A preoperative patient reveals that an uncle died during surgery because of a fever
and cardiac arrest. Knowing the patient is at risk for malignant hyperthermia, the
perioperative nurse alerts the surgical team. What is likely to happen next?
a. The surgery will have to be canceled.
b. Specific precautions can be taken to safely anesthetize the patient. c. Dantrolene
(Dantrium) must be given to prevent hyperthermia during surgery.
d. The patient should be placed on a cooling blanket during the surgical procedure.
Give this one a try later!
, b. Specific precautions can be taken to safely anesthetize the patient.
Although malignant hyperthermia (MH) can result in cardiac arrest and
death, if the patient is known or suspected to be at risk for the disorder,
appropriate precautions taken by the ACP can provide for safe anesthesia
for the patient. Because preventive measures are possible if the risk is
known, it is critical that preoperative assessment include a careful family
history of surgical events. The definitive treatment of MH is prompt
administration of dantrolene (Dantrium). The cooling blanket would have
no effect.
What is the primary advantage of the use of midazolam as an adjunct to general
anesthesia?
a. Amnestic effect
b. Analgesic effect
c. Prolonged action
d. Antiemetic effec
Give this one a try later!
a. Amnestic effect
Midazolam is a rapid, short-acting, sedative-hypnotic benzodiazepine that
is used to prevent recall of events under anesthesia because of its
amnestic properties.
How is the initial information given to the PACU nurses about the surgical patient?
a. A copy of the written operative report
b. A verbal report from the circulating nurse
c. A verbal report from the anesthesia care provider (ACP)
d. An explanation of the surgical procedure from the surgeon
,Give this one a try later!
c. A verbal report from the anesthesia care provider (ACP)
The admission of the patient to the PACU is a joint effort between the
anesthesia care provider (ACP), who is responsible for supervising the
postanesthesia recovery of the patient, and the PACU nurse, who provides
care during anesthesia recovery. The ACP gives a verbal report that
presents the details of the surgical and anesthetic course, preoperative
conditions influencing the surgical and anesthetic outcome, and PACU
treatment plans to ensure patient safety and continuity of care.
The nurse asks a preoperative patient to sign a surgical consent form as specified by
the surgeon and then signs the form after the patient does so. By this action, what is
the nurse doing?
a. Witnessing the patient's signature
b. Obtaining informed consent from the patient for the surgery
c. Verifying that the consent for surgery is truly voluntary and informed
d. Ensuring that the patient is mentally competent to sign the consent form
Give this one a try later!
a. Witnessing the patient’s signature
The HCP is ultimately responsible for obtaining informed consent.
However, the nurse may be responsible for obtaining and witnessing the
patient’s signature on the consent form. The nurse must be a patient
advocate during the signing of the consent form, verifying that consent is
voluntary and that the patient understands the implications of consent, but
the primary legal action by the nurse is witnessing the patient’s signature.
What is the primary goal of the circulating nurse during preparation of the OR,
transferring and positioning the patient, and assisting the anesthesia team?
, a. Avoiding any type of injury to the patient
b. Maintaining a clean environment for the patient
c. Providing for patient comfort and sense of well-being
d. Preventing breaks in aseptic technique by the sterile members of the team
Give this one a try later!
a. Avoiding any type of injury to the patient
The protection of the patient from injury in the OR environment is
maintained by the circulating nurse, who ensures functioning equipment;
prevents falls and injury during transport, transfer, and positioning;
monitors asepsis; and provides supportive care for the anesthetized
patient.
What is the physical environment of a surgery suite primarily designed to promote?
a. Electrical safety
b. Medical and surgical asepsis
c. Comfort and privacy of the patient
d. Communication among the surgical team
Give this one a try later!
b. Medical and surgical asepsis
Although all of the factors listed are important to the safety and well-being
of the patient, the first consideration in the physical environment of the
surgical suite is prevention of transmission of infection to the patient.
