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ATI Adult Nursing (NUR 105) Med Surg Test questions and Answers with Explanations Chapter 18 Intraoperative Nursing Management

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Adult Nursing (NUR 105) Med Surg Test questions and Answers Chapter 18 Intraoperative Nursing Management 1. The nurse is preparing an elderly patient for a scheduled removal of orthopedic hardware,... a procedure to be performed under general anesthetic. For which adverse effect should the nurse most closely monitor the patient? a. Hypothermia b. Pulmonary edema c. Cerebral ischemia d. Arthritis Ans: A Feedback: Inadvertent hypothermia may occur as a result of a low temperature in the OR, infusion of cold fluids, inhalation of cold gases, open body wounds or cavities, decreased muscle activity, advanced age, or the pharmaceutical agents used (e.g., vasodilators, phenothiazines, general anesthetics). The anesthetist monitors for pulmonary edema and cerebral ischemia. Arthritis is not an adverse effect of surgical anesthesia. 2. The OR nurse acts in the circulating role during a patients scheduled cesarean section. For what task is this nurse solely responsible? a. Performing documentation b. Estimating the patients blood loss c. Setting up the sterile tables d. Keeping track of drains and sponges Ans: A Feedback: Main responsibilities of the circulating nurse include verifying consent; coordinating the team; and ensuring cleanliness, proper temperature and humidity, lighting, safe function of equipment, and the availability of supplies and materials. The circulating nurse monitors aseptic practices to avoid breaks in technique while coordinating the movement of related personnel as well as implementing fire safety precautions. The circulating nurse also monitors the patient and documents specific activities throughout the operation to ensure the patients safety and well-being. Estimating the patients blood loss is the surgeons responsibility; setting up the sterile tables is the responsibility of the first scrub; and keeping track of the drains and sponges is the joint responsibility of the circulating nurse and the scrub nurse [Show More]

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