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Chapter 18: Intraoperative Nursing
Management Questions and Correct
Answers the Latest Update and
Recommended Version
The scrub nurse is responsible for:
a) Preparing the sterile instruments for the surgical procedure
b) Calling the "time-out" to verify the surgical site and procedure
c) Monitoring the operating-room personnel for breaks in sterile technique
d) Monitoring the administration of the anesthesia
✓ a) Preparing the sterile instruments for the surgical procedure
✓ Explanation:
✓ The scrub nurse is responsible for preparing the sterile instruments for the surgical
procedure.
The nurse would intervene when making which of the following observations in the surgical
environment?
a) A staff member dressed in street clothes enters the semirestricted zone.
b) A staff member is wearing a surgical mask and shoe covers in the restricted zone.
c) A staff member is wearing scrub clothes in the semirestricted zone.
d) A staff member fails to wear a mask in the semirestricted zone.
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✓ a) A staff member dressed in street clothes enters the semirestricted zone.
✓ Explanation:
✓ Street clothes are permitted in the unrestricted zone only.
Which of the following techniques least exhibits surgical asepsis?
a) Adding only sterile items to a sterile field
b) Placing the sterile field at least one foot away from personnel
c) Suctioning the nasopharyngeal cavity of a client
d) Keeping sterile gloved hands above the waist
✓ c) Suctioning the nasopharyngeal cavity of a client
✓ Explanation:
✓ To maintain surgical asepsis, only sterile items should touch sterile items.
Monitored anesthesia care differs from moderate sedation in that monitored anesthesia care:
a) is a type of regional anesthesia.
b) is used as an adjunct to spinal anesthesia.
c) requires the introduction of an anesthetic agent into the epidural space.
d) may result in the administration of general anesthesia.
✓ d) may result in the administration of general anesthesia.
✓ Explanation:
✓ Monitored anesthesia care may require the anesthsiologist to convert to general
anesthesia.
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Which of the following characteristics should the nurse include when teaching the client about
moderate sedation?
a) Ability to respond to verbal commands
b) Unable to maintain airway
c) Loss of consciousness
d) Paralysis of the lower extremities
✓ a) Ability to respond to verbal commands
✓ Explanation:
✓ The client receiving moderate sedation will be able to respond to verbal commands.
A nurse is reviewing the medical record of a patient who is to receive general anesthesia and
notes a nursing diagnosis of anxiety related to surgical concerns. The nurse implements
measures to reduce the patient's anxiety based on the understanding of which of the
following?
a) The patient is at risk for additional complications.
b) The anesthetic will result in a more potent effect on the patient.
c) Increased anxiety can increase the patient's postoperative pain level.
d) Anxiety interferes with progression through the stages of general anesthesia.
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✓ c) Increased anxiety can increase the patient's postoperative pain level.
✓ Explanation:
✓ Anxiety increases the amount of anesthetic medication needed, the level of postoperative
pain, and overall recovery time. Anxiety may place the patient at risk for complications,
but other factors are usually also involved. When a patient is anxious, induction is slower
and greater quantities of anesthetic agents are required because the brain receives a
smaller quantity of anesthetic agent. Anxiety is unrelated to the patient's progression
through the stages of general anesthesia. Additionally, when opioid agents and
neuromuscular blockers are administered as part of general anesthesia, several of the
stages are absent.
An obese patient is undergoing abdominal surgery. A surgical resident states, "The amount of
fat we have to cut through is disgusting" during the procedure. What is the best response by
the nurse?
a) Ignore the comment.
b) Report the resident to the attending surgeon.
c) Discuss concerns regarding the comments with the charge nurse.
d) Inform the resident that all communication needs to remain professional.
✓ d) Inform the resident that all communication needs to remain professional.
✓ Explanation:
✓ The nurse must advocate for the patient, especially when the patient cannot speak for
themselves. By informing the resident that all communication needs to be professional, the
nurse is addressing the comment at that moment in time, advocating for the patient.
Ignoring the comment is not appropriate. The nurse may need to address the concerns of
unprofessional communication with the attending surgeon or the charge nurse if the
behavior continues. The best action is to address the behavior when it is happening.
A patient is undergoing a perineal surgical procedure. Which of the following actions by the
nurse is appropriate?
