PROPHECY OR RN A V2 TEST WITH VERIFIED QUESTIONS AND CORRECT SOLUTIONS| PASS WITH THE BEST GRADES. What type of support would you place to alleviate pressure on the brachial plexus nerve when a patient is in a side -lying position - Correct Answer -Axillary Roll You are preparing a patient for a laparotomy. What instrument do you anticipate seeing on the back table - Correct Answer -malleable Which of the following medications is contraindicated for a patient with a family history of malignant hyperthermia - Correct Answer -Quelicin (succinylcholine) You are caring for a patient who is infected with Methicillin - Resistant Staphylococcus Aureus (MRSA). What infection control practice must you implement after transferring the patient - Correct Answer -Clean and disinfect all patient care equipment You are the circulating nurse confirming consent with a patient scheduled for an exploratory laparotomy with colostomy. The patient states they do not want a colostomy. What should you do? - Correct Answer -Do not take the patient to the operating room and consult the surgeon immediately After applying an alcohol -based skin preparations for a laser procedure, what should you do next - Correct Answer -assess for pooling or moisture from the prep What medication should be administered to a patient who has received moderate sedation with midazolam who has unexpected respiratory depression - Correct Answer -romazicon (flumazenil) After starting a blood transfusion, you observe that a patient undergoing moderate sedation h as a temperature increase from 98.2 to 101.3 and coarse breath sounds. What is the first thing you should do - Correct Answer -Stop the transfusion and notify the surgeon What is the minimum distance unscrubbed personnel should remain from the sterile fiel d - Correct Answer -12 inches Upon opening a sterile major tray, you discover the chemical indicators are missing. What should you do? - Correct Answer -Remove and replace the major tray As a circulator, where do you stand d uring induction - Correct Answer -at the head of the bed You are the perioperative nurse who is doing the preoperative skin preparation on a clean abdominal case. Where should you start the skin preparation - Correct Answer -site of incision and move to the periphery A patient was prepared for intubation by mask ventilation with a mixture of sevoflurane, nitrous oxide, and oxygen. One minute after intubation their heart rate increased from 160 to 195 b/m. Soon the patient's end tital carbon dioxide concentr ation was increased from 35 to 65 mmHg. Also, the patient's oral temperature increased to 38.9 within 5 minutes after induction. What is the patient experiencing - Correct Answer -Malignant Hyperthermia After draping the left side of the patient, how shoul d you drape the right side - Correct Answer -From the left side open the drape over the patient Shake the drape open as your assistant places the drape
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