NUR 340 Prep U (Chapter 18-Intraoperative Nursing Management) Questions and Correct Answers
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Course
NUR 340
Institution
NUR 340
A client is scheduled for a prostatectomy, and the anesthesiologist plans to use a spinal (subarachnoid) block during surgery. In the operating room, the nurse positions the client according to the anesthesiologist's instructions. Why does the client require special positioning for this type of ane...
NUR 340 Prep U (Chapter 18-
Intraoperative Nursing Management)
Questions and Correct Answers
A client is scheduled for a prostatectomy, and the anesthesiologist plans to use a spinal
(subarachnoid) block during surgery. In the operating room, the nurse positions the
client according to the anesthesiologist's instructions. Why does the client require
special positioning for this type of anesthesia?
A. To prevent confusion
B. To prevent seizures
C. To prevent cerebrospinal fluid (CSF) leakage
D. To prevent cardiac arrhythmias ✅C
Which of the following is an inappropriate nursing action by the surgical nurse?
A. Covering the hair with a surgical cap
B. Wearing a surgical jacket with knitted cuffs on the sleeves
C. Wearing sterile gloves over artificial nails
D. Changing shoe covers that become torn ✅C
The client vomits during the surgical procedure. The best action by the nurse is:
A. Increase the IV infusion rate to compensate for lost fluids.
B. Suction the client to remove saliva and gastric secretions.
C. Lower the head of the operating table to promote circulation to the brain.
D. Administer an anti-emetic to alleviate nausea. ✅B
The circulating nurse must be vigilant in monitoring the surgical environment. Which of
the following actions by the nurse is inappropriate?
A. Monitor for faulty electrical equipment.
B. Alert personnel who break sterile technique.
C. Allow unnecessary personnel to enter the OR environment.
D. Maintain the positive pressure OR environment. ✅C
The surgical client has been intubated and general anesthesia has been administered.
The client exhibits cyanosis, shallow respirations, and a weak, thready pulse. The nurse
recognizes that the client is in which stage of general anesthesia?
A. Stage I
B. Stage II
C. Stage III
, D. Stage IV ✅D
Stage IV: medullary depression is characterized by shallow respirations, a weak,
thready pulse, dilated pupils that do not react to light, and cyanosis.
As a circulating nurse, what task are you solely responsible for?
A. Keeping records.
B. Estimating the client's blood loss.
C. Handing instruments to the surgeon.
D. Counting sponges and needles. ✅A
The circulating nurse wears OR attire but not a sterile gown. Responsibilities include
obtaining and opening wrapped sterile equipment and supplies before and during
surgery, keeping records, adjusting lights, receiving specimens for laboratory
examination, and coordinating activities of other personnel, such as the pathologist and
radiology technician. It is the responsibility of the scrub nurse to hand instruments to the
surgeon and count sponges and needles. It is the responsibility of the surgeon to
estimate blood loss.
A nurse who is part of the surgical team is involved in setting up the sterile tables. The
nurse is functioning in which role?
A. Registered nurse first assistant
B. Scrub role
C. Circulating nurse
D. Anesthetist ✅B
The scrub role includes performing a surgical hand scrub, setting up the sterile tables,
and preparing sutures, ligatures, and special equipment. The circulating nurse manages
the operating room and protects patient safety. The registered nurse first assistant
functions under the direct supervision of the surgeon. Responsibilities may include
handling tissue, providing exposure of the operative field, suturing, and maintaining
hemostasis. The anesthetist administers the anesthetic medications.
A patient is in the operating room for surgery. Which individual would be responsible for
ensuring that procedure and site verification occurs and is documented?
A. Circulating nurse
B. Scrub nurse
C. Surgeon
D. Registered nurse first assistant ✅A
The circulating nurse is responsible for ensuring that the second verification of the
surgical procedure and site takes place and is documented. Each member of the
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