Test Bank - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10e

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Chapter 18: Intraoperative Care Test Bank MULTIPLE CHOICE 1. The nurse educator facilitates student clinical experiences in the surgical suite. Which action, if performed by a student, would requi... re the nurse educator to intervene? a. The student wears a mask at the sink area. b. The student wears street clothes in the unrestricted area. c. The student wears surgical scrubs in the semirestricted area. d. The student covers head and facial hair in the semirestricted area. ANS: C The surgical suite is divided into three distinct areas: unrestrictedstaff and others in street clothes can interact with those in surgical attire; semirestrictedstaff must wear surgical attire and cover all head and facial hair;restrictedincludes the operating room, the sink area, and clean core where masks are required in addition to surgical attire. DIF: Cognitive Level: Apply (application) REF: 315 TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment 2. Which statement, if made by a new circulating nurse, is appropriate? a. I will assist in preparing the operating room for the patient. b. I will remain gloved while performing activities in the sterile field. c. I will assist with suturing of incisions and maintaining hemostasis as needed. d. I must don full surgical attire and sterile gloves while obtaining items from the unsterile field. ANS: A Preparing the operating room for the patient describes the role of a circulating nurse. All other answer options describe specific types of scrub nurses. The circulating nurse performs activities in the unsterile field and is not scrubbed, gowned, or gloved. The scrub nurse follows the designated scrub procedure, is gowned and gloved in sterile attire, and performs activities in the sterile field. DIF: Cognitive Level: Understand (comprehension) REF: 317 TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment 3. Which action best describes the role of the certified registered nurse anesthetist (CRNA) on the surgical care team? Test Bank - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10e 175 This study source was downloaded by 100000820529148 from CourseHero.com on 09-22-2022 11:45:24 GMT -05:00 https://www.coursehero.com/file/158654435/chapter-18-TestBank-Lewis-Medical-Surgical-10th-2016pdf/ a. Performs the same responsibilities as the anesthesiologist. b. Releases or discharges patients from the postanesthesia care area. c. Administers intraoperative anesthetics ordered by the anesthesiologist. d. Manages a patients airway under the direct supervision of the anesthesiologist. ANS: B A nurse anesthetist is a registered nurse who has graduated from an accredited nurse anesthesia program (minimally a masters degree program) and successfully completed a national certification examination to become a CRNA. The CRNA scope of practice includes, but is not limited to, the following: 1. Performing and documenting a preanesthetic assessment and evaluation 2. Developing and implementing a plan for delivering anesthesia 3. Selecting and initiating the planned anesthetic technique 4. Selecting, obtaining, and administering the anesthesia, adjuvant drugs, and fluids 5. Selecting, applying, and inserting appropriate noninvasive and invasive monitoring devices 6. Managing a patients airway and pulmonary status 7. Managing emergence and recovery from anesthesia 8. Releasing or discharging patients from a postanesthesia care area DIF: Cognitive Level: Understand (comprehension) REF: 318 TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment 4. Which action best describes how the scrub nurse maintains aseptic technique during surgery? a. Uses waterproof shoe covers b. Wears personal protective equipment c. Insists that all operating room (OR) staff perform a surgical scrub d. Changes gloves after touching the upper arm of the surgeons gown ANS: D The sleeves of a sterile surgical gown are considered sterile only to 2 inches above the elbows, so touching the surgeons upper arm would contaminate the nurses gloves. Shoe covers are not sterile. Personal protective equipment is designed to protect caregivers, not the patient, and is not part of aseptic technique. Staff members such as the circulating nurse do not have to perform a surgical scrub before entering the OR. DIF: Cognitive Level: Apply (application) REF: 320 Test Bank - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10e 176 This study source was downloaded by 100000820529148 from CourseHero.com on 09-22-2022 11:45:24 GMT -05:00 https://www.coursehero.com/file/158654435/chapter-18-TestBank-Lewis-Medical-Surgical-10th-2016pdf/ TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment 5. Which action most effectively demonstrates that a new staff member understands the role of scrub nurse? a. Documents all patient care accurately b. Labels all specimens to send to the lab c. Keeps both hands above the operating table level d. Takes the patient to the postanesthesia recovery area ANS: C The scrub nurse role includes maintaining asepsis in the operating field. The other actions would be performed by the circulating nurse. DIF: Cognitive Level: Apply (application) REF: 320 TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment 6. Which data identified during the perioperative assessment alert the nurse that special protection techniques should be implemented during surgery? a. Stated allergy to cats and dogs b. History of spinal and hip arthritis c. Verbalization of anxiety by the patient d. Having a sip of water 3 hours previously ANS: B The patient with arthritis may require special positioning to avoid injury and postoperative discomfort. Preoperative anxiety (unless severe) and having a sip of water 3 hours before surgery are not contraindications to having surgery. An allergy to cats and dogs will not impact the care needed during the intraoperative phase. DIF: Cognitive Level: Apply (application) REF: 327 TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment 7. A patient scheduled to undergo total knee replacement surgery under general anesthesia asks the nurse, Will the doctor put me to sleep with a mask over my face? Which response by the nurse is most appropriate? a. A drug may be given to you through your IV line first. I will check with the anesthesia care provider. b. Only your surgeon can tell you for sure what method of anesthesia will be used. Should I ask your [Show More]

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