stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
Lani's Perioperative Quiz Flashcards | StudBud
Explore
/
Lani's Perioperative Quiz
Lani's Perioperative Quiz
46 terms
·
StudBud Administration
·
63 plays
Practical Nursing Perioperative
Flashcards
46 cards
F
Practice quiz
P
Host live
L
Questions
46
Answers
1
A patient is instructed to be NPO for 8 hours prior to surgery to prevent:
Intestinal obstruction
Aspiration
Ulcer
Wound infection
2
Which of the following are symptoms of a DVT?
Leg pain, redness and warmth
A sore on one leg below the knee
Bilateral leg swelling that gets better when elevating feet
Coughing up blood
3
Which area of concern or fear would MOST likely be the main focus for a teenage patient having surgery?
insurance coverage
abandonment
body image
mortality
4
Post op complication with symptoms of a dull ache in the calf area.
PE
DVT
CVA
MI
5
Paralytic ileus is usually due to:
Surgery
Pregnancy
Hernia
Constipation
6
PACU RN applies warm blanket to post-op p/t who is shivering and T 96. What other intervention can be done?
antidysrhythmic drugs
O2 therapy
analgesics or sedatives
vasodilating drugs
7
What is the primary purpose of the preoperative assessment?
To obtain baseline vital sign values
To compare all assessment data with expected normal values
To identify conditions or factors that may compromise the surgical outcome
To notify the surgeon of abnormal laboratory results
8
SATA-
which ones may cause postponement of surgery?
Hemoglobin of 14g/dL
Positive Human Chorionic Gonadotropin (hCG)
Client started withholding warfarin/coumadin yesterday.
Client took a small sip of water with hypertension med as directed by HCP.
9
A client just returning to med surg floor postoperatively is agitated and confused. What is suspected?
The pt is hypertensive.
The pt is having a reaction to the anesthesia.
The pt has a low O2 saturation.
The pt is having extreme pain.
10
Which intraoperative nursing responsibilities should not be performed by the scrub nurse?
Performing the count of sponges, needles, and instruments
Passing instruments and supplies to the surgeon
Documenting intraoperative care
Keeping track of irrigation solutions
11
Which interventions does the med-surg nurse use in preventing hypoxemia for post-op pt? Select all that apply.
Monitor patient's oxygen saturation
Get the Patient ambulating as soon as possible
Remind Pt to use incentive spirometry every hour while awake
Encourage the patient to cough and breathe deeply
12
The nurse is responsible of informing the patient about surgery along with possible risk, complications and benefits?
True
False
13
In providing preoperative instructions, we expect the patient to be aware of the importance of activity after surgery.
False
True
14
Must have preoperative information includes:
any known allergies
current medications
past medical history
all of the above
15
To prevent thromboembolic complications after surgery the nurse should do what?
Assist pt with leg exercises and early ambulatory
Encourage bedrest and deep breathing
Hold anticoagulants
Administer NSAIDS
16
The nurse is educating a client sched for surg. Client takes aspirin daily. What education is appropriate by the RN?
Take half doses until 1 week after surgery
Continue to take the aspirin as ordered
Stop taking the aspirin 7 days before surgery, unless otherwise told by MD
Aspirin should be increased until 3 days before surg, then discontinue.
17
Which of the following are reasons to have a surgery
cure or repair
explore, diagnostic
prevention, cosmetic
all of the above
18
The surgical skin prep is performed in a ____motion starting at the incision site.
circular
back and forth
side to side
paintbrush technique
19
________is used to treat and prevent DVT.
Labetalol
Lactulose
Lovenox
Mucinex
20
Identify a responsibility of the scrub nurse.
All of the above
To work with sterile instruments and equipment
Monitoring patient throughout the surgery
Observing traffic patterns in the room
21
Criteria for postoperative discharge.
IV has finished infusing.
Has no complaints of pain
Only has mild sedation.
Has voided
22
Which client needs prophylactic antibiotics before surgery?
client that had pneumonia 3 months ago
client that has asthma
client that had an MI 6 months ago
Client w prosthetic heart valve
23
All of the following are intraoperative complications except
Hyperthermia
Fluid/electrolyte imbalance
Anaphylaxis, Inadequate ventilation
Hypothermia
24
A life threatening condition triggered by anesthetic agents.
Myocardial Infarction
malignant hyperthermia
Myasthenia Gravis
Hypothermia
25
Does the circulator need to be a RN?
No
High school diploma will do
Can learn on the job
Yes
26
Which field does the circulator work in?
Non-sterile
Sterile
Sorta-sterile
Kinda-sterile
27
A nurse assesses a post-op client as having abd. organs protruding through the surg incision. Which term best describes?
Dehiscence
Hernia
Evisceration
Erythema
28
Which intraoperative nursing responsibilities are performed by the circulating nurse?
Set up the sterile field
Assist in draping procedures
Prepares instrument table and passes instruments during OR
Maintains count of sponges, needles and instruments
29
What is not an opioid used for moderate to severe pain?
morphine
fentanyl
ketamine
hydromorphone
30
SATA Which would be included on a DVT prevention checklist?
Education
Low Molecular Weight Heparin
Ambulation
Compression Stockings
31
Why is a patient prescribed Docusate?
Decrease GI motility
Decrease peristalsis
Decrease constipation
Decrease diarrhea
32
Can skin be sterilized?
Yes
No
33
What stage(s) involve a circulator?
Preoperative and intraoperative
Perioperative
Only post-operative
Only preoperative
34
All of the following are included in the preoperative checklist except
Lab/x-ray reports
Preop medication given
Consent form signed
Urinary output prior to surgery
35
Chest pain, cough, dyspnea, hypoxemia, tachycardia, tachypnea, petechiae and restlessness are signs of:
MI
CVA
PE
DVT
36
Criteria for postoperative discharge.
Only has mild sedation.
Has voided
Has no complaints of pain
IV has finished infusing.
37
Which of the following is an opioid antagonist?
Atipamazole
Yohimbine
Naloxone
none of the above
38
Client admitted to surg floor w/ chest pain, SOB, and hypoxemia post surg. What assessment will the nurse make for CT?
B. "Do you have diabetes?"
A. "Do you have any metal anywhere in your body?"
D. "Do you drink alcohol regularly?"
C. "Are you allergic to iodine or shellfish?"
39
Which is NOT a circulator role?
Promote safety for patient
Set surgical field/ assist surgeon
Documentation/charting
Connect cords to equipment
40
The nurse is preparing an elderly pt for surg under general. What complications should the nurse most closely monitor?
Peripheral edema
UTI
Increased ability to resist stress
Low body temperature
41
An action occuring in the pre anesthesia surgical time out.
The circulator verifies the patency of the IV.
The surgeon marks the procedure site with the patients involvement.
The ACP verifies the medications to be used.
The surgeon verifies the field is sterile.
42
The nurse expects to administer docusate sodium for which of the following?
Constipation
Diarrhea
Tinnitus
Acid Reflux
43
Just before the surgeon makes the skin incision, which of the following must be performed?
Verify placement of EKG electrodes
Mayo stand is correctly positioned
Postoperative orders are completed
Time-out
44
Does the circulator physically help the surgeon during surgery?
No!! get your NOT sterile booty out of the surgical field!
Yes, who cares about contamination?
45
A circulator must wear a gown
True
False
46
The pt temp is 100.8 36 hours postoperatively. What do you suspect?
urinary infection
lung congestion
infection in the incision
fluid overload
