Ch11 test
An example of a potential risk associated with pneumoperitoneum would be: - ANS-gas
embolus into an exposed blood vessel during the procedure.
An example of an indication for liver transplantation would be: - ANS-primary hepatic cancer.
During an emergent total open splenectomy on a patient with blunt force trauma to the
abdomen, the circulating nurse and anesthesia provider noticed rust-colored urine in the urinary
collection container. They had just hung the third unit of whole blood. What nursing action is the
first priority? - ANS-Stop the blood transfusion.
Jan Stuyvesant, a perioperative nurse, was the scrub person during a robotic-assisted
laparoscopic cholecystectomy. She locked the robotic endoscissor into the adaptor on the
robotic arm and positioned the tip end into the trocar port in order for the surgeon to dissect the
cystic duct and artery, while the surgical assistant placed the clips on the cystic duct and artery.
As she reached across the sterile field to insert the cholangiocatheter through the port, the
anesthesia provider accidentally made contact with the distal end of the catheter as he stood up
to reach the monitor controls. The contaminated end of the catheter touched the endoscopic clip
applier, the endoscissor connector that the surgeon was using, the glove of the assistant, and
Jan's gown sleeve. The surgeon ordered everyone to change their gown and gloves and
covered the port area with a sterile towel. What was the rationale for the surgeon to co -
ANS-The surgeon was not in contact with the sterile field because he worked from the robotic
console.
Joanne Grizwald, a 24-year-old woman with type 1 diabetes who is in end-stage kidney failure,
is scheduled for a combined kidney-pancreas transplant. She is relatively healthy and at normal
weight for her height in spite of her disease process. Her bleeding time and coagulation
parameters are within normal limits. The circulating nurse has set up the autotransfusion
system, verified Joanne's blood type, and crossmatched blood availability. The scrub person,
while organizing the sterile back table, identified several instruments that she will not need. She
organizes those instruments on the most distant part of the back table. What instruments is the
scrub person unlikely to need during this procedure? - ANS-The transplant procedure is an
open approach and laparoscopic instruments (the insulated electrosurgical-adapted scissors,
graspers, and the endoscopic suction tips) are not needed.
Luanne Williamson, a 39-year-old, 248-lb mother of 4 children, is assisted with transfer from a
transport vehicle to the OR bed for laparoscopic cholecystectomy, operative cholangiogram, and
possible common bile duct exploration. The perioperative nurse determined that Luanne is at
risk for positional injury related to her size and the positional requirements and OR bed
manipulations required for this procedure. An appropriate nursing implementation for positioning
this patient would be to: - ANS-place two safety belts over the thighs and lower legs to prevent
An example of a potential risk associated with pneumoperitoneum would be: - ANS-gas
embolus into an exposed blood vessel during the procedure.
An example of an indication for liver transplantation would be: - ANS-primary hepatic cancer.
During an emergent total open splenectomy on a patient with blunt force trauma to the
abdomen, the circulating nurse and anesthesia provider noticed rust-colored urine in the urinary
collection container. They had just hung the third unit of whole blood. What nursing action is the
first priority? - ANS-Stop the blood transfusion.
Jan Stuyvesant, a perioperative nurse, was the scrub person during a robotic-assisted
laparoscopic cholecystectomy. She locked the robotic endoscissor into the adaptor on the
robotic arm and positioned the tip end into the trocar port in order for the surgeon to dissect the
cystic duct and artery, while the surgical assistant placed the clips on the cystic duct and artery.
As she reached across the sterile field to insert the cholangiocatheter through the port, the
anesthesia provider accidentally made contact with the distal end of the catheter as he stood up
to reach the monitor controls. The contaminated end of the catheter touched the endoscopic clip
applier, the endoscissor connector that the surgeon was using, the glove of the assistant, and
Jan's gown sleeve. The surgeon ordered everyone to change their gown and gloves and
covered the port area with a sterile towel. What was the rationale for the surgeon to co -
ANS-The surgeon was not in contact with the sterile field because he worked from the robotic
console.
Joanne Grizwald, a 24-year-old woman with type 1 diabetes who is in end-stage kidney failure,
is scheduled for a combined kidney-pancreas transplant. She is relatively healthy and at normal
weight for her height in spite of her disease process. Her bleeding time and coagulation
parameters are within normal limits. The circulating nurse has set up the autotransfusion
system, verified Joanne's blood type, and crossmatched blood availability. The scrub person,
while organizing the sterile back table, identified several instruments that she will not need. She
organizes those instruments on the most distant part of the back table. What instruments is the
scrub person unlikely to need during this procedure? - ANS-The transplant procedure is an
open approach and laparoscopic instruments (the insulated electrosurgical-adapted scissors,
graspers, and the endoscopic suction tips) are not needed.
Luanne Williamson, a 39-year-old, 248-lb mother of 4 children, is assisted with transfer from a
transport vehicle to the OR bed for laparoscopic cholecystectomy, operative cholangiogram, and
possible common bile duct exploration. The perioperative nurse determined that Luanne is at
risk for positional injury related to her size and the positional requirements and OR bed
manipulations required for this procedure. An appropriate nursing implementation for positioning
this patient would be to: - ANS-place two safety belts over the thighs and lower legs to prevent
