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Duplicate of MDC IV Module 4 Flashcards | StudBud
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Duplicate of MDC IV Module 4
Duplicate of MDC IV Module 4
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Answers
1
A prep is given to cleanse the bowel prior to:
endoscopy
colonoscopy
laparoscopy
capsule study
2
The reason for a surgical time out just before the procedure starts is to (select all applied)
verify patient identification
verify correct surgical site
verify correct operating room
verify correct surgical procedure
3
Nurse responsibility for informed consent
Sign as witness, verify pt is signing
Sign consent for pt
None of these above
4
Nurse responsibility for informed consent
None of these above
Sign consent for pt
Sign as witness, verify pt is signing
5
Palliative surgery means?
Determine exsisting diagnostic
Alleviation of symptoms without a cure
Transplant of organs
Explore the reasons for pain
6
All are duties of the circulating Nurse except __________
Assisting the surgeon in the procedure
Monitoring and maintaining aseptic technique
Documenting Nursing care
Correctly setting up the room and equipment
7
What is elective surgery?
A surgery that you choose to get, but is optional.
A surgery that you have to get in order to live.
A surgery that will help, but not cure.
A surgery where you elect the surgeon.
8
Hospitalized pts are at risk for VTE for all of the following EXCEPT...
Hypercoagulability
Trauma
Immobilization
Hospital food
9
When using an incentive spirometer, the patient will:
Breath normally.
Breath in (inspiration) as best as they can.
Blow out (expiration) as best as they can.
Use how they want to.
10
What is the
BEST
way to conduct a Time Out?
The RN leads Time Out & documents it on the count board for all to agree
Perform the Time Out in the pre-procedure area if all the team is present
The Time Out occurs after pt is prepped & draped & involves entire team
Perform the Time Out when pt first enters room so pt may participate
11
If the person performing the procedure changes during the case, another time out needs to be performed
False
True
12
The types of general anesthesia are...
Inhalation/ Intravenous
All correct
Electroshock
Inhalation/ Intravenous / Ingestión
13
Which would be included on a DVT prevention checklist?
Education
Compression Stockings
Low Molecular Weight Heparin
Ambulation
14
Which task would be most appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP)?
Assess the client’s preoperative vital signs
Assist the client to remove clothing and jewelry
Teach the client about coughing and deep breathing
Complete the preoperative checklist
15
Treatment for malignant hyperthermia is?
Midazolam
Dantrolene
SuccInylcholine
Pioglitazone
16
Which of the following laboratory values is abnormal?
Magnesium 1.8
Potassium 5.6
Sodium 142
Gfr 125 mL/min
17
eviseration is
seperation of would layers
seperation of wound and protrusion of abdominal organs
infection in the body
tissues and organs do not get enough blood
18
Before giving pre-op meds the nurse should?
check BP
talk to the pt
have consents signed
check iv site
19
All of the following are risk factors for VTE EXCEPT...
BMI <20
Varicose Veins
Pregnancy
Surgery
20
Who initiates/leads the surgical time out?
Circulator
The Patient
Anesthesiologist
Surgeon
21
In order to decrease risk for post operative DVT the nurse will:
teach the patient to cough and deep breathe
have client splint the incision when coughing or moving
encourage early ambulation
recommend a high protein diet
22
Which of the following is not a task for the nurse to delegate to the unlicensed assistive personnel (UAP)?
Intake and output
Vital signs
Weighing the patient
Performing triage
23
The nurse delegates which task to the unlicensed assistive personnel
Administer client's inhaler medication brought from home.
Take temporal temperature every 4 hours.
Perform admission health history.
Interpret recently drawn lab values.
24
an abdominal wound dehisence and /or evisceration treatment consists of which?
apply dry sterile dressing
apply vaseline gauze 2 hours after complication
no treatment, just suture sight again
cover area with normal saline gauze
25
With conscious sedation, the patient is able to:
Respond to verbal stimuli
Tolerate the procedure without pain
All of these
Maintain their own airway
26
Informed consent is the ultimate responsibility of the
Anesthesiologist
Surgeon
OR supervisor
Circulating nurse
27
Which drug is commonly used for conscious sedation?
isoflurane
midazolam
halothane
lidocaine
28
Incentive spirometer can help prevent this!
