Some lifetime habits and hobbies affect postoperative respiratory function. If your client smokes 3 packs of cigarettes a day for the past 10 years, you will anticipate increased risk for: A. perioperative anxiety and stress B. delayed coagulation time C. delayed wound healing D. postoperative respiratory function The OR team performs distinct roles for one surgical procedure to be accomplished within a prescribed time frame and deliver a standard patient outcome. While the surgeon performs the surgical procedure, who monitors the status of the client like urine output, blood loss? A. Scrub Nurse B. Surgeon C. Anesthesiologist D. Circulating Nurse As a nurse you know you can improve on accuracy of patient's identification by 2 patient identifiers. EXCEPT: A. Call the client by his/ her case and bed number B. Identify the clieny by his/her wrist tag and verify with family members C. Identify client by/her wrist tag and call his/her by name D. Call the patient by his/her name and bed numberPain in Ortho eases may not be mainly due to the surgery. There might be other factors such as cultural or psychological that influence pain. How can you alter these factors as the nurse? A. Stay with the client during pain episodes B. Promote client's sense of control and participation in pain control by listening to his concerns C. Establish trusting relationship by giving his medication on time D. Explain all the possible interventions that may cause the client to worry Surgeries like | and D (incision and drainage) and debridement are relatively short procedures but considered ‘dirty cases’. When are these procedures best scheduled? A. Last case B. In between cases C. According to availability of anaesthesiologist D. According to the surgeon's preference To prevent complications of immobility, which activities would the nurse plan for the first postoperative day after a colon resection? A. Turn, cough, and deep breathe every 30 minutes around the clock B. Get the client out of bed and ambulate to a bedside chair C. Provide passive range of motion three times a day D. It is not necessary to worry about complications of immobility on the first postoperative day The nurse will provide preoperative teaching on deep breathing, coughing and turning pot exercises. When is the best time to provide the preoperative teachings? A. Before administration of preoperative medications B. The afternoon or evening prior to surgery C. Several days prior to surgery D. Upon admission of the client in the recovery roomWhich of the following is the primary purpose of maintaining NPO for 6 to 8 hours before surgery? A.) To prevent malnutrition B.) To prevent electrolyte imbalance C.) To prevent aspiration pneumonia D.) To prevent intestinal obstruction When surgery is on-going, who coordinates the activities outside, including the family? A. Orderly/clerk B. Nurse supervisor C. Circulating nurse D. Anaesthesiologist Which drugs is administered to minimize respiratory secretions preop? A. Valum (diazepam) B. Phenergan (promethazine) C. Atropine sulfate D. Demerol (meperidine) The nurse is preparing the preoperative client for surgery. The following statements that indicate the client is knowledgeable about his impending surgery, except: A. “After surgery, | will need to wear the pneumatic compression device while sitting in the chair” B. “The skin prep area is going to be longer and wider than the anticipated incision” C. “I cannot have anything to drink or eat after midnight on the night before the surgery” D. “To ensure my safety, a ‘time out’ will be conducted in the operating room”The diabetic patient who had undergone abdominal surgery experiences wound evisceration. Which of the following is the most appropriate immediate nursing action? A. Cover the wound with sterile gauze moistened with sterile normal saline B. Cover the wound with sterile dry gauze C. Cover the wound with water-soaked gauze D. Leave the wound uncovered and pull the skin edges together A client is scheduled for surgery in the morning. Preoperative orders have been written. What is most important to do before surgery? A. Remove all jewelries or tape wedding ring B. Verify that all laboratory work is complete C. Inform family or next of kin D. Have all consent forms signed Concerted work efforts among members of the surgical team is essential to the success of the surgical procedure. The sterile nurse or sterile personnel touch only sterile supplies and instruments. When there is a need for sterile supply which is not in the sterile field, who hands out these items by opening its outer cover? A. Circulating Nurse B. Anaesthesiologist C. Surgeon D. Nursing Aide Which of the following items on a client's presurgery laboratory results would indicate 1 point a need to contact the surgeon? A. Platelet counr of 250,000/cu.mm B.total cholesterol of 325 mg/dl C. Blood urea nitrogen (BUN) 17 mg/dl D. Hemoglobin 9m5 