Pre-op
A pediatric nurse is preparing a child for cleft palate repair surgery. The nurse recognizes that this type of surgery is categorized as which of the following?
A.constructive surgery
B.transplantation surgery
C.palliative surgery
D.reconstructive surgery
A.constructive surgery
Which action would the nurse take when scrubbing at the scrub sink?
A.Scrub from elbows to hands
B.Scrub without mechanical friction
C.Scrub for a minimum of 10 minutes
D.Hold the hands higher than the elbows
D.Hold the hands higher than the elbows
The "recovery position" if not contraindicated
What does VTE stands for?
Venous thromboembolism
The telemetry unit nurse is reviewing lab results for an operative procedure later in the day. The nurse notes on the lab report that the pt has a serum potassium level of 6.5 mEq/L. The nurse informs the physician of this lab result because the nurse recognizes this increases the pts risk for which of the following?
A.infection
B.cardiac problems
C.bleeding and anemia
D.fluid imbalances
B.cardiac problems
The nurse is caring for a patient undergoing surgery for a knee replacement. What factors are critical to the patient's safety during the procedure? (select all that apply)
A.Universal protocol is followed
B.The patient has adequate health insurance
C.The patient's family is in the surgery waiting area
D.The patient's allergies are conveyed to the surgical team
A.Universal protocol is followed
E.D.The patient's allergies are conveyed to the surgical team
A nursing intervention that is most likely to prevent respiratory complications such as pneumonia and atelectasis in a post surgical patient is?
A.control of anxiety and agitation
B.adequate nutrition and fluids
C.adequate pain control
D.use of incentive spirometry
D.use of incentive spirometry
What does an antiemetic drug do?
It helps ease nausea and vomiting
A 17-year-old patient with a leg fracture who is scheduled for surgery is an emancipated minor. She has a statement from the court for verification. Which action should the nurse take?
A.Witness the patient signing the permit after the surgeon obtains consent
B.Call a parent or legal guardian to sign the permit since the patient is under 18
C.Notify the hospital attorney that an emancipated minor is consenting for surgery
D.Obtain verbal consent since written consent is not necessary for emancipated minors
A.Witness the patient signing the permit after the surgeon obtains consent
What are the goals of Univerial Protocol
A surgical timeout is performed just before the procedure is started to verify the right patient, right surgical procedure, and surgical site
The patient donated a kidney, and early ambulation is included in her plan of care. But the patient refuses to get up and walk. What rationale should the nurse explain to the patient for early ambulation?
A."Early walking keeps your legs limber and strong."
B."Early ambulation will help you be ready to go home."
C."Early ambulation will help you get rid of your syncope and pain."
D."Early walking is the best way to prevent postoperative complications."
D."Early walking is the best way to prevent postoperative complications."
What are some roles of a scrub nurse?
sterile activities, help prepare the OR, keep count of surgical equipment, takes part in surgical time-out process, helps with draping
What is sensory info, process info, and procedural info when educating a patient?
Sensory= what the patient will hear, smell, see, feel
Process=what to expect in general about general flow of surgery, where caregiver can be,
procedural= what to bring/what type of clothing, physical prep needed, procedure of anesthesia
How is the OR's environment controlled? Give an example
geographically, aseptically, environmentally
List one gerontologic complication for an older patient in post-op and explain it
What are some signs of infection of the skin? What are the systemic findings as well?
Redness, swelling, pain, tenderness. Fever and leukocytosis
What are the surgery settings? Explain them
Elective, Urgent, Inpatient, Outpatient/ Ambulatory
What 3 zones is the department divided into? What takes place in each?
What are the three phases of PACU progression. Explain the goal of each phase
phase 1- goal: prepare patient to transfer to phase 2, inpatient unit, or intensive care unit
phase 2: goal: prepare patient to extended observation, home, or extended care facility
phase 3: goal: prepare patient for self care
What are manifestations of respiratory issues?
use of accessory muscles, low pulse oximetry reading, hypoventilation, reduced chest/reduced movement