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PreOp
IntraOp
PostOp
Medications 1
Medications 2
100
During a preoperative physical exam, the nurse is alerted to the possibility of compromised respiratory function during or after surgery with which problem a. Obesity b. Dehydration c. Enlarged liver d. Decreased peripheral pulses
What is obesity
100
The nurse would be alerted to the occurrence of malignant hyperthermia when the patient demonstrates what manifestation? a. Hypocapnia b. Muscle rigidity c. Decreased body temperature d. Confusion upon arousal from anesthesia
What is muscle rigidity
100
What does progression of the patients through various phases of care in a postanesthesia care unit (PACU) primarily depend on? a. Condition of the patient b. Type of anesthesia used c. Preference of the surgeon d. Type of surgical procedure
What is the condition of the patient
100
The patient is going to have a colonoscopy. Which type of anesthesia should the nurse expect to be used? Local anesthesia Moderate sedation General anesthesia Monitored anesthesia care (MAC)
What is Monitored anesthesia care (MAC)
100
Which preoperative patient has the greatest risk of bleeding as a result of his or her medication? a. A woman who takes metoprolol (Lopressor) for the treatment of hypertension b. A man whose type 1 diabetes is controlled with insulin injections four times daily c. A man who is taking clopidogrel (Plavix) after the placement of a coronary artery stent d. A man who recently started taking finasteride (Proscar) for the treatment of benign prostatic hyperplasia
What is a man who is taking clopidogrel (Plavix) after the placement of a coronary artery stint
200
During a preoperative review of systems, the patient reveals a history of renal disease. This finding suggests the need for which preoperative diagnostic tests? a. ECG/Chest xray b. BUN and Creatinine c. Serum glucose and cbc d. ABGs and coagulations tests
What is BUN and Creatinine
200
Before admitting a patient to the operating room, which forms or results must the nurse make sure are in the charts of all patients? (select all that apply) a. electrocardiogram b. signed consent form c. functional status evaluation d. renal and liver function tests e. a history and physical report
What is Signed consent form and a history and physical report
200
The nurse is working on a surgical floor is preparing to receive a postoperative patient from the PACU. What should the nurse’s initial action be upon the patient’s arrival? Assess the patient’s pain Assess the patient’s vital signs Check the rate of the IV infusion Check the physician’s postop orders
What is assess the patient's vital signs
200
The nurse is doing preoperative assessment on a male patient who has type 2 diabetes mellitus, weighs 146 kg, and is 5 feet 8 inches tall. Which patient assessment is a priority related to anesthesia? a. Has a hemoglobin A1C of 8.5% b. Has several seasonal allergies c. Has a body mass index of 48.8 kg/m^2 d. Has a history of postoperative vomiting
What is has a body mass index of 48.8 kg/m^2
200
What is the primary advantage of the use of midazolam (Versed) as an adjunct to general anesthesia? a. Amnestic effect b. Analgesic effect c. Prolonged action d. Antiemetic effect
What is amnestic effect
300
The nurse asks the preoperative patient to sign a surgical consent form as specified by the surgeon and then signs the form after the patient does so. By this action what is the nurse doing? a. Witnessing the patient’s signature b. Obtaining informed consent from the patient c. Verify that the consent for the surgery is truly voluntary and informed d. Ensuring that the patient is mentally competant to sign the form.
What is witnessing the patient's signature
300
Which National Patient Safety Goal (NPSG) requirement is enacted immediately before surgery with a surgical time-out? a. Prevention of infection b. Improved staff communication c. Identify patients at risk for suicide d. Patient, surgical procedure, and site are checked
What is Patient, surgical procedure, and site are checked
300
An older patient who had surgery is displaying manifestations of delirium. What should the nurse do first to provide the best care for this new patient? Check his chart for intraoperative complications Check which medications were used for anesthesia Check the effectiveness of the analgesics he has received Check his preoperative assessment for previous delirium or dementia
What is check his preoperative assessment for previous delirium or dementia
300
When assessing a patient who is receiving cefazolin (Ancef) for the treatment of a bacterial infection, which data suggest that treatment has been effective? WBC count 8000/µL, temp 101°F WBC count 4000/µL, temp 100°F WBC count 8500/µL, temp 98.4°F WBC count 16500/µL, temp 98.8°F
What is WBC count 8500/µL, temp 98.4°F
300
Which short acting barbituates are most commonly used for induction of general anesthesia? (select all that apply) a. Nitrous oxide b. Propofol c. Isoflurane d. Thiopenthal sodium e. Sodium methohexital
What is Thiopenthal sodium and sodium methohexital
400
The nurse is reviewing the lab results for a preop patient. Which test result should be brought to the attention of the surgeon immediately? a. Serum potassium of 3.8 mEq/L b. Hemoglobin of 15g/dL c. Blood glucose of 100mg/dL d. White blood cell count of 18,500
What is WBC count of 18,500
400
A 78-year-old patient is having surgery. What risk areas will the nurse need to be especially aware of for this patient during surgery? a. Sterility b. Paralysis c. Urine output d. Skin integrity
What is skin integrity
400
Upon admission of a patient to the PACU, the nurse’s priority assessments are: a. Vital signs b. Surgical sites c. Respiratory adequacy d. LOC
What is respiratory adequacy
400
A surgical patient’s premedication regimen includes midazolam (Versed). What are the most likely desired effects of this medication? Monitored anesthesia care and amnesia Potentiates volatile agents to speed induction Analgesia and prevention of intraoperative vomiting Relaxation of skeletal muscles and facilitation of endotracheal intubation
What is monitored anesthesia care and amnesia
400
The perioperative nurse would recognize the need to monitor the patient for hallucinations and agitation when which anesthetic agent is administered? a. Nitrous oxide b. Ketamine (Ketalar) c. Thiopental (Pentothal) d. Halothane (Fluothane)
What is Ketamine (Ketalar)
500
A 75-year old patient is being prepared for surgery. What assessment data needs to be included for this patient? (select all that apply) a. fluid balance history b. attitude about surgery c. foods the patient dislikes d. current mobility problems e. current cognitive function f. patient’s opinion about the surgeon
What is Fluid balance history, current mobility problems, and current cognitive function
500
Which nursing action is completed by the scrub nurse? (select all that apply) a. Prepares instrument table b. Documents intraoperative care c. Remains in the sterile area of the OR d. Checks mechanical and electrical equipment e. Passes instrument to surgeon and assistants f. Monitors blood, other fluid losses, and urine output.
What is Prepares instrument table, remains in the sterile area of the OR, and monitors blood, other fluid losses, and urine output.
500
36 hours post op a patient has a temperature of 100 degrees F, what is the most likely cause of this temperature elevation? a. Dehydration b. Wound infection c. Lung congestion and atelectasis d. Normal surgical stress response
What is normal surgical stress response
500
It is 0600. The anesthesiologist prescribes preoperative medications for a patient who is scheduled for surgery at 0730: cefazolin (Ancef) IV to be infused 30 minutes before surgery; midazolam (Versed) before surgery and scopolamine patch (Transderm Scop) behind the ear? Which medication should the nurse administer first? a. Cefazolin (Ancef) b. Fentanyl (Sulimaze) c. Midazolam (Versed) d. Scopolamine (Transderm Scop)
What is Scopolamine (Transderm Scop)
500
A 71-year old male patient who is currently undergoing coronary artery bypass graft (CABG) surgery has just experienced intraoperative vomiting. The nurse should consequently anticipate the use of which drug? Midazolam (Versed) Fentanyl (Sublimaze) Meperidine (Demerol) Ondansetron (Zofran)
What is Ondansetron (Zofran)