While completing the preoperative assessment, a nurse notices the pt R knee has been marked by
the surgeon but the pt is scheduled for the L Knee
... [Show More] arthroplasty. What is the best action for the nurse?
Correct Answer: verify with the surgeon
A pt age 7 is scheduled for a tonsillectomy and adenoidectomy at the ambulatory surgery center.
During the preoperative telephone interview, the mother asks the preoperative nurse if her daughter
will be able to take her favorite stuffed animal into the OR. Which of the following is the best response
based on the child's developmental level Correct Answer: we will make sure the toy stays with your
daughter until the anesthetic takes effect
The perioperative registered nurse notes that the pt is taking garlic as a prophylactic cold remedy.
This information is reported to which of the following health care providers? Correct Answer:
Anesthesia care provider, because garlic can prolong bleeding
A pt who has just received a local anesthetic block is beginning to demonstrate decreased breathing
rate & depth, tremors, and muscle twitching, the nurse should suspect a/an Correct Answer: toxic
reaction to the local anesthesia
the perioperative nurse can expect the would /ostomy/continence nurse to mark the site for the stoma
for a colostomy at Correct Answer: rectus muscle
During a local procedure, the nurse notices that the pt is exhibiting a sense of uneasiness, agitation,
coughing & wheezing. The nrse should suspect a/an Correct Answer: allergic reaction to the local
anesthesia
the 3 tops risk factors associated w/ pt falls are medications, gait, and Correct Answer: previous fall
normal hematocrit for pt age 10 years ranges from Correct Answer: 34-40%
universal protocol is a process to keep pt safe in surgery. Verbal confirmation is performed at 3 points
during the perioperative period. Which of the following is identified as 1 of the 3 critical points?
Correct Answer: sign in before induction of anesthesia
a 12 year old boy is scheduled for srgery to repair a fracture to the knee involving the epiphyseal
plate. The perioperative nurse recognizes the primary complication resulting from the injury is Correct
Answer: impaired growth to the affected leg
a pt suffers a cardiac arrest following the injection of bupivacaine 0.5% w/ epi 1:200,000 25 mL as a
peripheral nerve block for L knee arthroscopy. The perioperative nurse can anticipate obtaining which
of the following drugs for the anesthesia care provider? Correct Answer: 20% lipid emulsion
Which of the following is an assessment parameter monitored through the use of perioperative nurse
process? Correct Answer: documentation of potential needs
preoperative pt assessment of the use of herbs is an important function of the perioperative nurse so
that Correct Answer: the appropriate healthcare provider can be notified of potential risks to the
surgical procedure
which electrolyte is important to check preoperatively after bowel prep the day before? Correct
Answer: Potassium
AORN peripoperative nursing data set (PNDS) is the structured nursing vocabulary designed to
describe nursing care in the perioperative setting. At the core of the PNDS conceptual model is the
Correct Answer: patient
What Is Defined As The Standardized Process To Keep Patients Safe In Surgery? Correct Answer:
Universal protocol
The purpose of witnessing a surgical consent is to attest to which of the following? Correct Answer:
the signature was voluntary and not coerced
Which one of the following antibiotics can potentiate neuromuscular blocking agents? Correct
Answer: piperacillin
Universal protocol is Correct Answer: a standardized means for ensuring pt safety during surgery
during the discharge medication reconciliation process, the postanesthesia care unit nurse educates
the pt and family members to Correct Answer: use 1 pharmacy for filling all prescriptions and OTC
medications
a pt scheduled for an emergency hip arthroplasty has a preoperative prothrombin result of 12
seconds. The best action of the RN circulator is to Correct Answer: inform the surgical team and
transport the patient to the OR suite
During the preoperative assessment, the pt states that "donor-directed" RBCs are available and
should be sued if a blood transfusion is necessary. Which of the following is accurate about donor
directed RBCs? Correct Answer: donated blood is tested and processed by the blood bank
What is the physiological change associated w/ the normal aging process in geriatric pt? Correct
Answer: increased vascular resistance
during the preoperative assessment, the perioperative nurse notes on the history & physical that the
pt has an entrapped median nerve on the volar surface of the wrist secondary to her work as an IT
specialist. The nurse will set up for which of the following procedures? Correct Answer: carpal tunnel
repair
which of the following pt is at increased risk of inadvertent hypothermia? Correct Answer: 82 year old
undergoing colectomy
pt is admitted from a long term facility with a fractured hip. The pt has a " do not resuscitate" (DNR)
order in his medical record. The perioperative nurse's next action is to Correct Answer: ensure that
the pt, anesthesia care provider & surgeon have an opportunity to discuss options and answer
questions
It is the responsibility of the _____ to obtain informed consent for a proposed surgical procedure
Correct Answer: practitioner performing the procedure
a form of standardized language in the perioperative setting is reinforced by the use of which
documentation format? Correct Answer: PNDS
Pneumatic tourniquet inflation pressures are determined by Correct Answer: systolic BP, age of pt, &
circumference of extremity
placing sequential compression devices ( SCDs) on a pt legs preoperatively addresses which of the
following risk factors for the development of deep vain thrombosis (DVT)? Correct Answer: venous
stasis
a pt is scheduled for a laparoscopic cholecystectomy at 1000. In response to a question related to
NPO status, the pt states she had a sip of water with her usual dose of
metoprolol/hydrochlorothiazide at 0700. The perioperative nurse's next response is to: Correct
Answer: proceed with the case as scheduled
bone wax should be immediately available for craniotomies conducted in the Fowler position because
of this position's increased risk for: Correct Answer: air embolus
for a pt with a history of serum cholinesterase deficiency, which of the following anesthetic agents
should be avoided? Correct Answer: succinylcholin
the perioperative registered nurse is caring for a developmentally delayed male pt aged 46 years
whose cognitive level is comparable to a child aged 9 years.Which of the following is the most
appropriate pain assessment tool? Correct Answer: using a FACES pain rating scale
Pt with a possible injury within the cranium should not be placed in a ____ position unless absolutely
necessary Correct Answer: Trendelenburg
Which of the following is an example of education using the pt centered care approach? Correct
Answer: call the dr if the blood on your dressing is bigger than a fifty cent piece
greatest risk for transmitting the HIV virus is through exposure Correct Answer: to infected blood or
body fluids via a large bore hollow needle
which of the following complementary therapies may provide relief for postoperative nausea &
vomiting? Correct Answer: peppermint aromatherapy
the major benefit of using the Perioperative Nursing Data set (PNDS) is its Correct Answer: ability to
document pt care that is unique to perioperative nursing
pt preoperative health assessment form indicates that he uses a continuous positive airway pressuse
(CPCP) machine at night for sleep apnea. The perioperative nurse knows to transfer this information
to the postanesthesia care unit (PACU) nurse so that the pt can be monitored more closely for signs
& symptoms of : Correct Answer: hypoxia
administration of the preoperative prophylactic antibiotic is the responsibility of Correct Answer: a
designated perioperative health care provider
compared to adults, infants are at increased risk for hypothermia due to Correct Answer: increased
body surface area to weight ratio
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