B) Pulmonary edema
C) Cerebral ischemia
D) Increased ability to resist stress
A) Monitoring the patient and documents
B) Estimating the patient's blood loss
C) Setting up the sterile tables
D) Keeping track of drains and sponges
B) Hanging IV fluids
C) Giving blood
A) A 72-year-old woman
B) A 17-year-old boy
C) A 45-year-old woman
D) A 12-year-old girl
A) Last bowel movement
B) Latex allergy
C) Number of pregnancies
D) Difficulty falling asleep
A) Reusable shoe covers
B) Mask covering the nose and mouth
A) Sterile surfaces or articles may touch other sterile surfaces.
B) Sterile supplies can be used on another patient if the packages are intact.
C) The outer lip of a sterile solution is considered sterile.
D) The scrub nurse may pour a sterile solution from a nonsterile bottle.
A) Rub the patient's back
B) Restrain the patient
C) Encourage the patient to express feelings
D) Stroke the patient's hand
A) The tube provides an airway for ventilation.
B) The tube protects the esophagus.
C) The patient may receive an anti-emetic through the tube.
D) The patient's heart rate can be monitored with the tube.
A) Never be left unattended by the nurse
B) Receive an anti-emetic
C) Remember most of the procedure
D) Be able to maintain his or her own airway
A) Have the patient sit in a chair
B) Ambulate the patient
C) Limit fluids
D) Keep the patient lying flat
B) Inguinal hernia repair
C) Breast reduction
D) Closed reduction of a right humerus
A) The patient should be placed in Trendelenburg position.
B) The patient must be firmly restrained at all times.
C) Pressure points should be assessed and well padded.
D) The preoperative shave should be done by the circulating nurse.
A) The patient may be nervous.
B) The patient may be at risk for developing malignant hyperthermia.
C) The grandmother's surgery has no relevance to the patient's surgery.
D) The patient may be at risk for hypothermia.
A) Ignore the comment because the patient is unconscious.
B) Discourage the comments.
C) Report the comment to the supervisor.
D) Realize humor is needed in the workplace.
B) Respiratory depression
C) A headache
D) Pain at the lumbar injection site
A) Apply povidone-iodine (Betadine) to that section of the gauze and continue packing the wound.
B) Pick up the gauze and continue packing the wound after irrigating the abdominal wound with Betadine solution.
C) Continue packing the wound and inform the physician that an antibiotic is needed.
D) Discard the gauze packing and repack the wound with new Iodoform gauze.
A) Holding sterile objects above the waist
B) Considering a 1 inch (2.5 cm) edge around the sterile field as being contaminated
C) Pouring solution onto a sterile field cloth
D) Opening the outermost flap of a sterile package away from the body
A) A surgical approach
B) A medical approach
C) An interdisciplinary approach
D) A nursing approach
A) Historical precedence
B) Patient request
C) Physician need
D) Evidence-based practice
B) Ability to communicate
C) Loss of pain sense
E) Normal vital signs
A) Malignant hypothermia
A) Progress notes
B) History and physical
C) Admission papers signed by patient
D) Intake and output record
A) Latex-allergy symptoms treated rapidly
B) Surgery unsuccessful
C) Maintenance of the patient's dignity
D) Complications treated rapidly
A) Talk slowly and softly
B) Use medically acceptable terms
C) Give pre-operative medications first
C) Dorsal recumbent
D) Malignant hyperthermia
A) Use of safety straps
B) Maintaining adequate pain medication
C) Maintaining patient's privacy
D) Decreasing risk of infection
A) Transsacral block
B) Brachial plexus block
C) Peudental block
D) Paravertebral block
A) Disturbed sensory perception
B) Risk for hypovolemia
C) Risk of latex allergy response
D) Disturbed body image
C) Malignant hyperthermia
A) Increased temperature
A) Improve safety of using medications
B) Reduce the risk of patient harm resulting from falls
C) Reduce the risk of health care–associated infections
D) Reduce the risk of surgical fires
A) The elderly patient has more boney prominences than a younger person.
B) The elderly patient has reduced ability to adjust rapidly to emotional and physical stress.
C) The elderly patient has impaired thermoregulatory mechanisms, which increase susceptibility to hyperthermia.
D) The elderly patient has an impaired ability to decrease his or her metabolic rate.
A) Teach the patient guided imagery
B) Assess the patient's coping strategies
C) Incorporate cultural, ethnic, and religious considerations as appropriate
D) Give him or her anti-anxiety medication
A) 2 feet
B) 18 inches
C) 1 foot
D) 6 inches
A) Recognize the signs and symptoms
B) Be knowledgeable about the protocol
C) Know how to call a code in the OR
D) Have the appropriate medication available
E) Direct the surgeon and anesthesiologist through the protocol
B) Needlestick injuries
C) Exposure to sterile fluids
D) Exposure to bodily fluids
A) Checking the patient's armband against his or her medical record
B) Respecting the patient's cultural values
C) Dehumanizing the patient
D) Maintaining the patient's privacy while he or she is awake
C) Anesthesia awareness
D) Moderate sedation