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MDC IV Module 4 Flashcards | StudBud
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MDC IV Module 4
MDC IV Module 4
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1
An indication for exploratory surgery is
A and B
Diagnostic
Preventive
Curative
2
Who initiates/leads the surgical time out?
Surgeon
The Patient
Circulator
Anesthesiologist
3
The nurse's responsibility for consent is to verify that it is?
On chart
Explained
Signed
Witnessed
4
All of the following are risk factors for VTE EXCEPT...
Pregnancy
Surgery
Varicose Veins
BMI <20
5
If a piece of DVT breaks off it can become a
a white blood cell
Pulmonary embolus
Gout in big toe
Bacterial septisemia
6
DVT
deep vesselitis
deep veinthritis
deep vessel thrombosis
deep vein thrombosis
7
The nurse delegates which task to the unlicensed assistive personnel
Take temporal temperature every 4 hours.
Administer client's inhaler medication brought from home.
Interpret recently drawn lab values.
Perform admission health history.
8
Symptoms of a Pulmonary Embolism are Except?
Dyspnea
Chest Pain
Anxiety
Fever
9
The reason for a surgical time out just before the procedure starts is to (select all applied)
verify correct surgical procedure
verify correct operating room
verify correct surgical site
verify patient identification
10
When should the nurse initiate the education/discharge plan for a patient?
When the doctor tells you to
Upon Admission
After surgery is successful
When the patient states they want to go home
11
Components of Informed Consent are:
Adequate information about treatment is provided
Consent is given voluntarily
Opportunity to question care
Adult is capable
12
Palliative surgery means?
Explore the reasons for pain
Alleviation of symptoms without a cure
Transplant of organs
Determine exsisting diagnostic
13
Incentive spirometer can help prevent this!
Atelectasis
Pneumonia
Stridor
Pneumothorax
14
In order to decrease risk for post operative DVT the nurse will:
have client splint the incision when coughing or moving
teach the patient to cough and deep breathe
recommend a high protein diet
encourage early ambulation
15
Which of the following is a nursing responsibility regarding informed consent?
Serve as a witness, ensuring patient doesn't feel coerced into a decision.
Ensuring that the physician has completely explained the costs
Explaining the procedure, risks, and treatment alternatives
Canceling the procedure if the patient has questions
16
Which task would be most appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP)?
Teach the client about coughing and deep breathing
Assist the client to remove clothing and jewelry
Complete the preoperative checklist
Assess the client’s preoperative vital signs
17
If the person performing the procedure changes during the case, another time out needs to be performed
False
True
18
Which would be included on a DVT prevention checklist?
Compression Stockings
Ambulation
Education
Low Molecular Weight Heparin
19
What is the normal potassium range?
4-5
3.5-5
3-4.5
4.5-6
20
In which of the following situations should the legality of an informed consent be questioned?
Patient who expresses concern about the cost of the procedure
Patient who is anxious and asks many questions of the physician
Patientwho received a preoperative dose of Demerol before giving consent
Patient with dementia; consent given by spouse
21
When in the OR the circulating nurse is responsible for?
estimating the Pt blood loss
documentation
setting up the sterile tables
Keeping track of drains and sponges
22
Informed consent is the ultimate responsibility of the
OR supervisor
Anesthesiologist
Circulating nurse
Surgeon
23
With conscious sedation, the patient is able to:
Maintain their own airway
All of these
Tolerate the procedure without pain
Respond to verbal stimuli
24
Hospitalized pts are at risk for VTE for all of the following EXCEPT...
Hypercoagulability
Trauma
Immobilization
Hospital food
25
Before giving pre-op meds the nurse should?
talk to the pt
check iv site
have consents signed
check BP
26
Treatment for malignant hyperthermia is?
Midazolam
SuccInylcholine
Dantrolene
Pioglitazone
27
During handover from OR to PACU, the circulator may use a communication tool called SBAR. What does SBAR stand for?
