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NSG 201H -Priorities for the Intraoperative Patient
NSG 201H -Priorities for the Intraoperative Patient
Chapter 16: Priorities for the Intraoperative Patient
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The patient is transferred to the operating table. Which dimension of the operative period is the patient currently experiencing?
| 1) | Postoperative period |
| 2) | Preoperative period |
| 3) | Perioperative period |
| 4) | Intraoperative period |
____ 2. The nurse is performing a surgical hand scrub, and holds the hands in which position when rinsing?
| 1) | Straight out from the elbows |
| 2) | Lower than the elbows |
| 3) | Higher than the elbows |
| 4) | Irrelevant as long as the hands are well scrubbed |
____ 3. Which personal protective equipment should the scrub nurse don to decrease the likelihood of a splash injury during a surgical procedure?
| 1) | Gloves |
| 2) | Gown |
| 3) | Mask |
| 4) | Eyewear |
____ 4. Which classification should the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a mild systemic disease?
| 1) | 2 |
| 2) | 3 |
| 3) | 4 |
| 4) | 5 |
____ 5. Which classification should the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a severe systemic disease?
| 1) | 2 |
| 2) | 3 |
| 3) | 4 |
| 4) | 5 |
____ 6. Which classification should the nurse document, according to the American Society of Anesthesiologists, for a patient who is diagnosed with a severe systemic disease that is a threat to life?
| 1) | 2 |
| 2) | 3 |
| 3) | 4 |
| 4) | 5 |
____ 7. Which classification should the nurse document, according to the American Society of Anesthesiologists, for a patient who is not expected to survive without the planned surgical procedure?
| 1) | 2 |
| 2) | 3 |
| 3) | 4 |
| 4) | 5 |
NSG 201H -Priorities for the Intraoperative Patient
____ 8. Which American Society of Anesthesiologists’ classification should the circulating nurse document for a patient who is brain-dead and having organs procured for donation?
| 1) | 3 |
| 2) | 4 |
| 3) | 5 |
| 4) | 6 |
____ 9. Which term should the nurse document for a patient who is having surgery for the removal of female reproductive organs?
| 1) | Episiotomy |
| 2) | Hysterectomy |
| 3) | Amniocentesis |
| 4) | Cholecystectomy |
____ 10. Which term should the nurse document for a patient who is having surgery for the removal of the gallbladder?
| 1) | Episiotomy |
| 2) | Hysterectomy |
| 3) | Amniocentesis |
| 4) | Cholecystectomy |
____ 11. The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of propofol, which terminology should the nurse use?
| 1) | A narcotic analgesic |
| 2) | An intravenous anesthetic |
| 3) | A depolarizing muscle relaxant |
| 4) | A nondepolarizing muscle relaxant |
____ 12. The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of morphine sulfate, which terminology should the nurse use?
| 1) | A narcotic analgesic |
| 2) | An intravenous anesthetic |
| 3) | A depolarizing muscle relaxant |
| 4) | A nondepolarizing muscle relaxant |
____ 13. The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of cisatracurium, which terminology should the nurse use?
| 1) | A narcotic analgesic |
| 2) | An intravenous anesthetic |
| 3) | A depolarizing muscle relaxant |
| 4) | A nondepolarizing muscle relaxant |
____ 14. The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of succinylcholine, which terminology should the nurse use?
| 1) | A narcotic analgesic |
| 2) | An intravenous anesthetic |
| 3) | A depolarizing muscle relaxant |
| 4) | A nondepolarizing muscle relaxant |
____ 15. Which drug should the nurse prepare for the anesthesiologist to reverse the effects of cisatracurium during a surgical procedure?
| 1) | Fentanyl |
| 2) | Atropine |
| 3) | Neostigmine |
| 4) | Glycopyrrolate |
____ 16. Which action should the circulating nurse anticipate during the induction of general anesthesia?
| 1) | Securing the patient’s airway |
| 2) | Administering oxygen to the patient by face mask |
| 3) | Maintaining the patient using balanced anesthesia |
| 4) | Suctioning the patient to decrease incidence of aspiration |
____ 17. Which action should the circulating nurse anticipate when the patient is intubated with the administration of general anesthesia?
