Question 1

The nurse would be concerned that a patient may have a latex allergy if the patient reports allergy to which food?

Accepted Answer

Patients with latex allergy may also have cross-reactivity to avocados, bananas, kiwis, chestnuts, and other fruits and vegetables. Therefore, reporting an allergy to avocados suggests a possible latex allergy. Allergies to strawberries, eggs, and peanuts are not typically associated with latex allergy.

Question 2

A patient has been received in the preoperative holding area. Which interventions will the nurse perform in this environment?. Select all that apply.

Accepted Answer

These interventions are all part of the preoperative holding area nurse's role in preparing the patient for surgery.

Question 3

The certified nurse anesthetist suspects a patient is experiencing malignant hyperthermia and will administer dantrolene sodium 3 mg/kg IV. The patient's documented weight is 143 pounds. The nurse will administer _____ mg in the first bolus.

Accepted Answer

The answer of The certified nurse anesthetist suspects a patient...

Question 4

Nurses who work in the operating room are asked to help design a new preoperative holding area. Which suggestions should the nurses offer?. Select all that apply.

Accepted Answer

B) The room should be behind a securable door to ensure patient privacy and safety.
C) The room should be located on the quieter side of the surgical area to minimize distractions and noise.
E) There should be space for an emergency medical cart with a defibrillator to quickly respond to any emergencies that may arise.

A) Colors for the room should be bright and lively and D) The room should be centrally located with windows into the operating theaters are not necessary or practical suggestions for a preoperative holding area.

Question 5

According to national guidelines for surgical wound classification, the nurse would classify which wounds as contaminated?. Select all that apply.

Accepted Answer

These wounds are contaminated because they have been exposed to bacteria from the environment or from the patient's own body.

Question 6

Which nursing actions indicate that a nurse has developed a "surgical conscience"? Select all that apply.

Accepted Answer

A surgical conscience involves maintaining strict adherence to sterile techniques and protocols. Stopping a surgeon from using a contaminated instrument (A) and changing gloves when contamination occurs (D) are actions that demonstrate this commitment to patient safety and infection control.

Question 7

The patient has a documented allergy to latex. Which nursing actions are indicated?

Accepted Answer

Using a stopcock for the injection of intravenous drugs will minimize the patient's exposure to latex, as the stopcock can be made of a different material. The other options would increase the risk of the patient having an allergic reaction.

Question 8

The patient is scheduled for an operative procedure that will require placement of an additional IV line, an indwelling urinary catheter, and a nasogastric tube. The nurse should advocate for these lines to be placed at what time?

Accepted Answer

Placing an additional IV line, an indwelling urinary catheter, and a nasogastric tube after general anesthesia has been induced is preferred to minimize discomfort and anxiety for the patient.

Question 9

The nurse in the preoperative holding area is checking to see if the correct patient has been transferred for the next surgical case. What questions would the nurse ask?. Select all that apply.

Accepted Answer

The answer of The nurse in the preoperative holding area...

Question 10

The certified nurse anesthetist has administered succinylcholine to a patient during surgery. The surgery has ended and the patient is awakening. The nurse would evaluate which findings as indicating recovery from this agent?. Select all that apply.

Accepted Answer

The answer of The certified nurse anesthetist has administered succinylcholine...

Quiz 18: Intraoperative Nursing