Pre-op
Intra-op
Positioning
PACU
Random
100
Name 4 things the RN must know about the patient prior to transferring to the OR
Consent, patient allergies, H&P, patient lab work, etc.
100
Name the top three items to recognize in a time-out
1. Right patient
2. Right procedure
3. Right side/site
100
What are 4 times when the lithotomy position would be used in the OR?
1. OB/GYN surgery
2. Urology surgery
3. Hemorrhoid surgery
4. Prostate surgery100
List three criteria for discharge from PACU
Patient awake/stable
Normal resp/cardiac status
Moving all extremeties
Vital signs at baseline/stable
No excess bleeding
100
Lab that measures extent of heart failure. This protein is released in response to changes in pressure inside the heart.
BNP= Brain natriuretic peptide
200
Name 3 labs/tests that might be collected prior to surgery
Pregnancy test
ECG
Type and screen
INR, Hgb, Plt, BG
200
Besides the RN, name 3 people on the OR team who you will find in the restricted area
1. surgeon
2. anesthesiologist
3. surgical tech
200
Flat on back, feet raised higher than head by 15-30 degrees, often used for patients who are hypotensive.
Trendelenberg
200
Returning from PACU, what are 3 key nursing assessments?
1. VS
2. Pain
3. I&O
200
Your patient needs to maintain 200ml/hour of IVF. You have been instructed to titrate the ml/hr of NS based on other IV intake. They currently have TPN running at 65ml/hr. IV Lasix is running at 5ml/hr. What should the ml/hr of NS be set at?
130 ml/hr
300
When does a pre-op nurse complete the consent form with the patient?
Never- the surgeon should complete consent. The nurse should be responsible for verifying consent is completed.
300
Name 4 common forms of anesthesia
General
MAC- monitored anesthesia
Spinal- regional blocks
Local
300
What is exposed in a stage 3 pressure ulcer?
In a stage 3, fat is exposed.
300
Name 3 interventions the nurse can take to improve oxygenation following surgery
Turn, cough, and deep breath
incentive spirometerO2 if needed
300
Normal range for INR if the patient does not take coumadin
1
400
The patients lab work came back with the following?
1. EKG shows Afib (chronic)
2. BNP is 15003. Platelets are 100,000
4. Hemoglobin is 10
What lab is your biggest concern?
Platelets
400
During the surgery, you notice your patient has a sudden rigidity of muscles and appears to be sweating. What is your immediate action and concern for this patient?
Alert MD and CRNA immediately of possible malignant hyperthermia.
400
HOB 15-30 degrees with patient lying on their back.
Semi-fowlers
400
Name 3 reasons a surgical patient should call their provider following discharge
Fever, bleeding, unrelieved pain
400
Signs of this lab abnormality include: N/V, HA, confusion, fatigue, irritability, muscle weakness, spasms, or cramps, and possible seizures.
Hyponatremia
500
What time-frame should the prophylactic antibiotic be given?
Within 60 min of incision
500
Name 5 intrinsic causes of injury
Medication
Co-morbidity
Injuries
Nutrition
Decreased circulation
Burns from electricity or cautery
500
What is this position?
Kraske/Jackknife position
500
What is the treatment for malignant hypothermia? (include med)
Dantrolene- cooling patient, immediate cessation of anesthetic
500
Which assessment finding would alert the nurse that the patient is experiencing issues with perfusion?
1. BP 91/52
2. Apical HR 80, radial HR 68
3. RR of 22
4. Temp: 101.2
2. Apical HR 80, radial HR 68