| 1) | Securing the patient’s airway |
| 2) | Administering oxygen to the patient by face mask |
| 3) | Maintaining the patient using balanced anesthesia |
| 4) | Suctioning the patient to decrease incidence of aspiration |
____ 18. Which action by the circulating nurse is appropriate when providing care to a patient during the maintenance phase of general anesthesia?
| 1) | Securing the patient’s airway |
| 2) | Administering oxygen to the patient by face mask |
| 3) | Suctioning the patient to decrease incidence of aspiration |
| 4) | Documenting drugs for administered for balanced anesthesia |
____ 19. Which action should the circulating nurse anticipate during the emergence phase of general anesthesia?
| 1) | Securing the patient’s airway |
| 2) | Administering oxygen to the patient by face mask |
| 3) | Maintaining the patient using balanced anesthesia |
| 4) | Suctioning the patient to decrease incidence of aspiration |
NSG 201H -Priorities for the Intraoperative Patient
Completion
Complete each statement.
- Place the steps the nurse will take to don sterile gloves using the close procedure. (Enter the number of each step in the proper sequence; do not use punctuation or spaces. Example: 1234)
- With the dominant hand, pick up the opposite glove with the thumb and index finger, handling it through the sleeve.
- Open the sterile glove wrapper while the hands are still covered by the sleeves.
- Use the nondominant hand to grasp the cuff of the glove through the gown cuff, and firmly anchor it.
- Extend the fingers into the glove as you pull the glove up over the cuff.
- Place the fingers of the gloved hand under the cuff of the remaining glove.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 21. Which individuals should the nurse emphasize when discussing providers who take part in providing patient care during the intraoperative period of the surgical process? Select all that apply.
| 1) | Surgeon |
| 2) | Postoperative nurse |
| 3) | Circulating nurse |
| 4) | Anesthesiologist |
| 5) | Social worker |
____ 22. Which of these items would the perioperative nurse identify as part of the intraoperative documentation? Select all that apply.
| 1) | Pain assessment |
| 2) | Start and stop times of anesthesia |
| 3) | Medication review |
| 4) | Antibiotic infusion times |
| 5) | Start and stop times of the procedure |
____ 23. Which is included in the scope of practice for the circulating registered nurse (RN)? Select all that apply.
| 1) | Obtaining informed consent |
| 2) | Conducting the initial assessment |
| 3) | Assisting the CRNA with patient monitoring |
| 4) | Labeling patient samples and sending for analysis |
| 5) | Documenting information pertinent the surgical procedure |
____ 24. The nurse works in a facility whose policy requires an antiseptic hand rub instead of a surgical scrub when performing surgical hand asepsis. Which are known advantages of the hand rub over the scrub? Select all that apply.
| 1) | Less harmful to the skin |
| 2) | Does not require the use of a brush |
| 3) | Contains ingredients that help to protect the skin |
| 4) | Takes longer to perform |
| 5) | Contains alcohol, which could dry the skin |
____ 25. Which members of the surgical team are considered sterile? Select all that apply.
| 1) | Surgeon |
| 2) | Scrub nurse |
| 3) | Anesthesiologist |
| 4) | Circulating nurse |
| 5) | Surgical assistant |
____ 26. Which actions by the nurse are appropriate when preparing a patient for a surgical procedure that requires supine positioning? Select all that apply.
| 1) | Placing the patient on his or her back |
| 2) | Supporting the patient’s head in a headrest |
| 3) | Placing the patient’s feet on a padded footboard |
| 4) | Placing the patient’s arms at the sides with palms down |
| 5) | Lowering the foot of the bed flexing the patient’s knees |
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____ 27. Which actions by the nurse are appropriate when preparing a patient for a surgical procedure that requires Fowler’s positioning? Select all that apply.
| 1) | Placing the patient in a lateral position |
| 2) | Supporting the patient’s head in a headrest |
| 3) | Placing the patient’s feet on a padded footboard |
| 4) | Placing the patient’s arms at the sides with palms down |
| 5) | Lowering the foot of the bed flexing the patient’s knees |
____ 28. Which patient populations are at risk for complications due to positioning that is required during surgical procedures? Select all that apply.
| 1) | Pediatric patients |
| 2) | Older adult patients |
| 3) | Young adult patients |
| 4) | Patients diagnosed with bipolar disorder |
| 5) | Patients diagnosed with diabetes mellitus |