Show:
Legal/Ethical
Pre-op
Intra-op
PACU
Post-Op Care
100
The nurses role related to surgical informed consent.
What is witness
100
A client who is to receive general anesthesia has a serum potassium level of 5.8 mEq/L. This is the nurse's first response.
What is notify the provider/surgeon/anesthesiologist.
100
The person responsible for performing the surgical procedure.
What is the surgeon?
100
On admission to PACU, the respiratory assessment the nurse completes first.
What is airway flow.
100
The client scheduled for an open abdominal surgery has been smoking 2 packs of cigarettes for the past 15 years. The client's major postoperative complication?
What is atelectasis
200
An unconscious client needs surgery after a motor vehicle accident and no next of kin can be located. Consent is waived for this reason.
What is emergency.
200
The surgeon prescribes cefazolin 1 gram IV at 0800 for a surgery scheduled at 0830. The reason the antibiotic should be started at EXACTLY 0800.
What is preoperative antibiotic is most effective when given 30-60 minutes before the operative incision is made.
200
The person responsible for ensuring sterility of the procedure is maintained.
What is the circulating nurse?
200
The nurse assessing a post-op client notes this early indicator of hypoxemia.
What is restlessness.
200
The client on first day after abdominal surgery has no bowel sounds. The nurse should:
What is document the finding. (could also take encourage ambulation)
300
The nurse is preparing to witness an operative consent when client tells the nurse, "I talked about many things with the surgeon so now I'm not sure about things and have questions." The nurse should ...
What is notify the surgeon; have surgeon come talk with client. Do not witness consent yet.
300
The nurse is preparing to administer a preoperative sedative. The nurse should first:
What is make sure the client empties the bladder.
300
The type of anesthesia that produces total lack of awareness and muscle paralysis.
What is general anesthesia?
300
The nurse in PACU notes that the client is stronger on one side than the other. The first thing the nurse should do.
What is check the client's baseline data.
300
The post-op client on room air with normal vital signs develops an O2 saturation of 89%. This is the nurse's first step.
What is encourage client to take deep breaths and cough? (or have client use IS)
400
The client identification band was removed to start an IV. The nurse notices the client does not have an ID band. Before transportation arrives the nurse must do this.
What is put on a new identification band.
400
The type of allergy that a person may be predisposed to after numerous surgeries and contact with surgical supplies.
What is latex
400
The type of anesthesia used for removing a cancerous lesion on the skin.
What is local anesthesia?
400
The client has a sudden increase in temperature, pulse, BP. The nurse notifies the provider and does this.
What is dantrolene IV
400
The first step for a client with a distended bladder who has not urinated by several hours after surgery.
What is get client out of bed to use urinal or commode.
500
The surgical team stops before surgery to verify the client, the surgery, the surgery site.
What is time-out?
500
The nurse has inserted an IV catheter and an indwelling urinary catheter. The pre-op client begins to complain of itchy eyes and nasal drainage. The nurse considers that the client might be experiencing this.
What is latex allergy.
500
Assessment of peripheral perfusion that should be less than 2 seconds.
What is capillary refill?
500
A medication used to reverse sedation from benzodiazepines.
What is flumazenil?
500
The possible cause for a postoperative client's urine output to decrease from 60 mL/hr to 20 mL/hr.
What is hemorrhage?