Domain 1 Q BS Flashcards
Preoperative patient assessment of the use of herbs is an important function of the perioperative nurse so that
the appropriate health care providers can be notified of potential risks to the surgical procedure.
A 7-year old child is scheduled for a tonsillectomy and adenoidectomy at an ambulatory surgery center. During the preoperative telephone interview, the mother of the patient asks the perioperative nurse if her daughter will be able to take her favorite stuffed animal into the operating room. Which of the following is the best response based on the child’s developmental level?
“We will make sure the toy stays with your daughter until the anesthetic takes effect.”
The normal hematocrit for a patient aged 10 years ranges from
34% to 40%.
A patient scheduled for an emergency hip arthroplasty has a preoperative prothrombin (PT) result of 12 seconds. The best action of the RN circulator is to
inform the surgical team and transport the patient to the OR suite.
Which electrolyte is important to check preoperatively after a bowel prep the day before?
Potassium
Which one of the following antibiotics can potentiate neuromuscular blocking agents?
Piperacillin
What is a physiologic change associated with the normal aging process in the geriatric patient?
Increased vascular resistance
The purpose of witnessing a surgical consent is to attest to which of the following?
The signature was voluntary and not coerced.
Which of the following is an assessment parameter monitored through use of the perioperative nursing process?
Documentation of potential needs.
During the preoperative assessment, the patient states that “donor-directed” red blood cells (RBCs) are available and should be used if a blood transfusion is necessary. Which of the following is accurate about donor-directed RBCs?
The donated blood is tested and processed by the blood bank.
The term ‘assessment’ isbestdefined as
a continuous activity directed toward identifying the patient’s existing needs and problems and ruling out potential problems.
A patient who was in a motorcycle accident sustained injuries including fractures, a concussion, and second-degree burns of the face and chest. Because the injuries resulted from trauma, which of the following should be the primary nursing concern for this patient?
High risk for infection due to bleeding and fragments
During the preoperative assessment,a patient who is hearing impaired communicates through a qualified interpreter. To best individualize the patient’s care plan, the perioperative nurse should
arrange for the interpreter to change into scrubsand remain through the induction of anesthesia.
During cardiopulmonary resuscitation (CPR) on a child, the incidence of gastric distention can be minimized most effectively by
limiting ventilation volume to that which causes the chest to rise.
A patient has signed a surgical consent form for a large-bowel resection. Intraoperatively, the surgeon states, “We will be removing the patient’s gallbladder, too.” Themost appropriate response by the perioperative nurse would be to inform the
surgeon that the gallbladder procedure does not appear on the written consent.
What would be an early sign of shock that may not present normally in a pregnant patient?
Cold, clammy skin
Conditions that would contribute to a preoperative increase in prothrombin time include
vitamin K deficiency, liver disease, current anticoagulant therapy, and biliary obstruction.
Perioperative documentation should include evidence of
preoperative patient assessment.
The durable power of attorney for health care is referred to as
an advance directive.
While assessing a patient in the preoperative area who is scheduled for a splenectomy, the perioperative nurse notes that the patient has been on warfarin sodium (Coumadin). The nurse should give priority to reviewing which of the following laboratory test results?
Prothrombin time
Which of the following assessment data is most essential to obtain from a patient who is immediate postop lumbar laminectomy?
Pain or numbness of extremities
The perioperative nurse should instruct a patient who has had a thyroidectomy to report the development of which of the following?
Numbness and tingling
Airborne precautions should be implemented for which of the following infectious diseases?
Varicella
Facilities that procure, process, or preserve tissue must register with
the US Food and Drug Administration (FDA).
Which of the following types of anesthesia ismost often used in pediatric patients for postoperative pain relief?
Caudal
Patients are at risk for developing hypothermia during or following surgery due to
vasodilation from anesthesia agents.
For a patient with a history of serum cholinesterase deficiency, which of the following anesthetic agents should be avoided?
Succinylcholine
A patient is scheduled for a laparoscopic cholecystectomy at 1000. In response to a question related to NPO status, the patient states she had a sip of water with her usual dose of metoprolol/hydrochlorothiazide at 0700. The perioperative nurse’s next response is to
proceed with the case as scheduled.
The OR receives a call from the emergency department that a trauma patient is en route to the hospital, and a description of the known injuries and the estimated time of arrival is provided. The perioperative nurse’s initial responsibilities are to
obtain equipment, instruments, and supplies that have a high probability of use.
The operating room is preparing to receive a patient who sustained several injuries from a car accident. Which of the following conditions should be given priority?
Subdural hematoma
