Exam 15: Care of Intraoperative Patients

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A nurse is monitoring a client after moderate sedation.The nurse documents the client's Ramsay Sedation Scale (RSS)score at 3.What action by the nurse is best?

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C

A client is scheduled for a below-the-knee amputation.The circulating nurse ensures the proper side is marked prior to the start of surgery.What action by the nurse is most appropriate?

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A

The circulating nurse and preoperative nurse are reviewing the chart of a client scheduled for minimally invasive surgery (MIS).What information on the chart needs to be reported to the surgeon as a priority?

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B

A student nurse observing in the operating room notes that the functions of the Certified Registered Nurse First Assistant (CRNFA)include which activities? (Select all that apply.)

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The circulating nurse is in the operating room and sees the surgeon don gown and gloves using appropriate sterile procedure.The surgeon then folds the hands together and places them down below the hips.What action by the nurse is most appropriate?

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A client is in stage 2 of general anesthesia.What action by the nurse is most important?

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A circulating nurse wishes to provide emotional support to a client who was just transferred to the operating room.What action by the nurse would be best?

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The circulating nurse reviews the day's schedule and notes clients who are at higher risk of anesthetic overdose and other anesthesia-related complications.Which clients does this include? (Select all that apply.)

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What actions by the circulating nurse are important to promote client comfort? (Select all that apply.)

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A client has developed malignant hyperthermia.The client weighs 136 pounds.What is the safe dose range for one dose of dantrolene sodium (Dantrium)? (Enter your answer using whole numbers,separated by a hyphen with no spaces.)_____ mg

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A client is having surgery.The circulating nurse notes the client's oxygen saturation is 90% and the heart rate is 110 beats/min.What action by the nurse is best?

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A client in the operating room has developed malignant hyperthermia.The client's potassium is 6.5 mEq/L.What action by the nurse takes priority?

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A client is having shoulder surgery with regional anesthesia.What actions by the nurse are most important to enhance client safety related to this anesthesia? (Select all that apply.)

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The nursing student observing in the perioperative area notes the unique functions of the circulating nurse,which include which roles? (Select all that apply.)

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A client has received intravenous anesthesia during an operation.What action by the postanesthesia care nurse is most important?

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The circulating nurse is plugging in a piece of equipment and notes that the cord is frayed.What action by the nurse is best?

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A circulating nurse has transferred an older client to the operating room.What action by the nurse is most important for this client?

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A client is having robotic surgery.The circulating nurse observes the instruments being inserted,then the surgeon appears to "break scrub" when going to the console and sitting down.What action by the nurse is best?

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