - ANSWER-
documentation of potential needs
preoperative pt assessment of the use of herbs is an important
function of the perioperative nurse so that - ANSWER-the appropriate
healthcare provider can be notified of potential risks to the surgical
procedure
which electrolyte is important to check preoperatively after bowel
prep the day before? - ANSWER-Potassium
AORN perioperative nursing data set (PNDS) is the structured nursing
vocabulary designed to describe nursing care in the perioperative
setting. At the core of the PNDS conceptual model is the - ANSWER-
patient
What Is Defined as the Standardized Process to Keep Patients Safe in
Surgery? - ANSWER-Universal protocol
The purpose of witnessing a surgical consent is to attest to which of
the following? - ANSWER-the signature was voluntary and not coerced
Which one of the following antibiotics can potentiate neuromuscular
blocking agents? - ANSWER-piperacillin
, Universal protocol is - ANSWER-a standardized means for ensuring pt
safety during surgery
during the discharge medication reconciliation process, the post
anesthesia care unit nurse educates the pt and family members to -
ANSWER-use 1 pharmacy for filling all prescriptions and OTC
medications
a pt scheduled for an emergency hip arthroplasty has a preoperative
prothrombin result of 12 seconds. The best action of the RN circulator
is to - ANSWER-inform the surgical team and transport the patient to
the OR suite
During the preoperative assessment, the pt states that "donor-
directed" RBCs are available and should be sued if a blood transfusion
is necessary. Which of the following is accurate about donor directed
RBCs? - ANSWER-donated blood is tested and processed by the blood
bank
What is the physiological change associated w/ the normal aging
process in geriatric pt? - ANSWER-increased vascular resistance
during the preoperative assessment, the perioperative nurse notes on
the history & physical that the pt has an entrapped median nerve on
the volar surface of the wrist secondary to her work as an IT specialist.
The nurse will set up for which of the following procedures? -
ANSWER-carpal tunnel repair
which of the following pt is at increased risk of inadvertent
hypothermia? - ANSWER-82-year-old undergoing colectomy