Nure 131- Perioperative Nursing

When assessing the circulation status of the right lower extremity, which arterial site would you check the pulse rate?

All of the following substances are essential for wound healing except:

The purpose of: Antiemetics

Preoperative evaluation of neurologic functioning includes all of the following except:

The Joint Commission requires all patients admitted to the OR have a documented history & physical exam in their chart.

A priority nursing intervention to assist a preoperative patient in coping with fear of postoperative pain would be to:

The purpose of: Anticholinergics

This drain/tube is used in decompression of the bladder, stomach or bowel

The purpose of: Blockers Histamine Antagonists Opiods

A condition that includes deep vein thrombosis & pulmonary embolism & is a concern for any surgical patient.

Person is in car accident would be classified as ASA P?Because of life threatening injuries that require surgery

The drug of choice for the management of benzodiazepine is:

Separation or splitting open of layers of a surgical wound

An appendectomy is appropriately documented by the nurse as a:

Which staff member serves as the witness that the patient’s consent is authentic & verifies consent is voluntary

Genetic disorder with sustained significant hypermetabolism. Reaction to regular anesthesia w/ family history.

The supine position is the most common surgery position used. It is suited for all of the following procedures except:

How long in advance should a patient stop smoking to lower the risk of pulmonary complications during & after surgery?

ASA physical status classification: declared brain-dead patient whose organs are being removed for donor purposes

Patient is having surgery at outpatient facility & informs nurse he ate a light breakfast. What should the nurse do 1st?

Patient in PACU after abdominal surgery tells nurse he feels like he will throw up. A priority nurse intervention is to;

This type of monitoring provides a noninvasive means of assessing oxygenation & can provide early warning of hypoxemia

Which sense is the first to return in the unconscious patient after anesthesia begins to wear off?

This type of drain/tube removes fluid from dead space & thorax

An intervention to try to reduce incorrect sites & incorrect people to operate on.

Local anesthetics are administered in all of the following ways except:

The nurse’s responsibilities immediately before surgery include all but which?

Who is ultimately responsible for obtaining the patient’s consent for surgical treatment?

When a patient is admitted to the PACU, what are the priority interventions the nurse performs?

Patient is diagnosed with a seizure disorder. Which drugs may be prescribed to control seizures?

Excessive use of vitamins and herbs can cause harmful effects in patients undergoing surgery.

ASA physical status classification: patient with sever systemic disease that is a constant threat to life

Proper attire for the semi restricted area of the surgery department is:

PACU stands for:

Temporary interruption of the transmission of nerve impulses to & from a specific region of the body

In the PACU a nurse sees a patient is having difficulty breathing & suspects upper-airway obstruction. Nurse priority is

Preoperative teaching increases patient satisfaction and can reduce all of the following except:

This type of surgery is to alleviate symptoms without cure (Ex:Creating colostomy to bypass inoperable bowel)

7 hours after surgery, the patient is unable to void & has restlessness and bladder distention, these are signs of:

The elements of informed consent include all of the following except:

4 days after surgery the patient has tender, warm, red skin around incision & a fever with chills. What likely happened?

Fred was advised to restrict fluids and food after midnight the night before his surgery. Why?

The purpose of: Antibiotics

The most common psychologic factors found in the nursing assessment before surgery are all of the following except:

The most common fear of surgery is the risk of death or permanent disability resulting from surgery.

Manager of the Operating Room

A patient who takes 40 units insulin at bedtime asks the nurse what dose she should take the night before surgery.

Perioperative nursing includes activities performed by a RN before, during, and after surgery.

All of the following are examples of process information except:

When scrubbing at the scrub sink, the nurse should:

ASA physical status classification: Normal Healthy Person

The patient shows in the preoperative interview that he has an extreme fear of death, what should the nurse do?

During the preoperative stage all of the following are important to prevent infections except:

Common reasons patients seek help after discharge include all of the following except:

This type of surgery is to determine the nature or extent of a disease (Ex:Laparotomy)

The nurse’s primary responsibility for the care of the patient undergoing surgery is

Patient tells the nurse in the preoperative setting that she got arash after wearing rubber gloves. What should be done?

The patient is scheduled for abdominal surgery & has just received preoperative medications. The nurse should:

Begins with the determination that the patient requires surgery & ends with the transport to OR.

The surgical phase which begins when client goes to the operating table & ends when the client is admitted to PACU

After admission of the postop patient to the clinical unit, which assessment data requires the most immediate attention?

After a patient has been given preoperative sedatives, which safety precaution do you take?

This type of surgery is to determine the presence and extent of a pathologic condition (Ex: biopsy)

Removing a mole before it becomes malignant would be an example of which type of surgery?

A 17 year old is an emancipated minor and scheduled for surgery. Which intervention is most appropriate?

Person w/history of any allergic reactions, even environmental, has greater risk for reaction to drugs given w/anestesia

All of the following are examples of sensory information except:

The patient has a depressed level of consciousness but maintains spontaneous ventilation & a patient airway.

A 59 year old man is having a herniorrhaphy in 2 days & reports he takes ginkgo daily. What is the priority intervention

This can place the patient at surgical risk because of alterations in metabolic rate.

ASA physical status classification: patient with severe systemic disease

ASA physical status classification: Patient with mild systemic disease

A patient is on pain meds. What is an expected symptom he may obtain?

The purpose of: Benzodiazepines

This type of surgery is to repair or eliminate a pathologic condition (Ex:Appendix removal)

Injected locally or applied topically. Loss of sensation at desired site.

Generally, preoperative teaching includes 3 types of information, all of the following except:

If a surgery patient says any of theseyou should note the patient may have similar predispositions or condition. Except:

A 37 year old man with a right arm tattoo sleeve is set for surgery. Which arm should the nurse set the IV in?

In the PACU, the patient has an aldrete score of 7. Are they ready to be discharged?

The purpose of: Antidiabetics

Extrusion of viscera or intestine through a surgical wound

For which type of anesthesia will the patient lose consciousness?

The main reason to include family members in teaching preoperative exercises is so they can:

IV induction for general anesthesia is the method of choice for most patients because:

What is not one of the responsibilities of the circulating nurse?

After ambulatory surgery, the patient usually goes home several hours after recovery.

Repairing a burn scar would be an example of which type of surgery?

A legally appointed rep or responsible family member may give written permission for surgery if the patient is all but:

RN or surgical tech who has complete knowledge of steps of surgical procedures & anticipates all needed instruments

In an emergency situation where consent cannot be obtained, consent is implied by law.

An overweight person is scheduled for laparoscopic cholecystectomy. The nurse knows that:

What is the most commonly prescribed drug to assist patients with sleep disorders?

Loss of sensation in an area of the body by anesthetizing sensory pathways.

ASA physical status classification: moribund patient who is not expected to survive without surgery

A controlled environment that allows a smooth flow of patients, staff & equipment needed for safe patient care.

When positioning patient for surgery, the nurse understands that injury to patient is most likely to occur as result of:

The nurse is usually the first one to change the surgical dressing.