Question 1

The nurse is caring for a patient in the operating suite.The nurse assists in positioning the patient to

Accepted Answer

Ideally the patient's position provides good access to the operative site,sustains adequate circulatory and respiratory function,and ensures patient safety and skin integrity.It should not impair neuromuscular structures.Warmth and comfort are always concerns,but the other options are more important because they relate to positioning.Positioning does not support the use of equipment,rather the use of equipment complements the position of the patient to maintain patient safety.

Question 2

The nurse is providing preoperative education and reviews with the patient what it will be like to be in the surgical environment.What points should the nurse include?

Accepted Answer

The operating suite itself is kept cool to decrease microbial growth,so it can be very cold to patients as they enter the suite,particularly with limited clothing.The surgical staff is dressed in special clothing,hats,and masks-all for infection control.Families are not allowed in the operating suite for several reasons,which include infection control and the emotional effect of seeing a loved one in that condition.The nurse is there as the coordinator and patient advocate during a surgical procedure.The rooms are very bright so everyone can see,and the operating table is very uncomfortable for the patient.

Question 3

The nurse is caring for a postoperative patient with an incision.Which of the following nursing interventions have been found to decrease wound infections?

Accepted Answer

Performing hand hygiene before and after contact with the patient helps to decrease the number of microorganisms and break the chain of infection.Maintaining blood glucose levels at less than 150 mg/dL has resulted in decreased wound infection.Removing unwanted hair by clipping instead of shaving decreases the numbers of nicks and cuts caused by a razor and the potential for the introduction of microbes.Administration of an antibiotic within 30 to 60 minutes of incision time supports the defense against infection.Providing a bath and linen change is positive but is not necessarily important daily for infection control unless copious body fluids are present.The physician usually is the person who changes a dressing the first time to inspect the condition of the site,but this is done well before 7 days postoperatively.

Question 4

The nurse is preparing for a patient who will be going to surgery.The nurse screens for risk factors that can increase a person's risks in surgery.What risk factors are included in the nurse's screening?

Accepted Answer

Very young and old patients are at risk during surgery because of immature or declining physiological status.Normal tissue repair and resistance to infection depend on adequate nutrients.Obesity increases surgical risk by reducing respiratory and cardiac function.During pregnancy,the concern is for the mother and the developing fetus.Because all major systems of the mother are affected during pregnancy,risks for operative complications are increased.Race and ambulatory surgery are not risks associated with a surgical procedure.

Question 5

The nurse is using a preoperative checklist to assist in preparing a patient on the day of surgery.What will the checklist include?

Accepted Answer

Vital signs are included in the checklist as a baseline for intraoperative vital signs.Laboratory work is included to assist health care providers in attaining an accurate picture of the patient's health status.NPO,or nothing by mouth,is important,to decrease risks of vomiting and aspiration during the procedure.An ID band is important for identifying the patient,especially when anesthetized and unable to speak.A living will,although important for the patient's stay at a facility,is not on the preoperative checklist.Family location,although important for communication,is not part of the list of items that need to be completed for the patient before going to surgery.

Quiz 95: Care of Surgical Patients

The nurse is caring for a patient in the operating suite.The nurse assists in positioning the patient to

The nurse is providing preoperative education and reviews with the patient what it will be like to be in the surgical environment.What points should the nurse include?

The nurse is caring for a postoperative patient with an incision.Which of the following nursing interventions have been found to decrease wound infections?

The nurse is preparing for a patient who will be going to surgery.The nurse screens for risk factors that can increase a person's risks in surgery.What risk factors are included in the nurse's screening?

The nurse is using a preoperative checklist to assist in preparing a patient on the day of surgery.What will the checklist include?