mg/dlWhich of the following factors ensure validity of informed written consent, except: A. The patient is of legal age with proper mental disposition B. If the patient is a child, secure consent from the parents or legal guardian C. The consent is secured before administration of preoperative medications D. If the patient is unable to write, the nurse signs the consent for the patient The patient had undergone a total hip replacement. He complains of pain in the operative site. Which of the following is the appropriate initial nursing action? A. Administer the ordered analgesic B. Instruct the patient to do deep breathing and coughing exercises C. Assess the patient's pain level and vital signs D. Change the patient's position Itis also the nurse's function to determine when infection is developing in the surgical incision. The perioperative nurse should observe for what signs of impending infection? A. Localized heat and redness B. Serosanguinous exudates and skin blanching C. Separation of the incision D. Blood clots and scar tissue are visible The nurse is transferring the patient from the postanesthesia care unit to the surgical unit. Which of the following is the primary reason for gradual change of position of the patient? A. To prevent muscle injury B. To prevent sudden drop of blood pressure C. To prevent respiratory distress D. To promote comfortNurses hold a variety of roles when providing care to a perioperative patient. Which of the following role would be the responsibility of the scrub nurse? A. Assess the readiness of the client prior to surgery B. Evaluate the type of anaesthesia appropriate for the surgical client C. Account for the number of sponges, needles, supplies used during surgical procedure D ensure that airway is adequate In the recovery room, the postoperative client suddenly becomes cyanotic. What is the most appropriate nursing action? A. Start administration of oxygen through a nasal cannula B. Call for assistance C. Reposition the head and determine patency of airway D. Insert an oral airway and suction the nasopharynx In massive blood loss. prompt replacement of compatible blood is crucial. What department needs to be alerted to coordinate closely with the patient's family for immediate blood component therapy? A. Chaplaincy B. Security division C. Pathology department D. Social service section In the OR, there are safety protocols that should be followed. The OR nurse should be 1 poin well versed with all these to safeguard the safety and quality to patient delivery outcome. Which of the following should be given highest priority when receiving patient in the OR? A.assess vital signs B. Verify patient identification and informed consent C. Assess level of consciousness D check for jewelry, gown, manicure and dentureThe nurse is admitting a patient to the operating room. Which of the following nursing actions should be given highest priority by the nurse? A. Assessing the patient's level of consciousness B. Checking the patient's vital signs C. Checking the patient's identification and correct operative permit D. Positioning and performing skin preparation to the patient Surgery schedules are communicated to the OR usually a day prior to the procedure by the nurse of the floor or ward where the patient is confined. For orthopedic cases, what department is usually informed to be present in the OR? a. Rehabilitation department b. Laboratory department c. Maintenance department d. Radiology department Which of the following is most dangerous complication during induction of spinal anesthesia?" A. Cardiac arrest B. Hypotension C. Hyperthermia D respiratory paralysis Which of the following assessment data is most important to determine when caring for a patient who has received spinal anesthesia? A. The time of return of motion and sensation in the patient's legs and toes B. The character if the patient’s respiration C. The patient's level of consciousness D. The amount of wound drainageWhich of the following would be an appropriate expected outcome for an elderly client recovering from bacterial pneumonia? A. Arespirtory rate of 25 to 30 breaths per minute B. The ability to perform ADL's without dyspnea C. Amaximum loss of 5 to 10 pounds of body weight D. Chest pain that is minimized by splinting the ribcage A nurse is assessing a female client with multiple trauma who is at risk for developing 1 point acute respiratory distress syndrome. The nurse assesses for which earliest sign of acute respiratory distress syndrome? A. Bilateral wheezing B. Inspiratory crackles C. Intercostal retractions D. Increased respiratory rate The nurse obtains a sputum specimen from a client with suspected TB for laboratory 1 point study. Which of the following laboratory techniques is most commonly used to identify tubercle bacilli in sputum? A. Sensitivity testing B. Agglunitnation testing C. Acid-fast staining D. Dark-field illumination