Safety, Background, Actions, Recovery expectations
Safety concerns, Background, Assessment, Responsibility
Surgeon, Background, Assessment, Recovery time
Situation, Background, Assessment, Recommendation
28
which pt would benefit
the most from passive
range of motion exercises
a chronically ill pt that can sit up
patient with a broken leg on crutches
dementia pt that walks the halls and sits often without assistance
patient with loss of mobility
29
Phase begins when patient enters the PACU and ends when healing is complete
I don’t have a clue
Intra-operative
Pre-operative
Post-operative
30
Pain management, DVT phrophylaxis, early ambulation and pneumonia prevention are important parts of:
health promotion
bed rest
intraoperative phase
post-op plan of care
31
The closing sponge count should be initiated at the:
operative field
mayo stand
backtable
kick bucket
32
During conscious sedation, the MOST important nursing action is:
administering medications
talking to the patient
monitoring and assessing vital signs
monitoring I & O
33
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 when pt first enters room so pt may participate
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
34
A prep is given to cleanse the bowel prior to:
laparoscopy
colonoscopy
capsule study
endoscopy
35
What is elective surgery?
A surgery that will help, but not cure.
A surgery where you elect the surgeon.
A surgery that you have to get in order to live.
A surgery that you choose to get, but is optional.
36
When using an incentive spirometer, the patient will:
Use how they want to.
Breath normally.
Breath in (inspiration) as best as they can.
Blow out (expiration) as best as they can.
37
Which drug is commonly used for conscious sedation?
isoflurane
midazolam
halothane
lidocaine
38
When does the intraoperative phase of surgery begin?
When the surgery begins.
When the patient arrives in pre-op.
When the patient goes through the surgical suite doors.
When the patient signs the consent.
39
an abdominal wound dehisence and /or evisceration treatment consists of which?
Contact the surgeon
apply dry sterile dressing
apply vaseline gauze 2 hours after complication
cover area with normal saline gauze
40
What education should be given to surgery staff about conscious sedation?
Watch for temporary paralysis and loss of sensation
Monitor for thrombus formation
Watch for aspiration after extubation
Resuscitation equipment and reversal agents must be availabe
41
Which assessment could the nurse delegate to unlicensed assistive personnel?
Musculoskeletal assessment
Neurological assessment
Vital signs assessment
Female genital assessment
42
All are duties of the circulating Nurse except __________
Monitoring and maintaining aseptic technique
Documenting Nursing care
Correctly setting up the room and equipment
Assisting the surgeon in the procedure
43
Which of the following laboratory values is abnormal?
Magnesium 1.8
Gfr 125 mL/min
Potassium 5.6
Sodium 142
44
Nurse responsibility for informed consent
Sign consent for pt
None of these above
Sign as witness, verify pt is signing
45
Symptoms of malignant hyperthermia are which of the following?
lowered temperature, rigid skeletal muscles
elevated temperature, rigid skeletal muscles
lowered temperature, flaccid muscles
elevated temperature, flaccid muscles
46
An evisceration is
seperation of would layers
infection in the body
tissues and organs do not get enough blood
seperation of wound and protrusion of abdominal organs
47
The types of general anesthesia are...
All correct
Electroshock
Inhalation/ Intravenous / Ingestión
Inhalation/ Intravenous
48
When in the OR the circulating nurse is responsible for?
setting up the sterile tables
documentation
estimating the Pt blood loss
Keeping track of drains and sponges
49
Which of the following is not a task for the nurse to delegate to the unlicensed assistive personnel (UAP)?
Performing triage
Weighing the patient
Vital signs
Intake and output
50
Common side effects of opiates in PACU?
Dizziness, Tachycardia.
GI upset, Nausea and Vomiting.
Sedation, Hypotension, Decreased respirations.
Paranoia.
51
How many stages of anesthesia are there?
3
4
6
2
52
Common signs & symptoms of pulmonary embolism are
All of the above
cyanosis
sharp chest pain
sudden dyspnea
53
The purpose of withholding food and fluid before surgery is to prevent________________
Pneumonia
Urinary retention
Deep vein thrombosis
Aspiration
54
Regional Anesthesia includes:
Sedation
Combined Spinal Epidural (CSE)
Epidural
Spinal
55
Nurse responsibility for informed consent
Sign consent for pt
Explain the procedure to the patient including risks/benefits
None of these above
Sign as witness, verify pt is signing
