Pre & Intra Op
If a patient arrives for a scheduled surgery and says this, surgery will likely be cancelled (there are multiple options)
What is A. I don't have someone to drive me home B. I had a smoothie this morning C. I started antibiotics for a sinus infection yesterday D. I'm having a panic attack because I know I'm going to die today
How often will the nurse empty a Jackson-Pratt (JP) drain?
The nurse will check the drain at least every 4 hours and empty the drain when it is one-half to two-thirds full
A nurse is teaching a health class to a group of clients likely to be at highest risk for gonorrhea. What is the age range of the clients?
What is teens and young adults (15-24)
Where will the nurse draw blood from a well newborn for its routine screening?
What are the sides of the heel
The nurse may serve as a witness to the client's signature on this after the physician has explained the procedure, risks, benefits, & complications, before sedation is given and before surgery is performed.
What is an informed consent
What is penrose drains use gravity to drain fluid from the area around the wound.
A 22 year old patient has presented to her primary care provider for her scheduled pap smear. Abnormal results of this diagnostic test may imply this infection
What is human papillomavirus (HPV)
A nurse who is assessing a full-term well newborn elicits the Babinski reflex. The reflex is elicited in this manner
What is stroking the outer sole of the foot from the heel to the little toe
This member of the surgical team remains in sterile gown and gloves and monitors sterile procedure throughout the surgery
What is the scrub nurse
The correct statement in regard to the use of an abdominal binder
What is the patient must have adequate ventilatory capacity
A client is diagnosed as being in the primary stage of syphilis. The expected finding would include this
What are genital chancres
The nurse assessing a newborn 3 minutes after birth. When counting the heart rate the nurse remembers the range of heart rate for a healthy alert neonate is this
In this step, the patient's identification, surgical site marking, signed consent and procedure to be done are all verified
What is a time out for safety
The correct procedure for the wet-to dry dressing method
Place moist gauze into the wound and remove it when it is dry
Major risk factors for contracting an STI include
What is alcohol or drug use, multiple sexual partners, youth and young adults, already having an STI
A neonate's 1 minute assessment includes the following:
HR= 125, RR= 44, Active movement with a good cry, and pink body with blue tinged hands and feet.
The neonate's APGAR score calculates to this number
What is APGAR of 9
A patient is undergoing surgery and the anesthesia provider notes the patient has the following symptoms:
Muscle rigidity, a fast heart rate, and an elevated temperature from baseline
The circulating nurse knows that these are signs of malignant hyperthermia. The nurse also knows the following interventions will occur:
What is administer IV dantrolene and cold IV saline
The vacuum of a hemovac is re-established after emptying by this method
What is compressing the drum and then capping the drainage port.
Methods of contraception that also provide protection from STIs
What are barrier methods. This includes condoms (male and female) and dental dams
There are two methods to check for hip dislocation in an infant. Name them.
What is the Barlow maneuver and the Ortolani maneuver. The Barlow maneuver includes grasping the neonate's thighs and adducting them with gentle downward pressure. The Ortolani maneuver includes putting downward pressure on the hip and then inwardly rotating the neonate's thighs inwardly.