Deck 37: Intraoperative Care

Question 1

Which of the following are principles of sterile procedure? (Select all that apply.)

A)Gowns are sterile from the chest and shoulder to table level.
B)Sterile persons must keep hands in view and above the waist and below the neck.
C)Sterile persons must fold arms across chest with hands tucked into the axillary region.
D)Unscrubbed persons must stay at least 6 inches away from the sterile field.
E)Sterile persons may position themselves with their back to the sterile field.

Answer 1

Gowns are sterile from the chest and shoulder to table level.
Sterile persons must keep hands in view and above the waist and below the neck.

Question 2

While the patient is in the OR and the OR team is gowned and gloved, the nurse recommends completion of a safety checklist.The nurse understands that the checklist verifies which of the following? (Select all that apply.)

A)Patient identity
B)Patient allergies
C)Accurate marking of surgical site
D)Patient cultural preferences
E)Questions posed by the patient

Answer 2

Patient identity
Patient allergies
Accurate marking of surgical site

Question 3

The charge nurse is assigning members of the surgical team; the nurse recognizes that which member is responsible for ensuring preoperative and postoperative patient management in collaboration with other health care providers?

A)RN
B)LPN
C)Circulating RN
D)RNFA

Answer 3

RNFA

Question 4

The charge nurse is assigning duties in the surgical arena.Which member of the surgical team should be assigned to the role of circulating nurse?

A)Registered nurse (RN)
B)Licensed practical nurse (LPN)
C)Certified surgical technologist (CST)
D)Licensed nursing assistant

Question 5

Through the use of an antimicrobial agent and sterile brushes or sponges, which of the following occurs? (Select all that apply.)

A)Debris and transient microorganisms are removed from the nails, hands, and forearms.
B)The resident microbial count is reduced to a minimum.
C)The skin is sterilized.
D)Rapid/rebound growth of microorganisms is inhibited.
E)The need to wash between patients is reduced.

Question 6

The nurse recognizes that evidence-based care is appropriate when the nurse witnesses the surgeon take which step?

A)Washing hands for a minimum of 15 minutes with soap and water
B)Using alcohol hand scrub for 15 minutes
C)Using alcohol combined with chlorhexidine gluconate hand scrubs
D)Using a combination of soap and alcohol as a scrub

Question 7

The _______________ phase begins when the patient enters the operating room suite and ends with admission to the postanesthesia care unit (PACU).

Question 8

When one prepares to enter the operating room, which technique demonstrates the safest outcome?

A)Keeping the hands below the elbows
B)Applying surgical gloves before the scrub
C)Scrubbing for at least 3 to 5 minutes with an antimicrobial
D)Drying the hands and arms, starting at the elbow and moving toward the fingers

Question 9

While supervising the surgical team, the charge nurse notices that a team member's nails are long and chipped.Which action should the nurse take next?

A)Allow the team member to complete the task.
B)Remove the team member to have the nails cut.
C)Turn the team member in to the RNFA.
D)Ask the team member why the nails are long and chipped.

Question 10

The consequences of double gloving during surgery include which of the following? (Select all that apply.)

A)Decreased need for handwashing
B)Decreased risk for exposure to bloodborne pathogens
C)Increased perforations to the innermost glove
D)Decreased risk for surgical wound infection
E)Increased patient cost

Question 11

Who of the following can assume the role of the scrub nurse/assistant? (Select all that apply.)

A)RN
B)LPN
C)CST
D)Licensed nursing assistant
E)Medical transcriptionist

Question 12

The scrub nurse's hands are being washed in preparation for a surgical procedure.As the nurse finishes, the scrub nurse accidentally touches the faucet with one hand.Which action should the nurse take next?

A)Apply sterile gloves.
B)Apply a sterile gown.
C)Apply a sterile mask.
D)Wash her hands.

Question 13

The ________________ is a "sterile" team member who provides the surgeon with instruments and supplies, disposes of soiled sponges, and accounts for sponges, sharps, and instruments in the surgical field.

Question 14

When planning care for a surgical patient, the nurse implements which technique to maintain sterility in the operating room?

A)Keeps the hands below the waist
B)Tucks the hands under the axilla
C)Uses sterile gloved hands to move a sterile drape under a table
D)Has anyone who is unscrubbed stay at least 1 foot away from the sterile field

Question 15

The _________________ is a nurse with advanced education who assists the surgeon with the surgical procedure, performing a combination of nursing and delegated medical functions and/or skills.

Question 16

The surgeon is about to finish surgery and requests a sponge count.Who would normally perform this task? (Select all that apply.)

A)Scrub nurse
B)Registered nurse first assistant
C)Circulating nurse
D)Certified registered nurse anesthetist
E)Surgical technician

Question 17

When evaluating a health care team member's ability to put on a sterile gown and perform closed gloving, it is most important for the nurse to assess for which outcome?

A)Opening the sterile gown pack on a sterile surface
B)Holding the gown close to the body before applying
C)Having the circulating nurse tie the gown at the hip
D)Keeping the hands inside the sleeves of the gown until the gloves are applied

Question 18

Which of the following is true about the circulating nurse's primary responsibility?

A)She is a "sterile" member of the surgical team.
B)She provides the surgeon with instruments.
C)She is a "nonsterile" member of the surgical team.
D)She performs delegated medical functions or skills.

Question 19

When planning care for a surgical patient, which nursing diagnosis has the highest priority?

A)Risk for infection
B)Risk for constipation
C)Risk for falls
D)Risk for knowledge deficit

Question 20

Which of the following are sources of contamination in the operating room? (Select all that apply.)

A)A wristwatch
B)Chipped nail polish
C)Artificial fingernails
D)Abrasions on the hands
E)Tattoos to the arms