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Chapter 18: Intraoperative Nursing
Management Questions and Correct
Answers the Latest Update and
Recommended Version
The scrub nurse is responsible for:
a) Preparing the sterile instruments for the surgical procedure
b) Calling the "time-out" to verify the surgical site and procedure
c) Monitoring the operating-room personnel for breaks in sterile technique
d) Monitoring the administration of the anesthesia
✓ a) Preparing the sterile instruments for the surgical procedure
✓ Explanation:
✓ The scrub nurse is responsible for preparing the sterile instruments for the surgical
procedure.
The nurse would intervene when making which of the following observations in the surgical
environment?
a) A staff member dressed in street clothes enters the semirestricted zone.
b) A staff member is wearing a surgical mask and shoe covers in the restricted zone.
c) A staff member is wearing scrub clothes in the semirestricted zone.
d) A staff member fails to wear a mask in the semirestricted zone.
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
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✓ a) A staff member dressed in street clothes enters the semirestricted zone.
✓ Explanation:
✓ Street clothes are permitted in the unrestricted zone only.
Which of the following techniques least exhibits surgical asepsis?
a) Adding only sterile items to a sterile field
b) Placing the sterile field at least one foot away from personnel
c) Suctioning the nasopharyngeal cavity of a client
d) Keeping sterile gloved hands above the waist
✓ c) Suctioning the nasopharyngeal cavity of a client
✓ Explanation:
✓ To maintain surgical asepsis, only sterile items should touch sterile items.
Monitored anesthesia care differs from moderate sedation in that monitored anesthesia care:
a) is a type of regional anesthesia.
b) is used as an adjunct to spinal anesthesia.
c) requires the introduction of an anesthetic agent into the epidural space.
d) may result in the administration of general anesthesia.
✓ d) may result in the administration of general anesthesia.
✓ Explanation:
✓ Monitored anesthesia care may require the anesthsiologist to convert to general
anesthesia.
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
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Which of the following characteristics should the nurse include when teaching the client about
moderate sedation?
a) Ability to respond to verbal commands
b) Unable to maintain airway
c) Loss of consciousness
d) Paralysis of the lower extremities
✓ a) Ability to respond to verbal commands
✓ Explanation:
✓ The client receiving moderate sedation will be able to respond to verbal commands.
A nurse is reviewing the medical record of a patient who is to receive general anesthesia and
notes a nursing diagnosis of anxiety related to surgical concerns. The nurse implements
measures to reduce the patient's anxiety based on the understanding of which of the
following?
a) The patient is at risk for additional complications.
b) The anesthetic will result in a more potent effect on the patient.
c) Increased anxiety can increase the patient's postoperative pain level.
d) Anxiety interferes with progression through the stages of general anesthesia.
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!
✓ c) Increased anxiety can increase the patient's postoperative pain level.
✓ Explanation:
✓ Anxiety increases the amount of anesthetic medication needed, the level of postoperative
pain, and overall recovery time. Anxiety may place the patient at risk for complications,
but other factors are usually also involved. When a patient is anxious, induction is slower
and greater quantities of anesthetic agents are required because the brain receives a
smaller quantity of anesthetic agent. Anxiety is unrelated to the patient's progression
through the stages of general anesthesia. Additionally, when opioid agents and
neuromuscular blockers are administered as part of general anesthesia, several of the
stages are absent.
An obese patient is undergoing abdominal surgery. A surgical resident states, "The amount of
fat we have to cut through is disgusting" during the procedure. What is the best response by
the nurse?
a) Ignore the comment.
b) Report the resident to the attending surgeon.
c) Discuss concerns regarding the comments with the charge nurse.
d) Inform the resident that all communication needs to remain professional.
✓ d) Inform the resident that all communication needs to remain professional.
✓ Explanation:
✓ The nurse must advocate for the patient, especially when the patient cannot speak for
themselves. By informing the resident that all communication needs to be professional, the
nurse is addressing the comment at that moment in time, advocating for the patient.
Ignoring the comment is not appropriate. The nurse may need to address the concerns of
unprofessional communication with the attending surgeon or the charge nurse if the
behavior continues. The best action is to address the behavior when it is happening.
A patient is undergoing a perineal surgical procedure. Which of the following actions by the
nurse is appropriate?
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
