perioperative Flashcards
You are preparing a patient for surgery and have
asked her to verify her information on her patient
identification band. She tells you that the birth
date is incorrect on her identification band. The most
appropriate action by the nurse at this time is which
of the following?
A. Cross out the birth date and put the correct one in
its place with the nurse’s initials.
B. Ask the family members to validate the patient’s
birth date.
C. Call the surgeon’s office to validate the birth date.
D. Ask the admissions office to please send a corrected
identification band.
D
The nurse should report the following findings from
a patient’s history as an increased risk for DVTs
postoperatively. (Select all that apply.)
A. History of smoking
B. Age
C. History of DVTs with previous pregnancy
D. Borderline hypertension
E. Allergies
A, C, D
Which of the following patients presents the greatest
risk for a negative response to anesthesia?
A. A 40-year-old male with high blood pressure
B. A 20-year-old female with no prior surgical history
C. A 29-year-old female with a history of stage II
acute renal failure
D. An 85-year-old male who drinks one glass of
scotch every night
C
During the initial assessment and admission questions,
the nurse asks Maria for the time of her last oral
intake. The patient replies, “I had dinner last night at
8 p.m., but I took a few sips of water this morning
with my vitamins. The nurse’s best response is which
of the following?
A. Explain to the patient that just a sip of water
should not be a problem for anesthesia but that
the vitamins may be a problem. That information
will be passed on to the anesthesiologist.
B. Tell the patient that the sip of water is not an issue
because it was only a sip.
C. Inform the patient that her surgery will not be
performed today because the risk is too high for a
negative outcome.
D. Inform the patient that taking her vitamins before
surgery was a good plan.
A
Maria’s surgeon has asked that thromboembolic
stockings (TEDs) be placed on the patient before
surgery as well as sequential compression devices on
both legs to the knees. Maria asks the nurse what they
will do for her. Which response by the nurse is most
appropriate?
A. “They work together to make sure that you do not
have a decrease in arterial blood flow in your legs
during the surgery.”
B. “They complement each other to prevent blood
from backing up in your legs and causing a deep
vein thrombosis due to your immobility during the
surgery.”
C. “They prevent deep tissue clotting during the
surgery.”
D. “The two devices do the same thing, but one is
better during the surgery and the other is better
postoperatively.”
B
When planning discharge education for a 65-year-old
male who is having a hip replacement, it is appropriate
for the nurse to consider which of the following?
(Select all that apply.)
A. The patient’s resources at home for completing
activities of daily living
B. The number of stairs in the patient’s home
C. Transportation to follow-up appointments
D. Preexisting medical conditions
E. The number of bathrooms in the home
A, B, C, D
Which of the following is the identified leader of the
surgical team?
A. The circulating registered nurse
B. The anesthesia provider
C. The scrub nurse
D. The surgeon
D
The OR nurse is completing a perioperative assessment
for a patient who is scheduled for exploratory
surgery. Which of the following interventions must
be completed prior to this patient going into the OR?
(Select all that apply.)
A. Verify operative consent has been signed
B. Assure allergy and ID bands are in place
C. Removal of patient’s personal clothing
D. Determine evidence of advance directive
E. Validate completed patient history and physical
examination
F. Determine NPO status (last food/fluid consumed)
A, B, C, D, E, F
Which of the following is an example of a local
anesthetic?
A. Diazepam
B. Lidocaine
C. Pavulon
D. Morphine
B
Which of the following is an airway used to support
airway management? (Select all that apply.)
A. MAC
B. MH
C. LMA
D. ETT
E. PCP
C, D
The nurse caring for a patient in the supine position
on the OR table incorporates which nursing diagnosis
into the plan of care?
A. Risk for fluid volume deficit
B. Risk for knowledge deficit
C. Risk for aspiration
D. Risk for potential alteration in skin integrity
D
The nurse understands which actions are essential
when providing support to the intraoperative patient
and family during the OR experience? (Select all that
apply.)
A. Introduce the patient and family to the surgical
team members.
B. Give family members updates every 2 hours as
possible during the procedure.
C. Explain what to expect from the operative
experience.
D. Alert the family to mealtimes.
E. Explain that once the procedure is complete, the
surgeon will discuss surgery outcomes.
A, B, C
The nurse understands PACUs are designed for which
of the following?
A. Managing the transition from anesthesia to
long-term care
B. Managing the transition from anesthesia through
phase III of recovery
C. Managing the transition from anesthesia through
phase II of recovery
D. Managing the transition from anesthesia through
rehabilitation
C
The nurse understands that a patient undergoing right
upper lobe lobectomy requiring general anesthesia will
be recovered in which of the following settings?
A. Outpatient PACU
B. Procedure area PACU
C. Surgical center PACU
D. Inpatient PACU
D
The nurse understands the immediate postoperative
assessment upon admission to the PACU includes
which of the following? (Select all that apply.)
A. Medical history
B. Full system review
C. Neurological assessment
D. Blood pressure
E. Surgical site drainage
C, D, E
