Chapter 20 Nursing Management Intraoperative

Question 1

1. What is the perioperative nurse’s primary responsibility for the care of the client undergoing surgery?
   a. Developing an individualized plan of nursing care for the client
   b. Carrying out specific tasks related to surgical policies and procedures
   c. Ensuring that the client has been assessed for safe administration of anaesthesia
   d. Performing a preoperative history and physical assessment to identify client needs

Answer 1

A

Question 2

2. What is the proper attire for the semirestricted area of the surgery
   department?
   a. Street clothing
   b. Surgical attire and head cover
   c. Surgical attire, head cover, and mask
   d. Street clothing with the addition of shoe covers

Answer 2

B

Question 3

3. What is one characteristic of the OR environment that facilitates the
   prevention of infection in the surgical client?
   a. Adjustable lighting
   b. Conductive furniture
   c. Filters in the ventilating system
   d. Explosion-proof electrical plugs

Answer 3

C

Question 4

4. Which of the following activities might a nurse perform in the role of a
   scrub nurse during surgery? (Select all that apply)
   a. Checking electrical equipment
   b. Preparing the instrument table
   c. Passing instruments to the surgeon and assistants
   d. Coordinating activities occurring in the operating room
   e. Maintaining accurate counts of sponges, needles, and instruments

Answer 4

B C E

Question 5

5. What is the most important intervention to perform when a client arrives to the OR with musculo-skeletal impairments?
   a. Ensure proper preparation of the skin.
   b. Ensure the anaesthesiologist uses muscle relaxants.
   c. Ensure positioning on the OR bed to prevent Injury.
   d. Provide detailed explanations about the surgical activities.

Answer 5

D

Question 6

6. The practical nurse in the OR knows that which of the following is not acceptable for ensuring a sterile field?
   a. Unsterile personnel remaining at least 30 cm from the sterile field
   b. Reaching over the sterile field to place sterile items on the sterile back table
   c. Covering unsterile items such as laparoscopic cameras with sterile barriers before placing them on the sterile field
   d. Flipping a sterile item from a paper peel pack onto the sterile field

Answer 6

D

Question 7

7. Which of the following is not a consideration when positioning the
   surgical client?
   a. Providing modesty for the client
   b. Avoiding compression of nerve tissue
   c. Providing correct skeletal alignment
   d. Ensuring that students in the room can see the operative site

Answer 7

D

Question 8

8. A client is scheduled for an abdominal hysterectomy. She is extremely anxious and has a tendency to hyperventilate when upset. What is the most appropriate type of anaesthetic for this client?
   a. A spinal block
   b. An epidural block
   c. A general anaesthetic
   d. A local anaesthetic

Answer 8

C

Question 9

9. Why is IV induction for general anaesthesia the method of choice for most clients?
   a. The client is not intubated.
   b. The drugs are nonexplosive.
   c. Induction is rapid and pleasant.
   d. The odour of the drug is not offensive.

Answer 9

C

Question 10

10. What is the name for the injection of the local anaesthetic into the tissues through the surgical incision?
    a. Nerve block
    b. Local infiltration
    c. Topical application
    d. Regional application

Answer 10

B