The nurse is preparing a patient for transport to the operating room. The patient is
scheduled for a right knee arthroscopy. What actions should the nurse take at this time
(select all that apply)?
and cardiac arrest. Knowing the patient is at risk for malignant hyperthermia, the
perioperative nurse alerts the surgical team. What is likely to happen next?
a. The surgery will have to be canceled.
b. Specific precautions can be taken to safely anesthetize the patient. c. Dantrolene
(Dantrium) must be given to prevent hyperthermia during surgery.
d. The patient should be placed on a cooling blanket during the surgical procedure.
Give this one a try later!
, b. Specific precautions can be taken to safely anesthetize the patient.
Although malignant hyperthermia (MH) can result in cardiac arrest and
death, if the patient is known or suspected to be at risk for the disorder,
appropriate precautions taken by the ACP can provide for safe anesthesia
for the patient. Because preventive measures are possible if the risk is
known, it is critical that preoperative assessment include a careful family
history of surgical events. The definitive treatment of MH is prompt
administration of dantrolene (Dantrium). The cooling blanket would have
no effect.
What is the primary advantage of the use of midazolam as an adjunct to general
anesthesia?
a. Amnestic effect
b. Analgesic effect
c. Prolonged action
d. Antiemetic effec
Give this one a try later!
a. Amnestic effect
Midazolam is a rapid, short-acting, sedative-hypnotic benzodiazepine that
is used to prevent recall of events under anesthesia because of its
amnestic properties.
How is the initial information given to the PACU nurses about the surgical patient?
a. A copy of the written operative report
b. A verbal report from the circulating nurse
c. A verbal report from the anesthesia care provider (ACP)
d. An explanation of the surgical procedure from the surgeon
,Give this one a try later!
c. A verbal report from the anesthesia care provider (ACP)
The admission of the patient to the PACU is a joint effort between the
anesthesia care provider (ACP), who is responsible for supervising the
postanesthesia recovery of the patient, and the PACU nurse, who provides
care during anesthesia recovery. The ACP gives a verbal report that
presents the details of the surgical and anesthetic course, preoperative
conditions influencing the surgical and anesthetic outcome, and PACU
treatment plans to ensure patient safety and continuity of care.
The nurse asks a preoperative patient to sign a surgical consent form as specified by
the surgeon and then signs the form after the patient does so. By this action, what is
the nurse doing?
a. Witnessing the patient's signature
b. Obtaining informed consent from the patient for the surgery
c. Verifying that the consent for surgery is truly voluntary and informed
d. Ensuring that the patient is mentally competent to sign the consent form
Give this one a try later!
a. Witnessing the patient’s signature
The HCP is ultimately responsible for obtaining informed consent.
However, the nurse may be responsible for obtaining and witnessing the
patient’s signature on the consent form. The nurse must be a patient
advocate during the signing of the consent form, verifying that consent is
voluntary and that the patient understands the implications of consent, but
the primary legal action by the nurse is witnessing the patient’s signature.
What is the primary goal of the circulating nurse during preparation of the OR,
transferring and positioning the patient, and assisting the anesthesia team?
, a. Avoiding any type of injury to the patient
b. Maintaining a clean environment for the patient
c. Providing for patient comfort and sense of well-being
d. Preventing breaks in aseptic technique by the sterile members of the team
Give this one a try later!
a. Avoiding any type of injury to the patient
The protection of the patient from injury in the OR environment is
maintained by the circulating nurse, who ensures functioning equipment;
prevents falls and injury during transport, transfer, and positioning;
monitors asepsis; and provides supportive care for the anesthetized
patient.
What is the physical environment of a surgery suite primarily designed to promote?
a. Electrical safety
b. Medical and surgical asepsis
c. Comfort and privacy of the patient
d. Communication among the surgical team
Give this one a try later!
b. Medical and surgical asepsis
Although all of the factors listed are important to the safety and well-being
of the patient, the first consideration in the physical environment of the
surgical suite is prevention of transmission of infection to the patient.
The nurse is preparing a patient for transport to the operating room. The patient is
scheduled for a right knee arthroscopy. What actions should the nurse take at this time
(select all that apply)?
