Intraoperative Nursing

Question 1

What is the benefit of reducing the time length of surgery?

Answer 1

It reduces risk of infection

Question 2

When does the intraoperative phase begin?

Answer 2

When you go through the OR doors to when you leave the OR doors

Question 3

Is the circulating nurse clean or sterile?

Answer 3

Clean!

Question 4

What is the main job of the circulating nurse?

Answer 4

They go and get supplies and makes sure the sterile field is not broken

Question 5

True or false:

The scrub role can only be a nurse

Answer 5

False!

It can be a nurse or a scrub tech

Question 6

How many counts are when in the surgical area?

Answer 6

3

Question 7

When is the first count of supplies done?

Answer 7

Before the surgery begins

Question 8

When is the second count of supplies happen?

Answer 8

When the surgery is complete

Question 9

When is the last count of supplies happen?

Answer 9

After the patient is closed

Question 10

What happens during the time out?

Answer 10

The patient, surgery, area of body and correct doctor are all verified.

Question 11

Who physically counts the supplies?

Answer 11

The scrub role

Question 12

Who repeats back the count and records the count?

Answer 12

The circulating nurse

Question 13

What is an open surgical procedure?

Answer 13

The incision is open and the surgeons HANDS are inside

Question 14

What is a laparoscopic surgery?

Answer 14

2-3 small incisions are made and hands DO NOT go in

Question 15

What are the benefits of laparoscopic surgeries?

Answer 15

Less invasive, quicker recovery, decreased risk of SSI and blood loss.

Question 16

True or False:

The longer the procedure the greater risk of hyperthermia?

Answer 16

False:

The patient is at a greater risk for hypothermia due to the decreased temperature of the room and greater blood loss.

Question 17

If a patient is in surgery for this amount of time or longer than need to wear SCDS

Answer 17

30 minutes or more

Question 18

What does the suffix ectomy mean?

Answer 18

Removal of, surgical incision to remove

Question 19

What does the suffix ostomy mean?

Answer 19

Surgical creating of a permanent opening.

Question 20

What does the suffix plasty mean?

Answer 20

Surgical repair or reconstruction of

Question 21

What does the suffix scopy mean?

Answer 21

Use of a scope to view or look into an area. Usually done laparoscopic.

Question 22

True or False:

The circulating nurse is responsible for monitoring the surgical team?

Answer 22

True.
The circulating nurse is responsible for monitoring the surgical team-they provide thorough documentation about the intraoperative period.

Question 23

How many deep breaths do you need to take before you cough to clear the anesthesia from their alveoli?

Answer 23

3

Question 24

Do older people need more or less anesthesia than a middle aged adult.

Answer 24

Less

Question 25

What areas of the body are considered sterile?

Answer 25

Front, above the waist, and 2 inches above the elbow.

Question 26

What age range are more susceptible to complications during surgery?

Answer 26

Pediatrics and older adults

Question 27

What range of BMI’s are more susceptible to complications?

Answer 27

Very low 18 or less and very high 30 or more

Question 28

Where is the unrestricted zone in the surgical environment?

Answer 28

Outside of the OR

Question 29

Where is the semi restricted zone of the surgical environment?

Answer 29

The scrub area

Question 30

Where is the restricted zone of the surgical environment?

Answer 30

In the OR room itself

Question 31

If you are not part of the surgical team what do you need to wear in order to enter the OR?

Answer 31

A bunny suit

Question 32

What needs to be on top of the tables in order to be considered sterile?

Answer 32

A blue drape

Question 33

How do the items need to be dispensed in order to preserve sterility?

Answer 33

The hands need to be behind the package when opening in order to keep sterility,.

Question 34

In terms of maintaining sterility- what are the movements of the surgical team?

Answer 34

Sterile to sterile. Unsterile to unsterile.

Question 35

How far away is movement allowed to be in order to maintain a sterile field?

Answer 35

1 foot distance

Question 36

If the sterile area is breached what is it considered?

Answer 36

Contaminated

Question 37

If the circulating nurse is unsure of the sterility of an object what is that object now considered?

Answer 37

Contaminated

Question 38

When do you start the preparation of the surgical site?

Answer 38

Just prior to sterile draping of the client

Question 39

When prepping the surgical site what direction do they move in?

Answer 39

Start at the incision site and move outward

Question 40

What is used to prep the surgical site?

Answer 40

Clorhexadine

Question 41

What is the patient at risk for if they are nauseous or vomiting?

Answer 41

Aspiration

Question 42

Why should the patient avoid consuming anything red prior to surgery?

Answer 42

So it is not mistaken for blood in the case of vomiting

Question 43

What are the symptoms of malignant hyperthermia?

Answer 43

Tachycardic- 150 or higher
Rigid muscles
Increased Temp - as high as 107

Question 44

Why are fires a risk in the OR?

Answer 44

Combustible skin cleansing solution + sparks + O2 = surgical fire

Question 45

True or false:
The most frequent early sign for a patient at risk for malignant hyperthermia subsequent to general anesthesia is bradycardia.

Answer 45

False:

They become tachycardic

Question 46

Why would a sore throat and cracked or chipped teeth be a adverse effect of surgery?

Answer 46

Due to the patient being intubated

Question 47

True or False:

The OR is all latex free?

Answer 47

True

Question 48

Why would a light restraint need to be used on a patient during surgery?

Answer 48

An excitement stage occurs due to an adverse reaction the anesthesia.

Question 49

What does the lab do with the patients blood prior to surgery?

Answer 49

They type and cross match it.