Prophecy OR

Prophecy OR What type of support would you place to alleviate pressure on the brachial plexus nerve when a patient is in a side-lying position - ANS Axillary Roll You are the circulating nurse confirming consent with a patient scheduled for an exploratory laparotomy with colostomy. The patient states they do not want a colostomy. What should you do? - ANS Do not take the patient to the operating room and consult the surgeon immediately What equipment is most important for a patient undergoing an emergency trauma surgery who declines a donated blood transfusion - ANS Cell Saver You have been asked to take a specimen from an OR during a bronchoscopy and immediately take it to the lab. What must you do first - ANS Confirm the specimen label and patient name You suspect long-term substance abuse during the pre-op interview with your patient. Which of the following assessment findings would support this suspicion - ANS nasal irritation and frequent sniffing, needle tracks on arms, and burns on fingers and lips After applying an alcohol-based skin preparations for a laser procedure, what should you do next - ANS assess for pooling or moisture from the prep What medication should be administered to a patient who has received moderate sedation with midazolam who has unexpected respiratory depression - ANS romazicon (flumazenil) After starting a blood transfusion, you observe that a patient undergoing moderate sedation has a temperature increase from 98.2 to 101.3 and coarse breath sounds. What is the first thing you should do - ANS Stop the transfusion and notify the surgeon What is the minimum distance unscrubbed personnel should remain from the sterile field - ANS 12 inches You are preparing a patient for a laparotomy. What instrument do you anticipate seeing on the back table - ANS malleable