Atelectasis
Stridor
Pneumonia
Pneumothorax
29
An indication for exploratory surgery is
Diagnostic
A and B
Preventive
Curative
30
The purpose of withholding food and fluid before surgery is to prevent________________
Urinary retention
Aspiration
Deep vein thrombosis
Pneumonia
31
What is the normal potassium range?
3.5-5
4-5
4.5-6
3-4.5
32
During conscious sedation, the MOST important nursing action is:
administering medications
monitoring and assessing vital signs
talking to the patient
monitoring I & O
33
When should the nurse initiate the education/discharge plan for a patient?
When the patient states they want to go home
After surgery is successful
Upon Admission
When the doctor tells you to
34
Symptoms of a Pulmonary Embolism are Except?
Dyspnea
Chest Pain
Fever
Anxiety
35
DVT
deep veinthritis
deep vein thrombosis
deep vessel thrombosis
deep vesselitis
36
Which of the following is a nursing responsibility regarding informed consent?
Serve as a witness, ensuring patient doesn't feel coerced into a decision.
Canceling the procedure if the patient has questions
Explaining the procedure, risks, and treatment alternatives
Ensuring that the physician has completely explained the costs
37
The closing sponge count should be initiated at the:
kick bucket
backtable
operative field
mayo stand
38
During handover from OR to PACU, the circulator may use a communication tool called SBAR. What does SBAR stand for?
Situation, Background, Assessment, Recommendation
Surgeon, Background, Assessment, Recovery time
Safety concerns, Background, Assessment, Responsibility
Safety, Background, Actions, Recovery expectations
39
When in the OR the circulating nurse is responsible for?
documentation
Keeping track of drains and sponges
setting up the sterile tables
estimating the Pt blood loss
40
which pt would benefit
the most from passive
range of motion exercises
dementia pt that walks the halls and sits often without assistance
patient with loss of mobility
a chronically ill pt that can sit up
41
Components of Informed Consent are:
Consent is given voluntarily
Adequate information about treatment is provided
Opportunity to question care
Adult is capable
42
If a piece of DVT breaks off it can become a
Bacterial septisemia
Pulmonary embolus
a white blood cell
Gout in big toe
43
Common signs & symptoms of pulmonary embolism are
cyanosis
sudden dyspnea
All of the above
sharp chest pain
44
Symptoms of malignant hyperthermia are which of the following?
elevated temperature, rigid skeletal muscles
lowered temperature, flaccid muscles
elevated temperature, flaccid muscles
lowered temperature, rigid skeletal muscles
45
When in the OR the circulating nurse is responsible for?
setting up the sterile tables
estimating the Pt blood loss
documentation
Keeping track of drains and sponges
46
When does the intraoperative phase of surgery begin?
When the patient goes through the surgical suite doors.
When the patient signs the consent.
When the patient arrives in pre-op.
When the surgery begins.
47
The nurse's responsibility for consent is to verify that it is?
Signed
On chart
Explained
Witnessed
48
Phase begins when patient enters the PACU and ends when healing is complete
I don’t have a clue
Pre-operative
Post-operative
Intra-operative
49
How many stages of anesthesia are there?
6
3
4
2
50
Common side effects of opiates in PACU?
GI upset, Nausea and Vomiting.
Dizziness, Tachycardia.
Sedation, Hypotension, Decreased respirations.
Paranoia.
51
In which of the following situations should the legality of an informed consent be questioned?
Patient with dementia; consent given by spouse
Patientwho received a preoperative dose of Demerol before giving consent
Patient who expresses concern about the cost of the procedure
Patient who is anxious and asks many questions of the physician
52
Regional Anesthesia includes:
Sedation
Combined Spinal Epidural (CSE)
Epidural
Spinal
53
What education should be given to surgery staff about conscious sedation?
Watch for temporary paralysis and loss of sensation
Watch for aspiration after extubation
Monitor for thrombus formation
Resuscitation equipment and reversal agents must be availabe
54
Which assessment could the nurse delegate to unlicensed assistive personnel?
Female genital assessment
Vital signs assessment
Neurological assessment
Musculoskeletal assessment
55
Pain management, DVT phrophylaxis, early ambulation and pneumonia prevention are important parts of:
post-op plan of care
intraoperative phase
bed rest
health promotion
