Exam (elaborations)
Perioperative Nursing - Davis Edge Questions and Answers
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Perioperative Nursing - Davis Edge
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Perioperative Nursing - Davis EdgeWhich surgical team member performs the role of coordinating all activities in the
operating room?
1.
Anesthetist
2.
Scrub nurse
3.
Circulating nurse
4.
Registered nurse first assistant - answer Circulating nurse
Which type of surgery is performed within 24 to 48 hours to alleviate symptoms, repair a
body part, or restore function?
1.
Emergency surgery
2.
Urgent surgery
3.
Elective surgery
4.
Scheduled surgery - answerUrgent surgery
Which interventions are most important for the nurse to include in the plan of care for a
client who underwent cardiac bypass surgery in order to prevent respiratory
complications? Select all that apply.
1.
Auscultate lung sounds every 4 hours.
2.
Instruct on the use of the incentive spirometer.
3.
Assist the client to ambulate the halls.
4.
Apply sequential compression devices.
5.
Monitor intake and output. - answerAuscultate lung sounds every 4 hours.
Instruct on the use of the incentive spirometer.
Assist the client to ambulate the halls.
The nurse is caring for a client who was just brought to the postanesthesia care unit.
Which assessment finding made by the nurse requires immediate intervention?
,1.
Oxygen saturation of 78%
2.
Client reports of nausea
3.
Hypoactive bowel sounds
4.
Trace amount of pedal edema - answerOxygen saturation of 78%
A client is about to go to the preoperative holding area and is given a strong narcotic
sedating agent. The spouse accompanies the client to the holding area. Once there, the
surgeon goes over the informed consent and asks for a signature. What should occur in
this scenario?
1.
The client should sign the form.
2.
The client's spouse should sign the form.
3.
The nurse should document "unable to sign" and initial the form.
4.
The physician should wait until the sedative has worn off to obtain informed consent. -
answerThe client's spouse should sign the form.
The nurse is supervising a student nurse preparing a client for surgery. Which action
made by the student nurse requires intervention by the nurse?
1.
Cleaning the surgical site with povidone-iodine
2.
Shaving the hair from the surgical site with a razor
3.
Verifying the client has signed the surgical consent form
4.
Making sure the client has removed jewelry and dentures - answerShaving the hair from
the surgical site with a razor
Which type of surgery is an appendectomy?
1.
Ablative
2.
Diagnostic
3.
Palliative
4.
Procurement - answerAblative
, Which would be an appropriate nursing action when taking a frightened child to the
operative suite?
1.
Do not allow parents in the room.
2.
Use medical terminology so the child will not understand.
3.
Allow the child to bring a toy.
4.
Do not inform children of what to expect, as this could increase anxiety. - answerAllow
the child to bring a toy
Which measures can be taken to prevent wrong-site, wrong-client, wrong-procedure
surgical errors? Select all that apply.
1.
Mark the surgical site.
2.
Review the consent form.
3.
Use a preoperative checklist.
4.
Perform a preoperative time out.
5.
Give a comprehensive hand-off report. - answerMark the surgical site.
Use a preoperative checklist.
Perform a preoperative time out.
The nurse is caring for a client who underwent an abdominal surgery 2 days ago and
still has a nasogastric tube hooked up to low intermittent wall suction. Which
assessment finding indicates the client is experiencing complications from the
nasogastric tube?
1.
Wound infection
2.
Pain in the right calf
3.
Cardiac dysrhythmias
4.
Low oxygen saturation - answerCardiac dysrhythmias
Rationale: Cardiac dysrhythmias occur from low potassium. A client who has a
nasogastric tube with drainage is at risk for hypokalemia.
Which types of anesthesia allow the client to remain conscious? Select all that apply.
1.
Local anesthesia
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