Prophecy RN A v2 Test

Prophecy RN A v2 Test What type of support would you place to alleviate pressure on the brachial plexus nerve when a patient is in a side-lying position - 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? - 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 - 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 - 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 - 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 - 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 - 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 - Stop the transfusion and notify the surgeon What is the minimum distance unscrubbed personnel should remain from the sterile field - 12 inches You are preparing a patient for a laparotomy. What instrument do you anticipate seeing on the back table - malleable Which of the following medications is contraindicated for a patient with a family history of malignant hyperthermia - Quelicin (succinylcholine) You are caring for a patient who is infected with Methicillin- Resistant Staphylococcus Aureus (MRSA). What infection control practice must you implement after transferring the patient - Clean and disinfect all patient care equipment Upon opening a sterile major tray, you discover the chemical indicators are missing. What should you do? - Remove and replace the major tray As a circulator, where do you stand during induction - at the head of the bed You are the perioperative nurse who is doing the preoperative skin preparation on a clean abdominal case. Where should you start the skin preparation - site of incision and move to the periphery A patient was prepared for intubation by mask ventilation with a mixture of sevoflurane, nitrous oxide, and oxygen. One minute after intubation their heart rate increased from 160 to 195 b/m. Soon the patient's end tital carbon dioxide concentration