Patient Care
"The primary role of the surgical nurse is to protect the patient from the surgery." - ANS-The
National Patient Safety Goals (NPSG) are intimately aligned with the perioperative
nursing-sensitive interventions that define the daily role functions of the perioperative nurse. In
the early days of the twentieth century (1900s), as perioperative nursing evolved as a specialty
of nursing practice, history was chronicled when someone remarked that: ________________.
Select the quote that best relates perioperative nursing care to the NPSG.
"We have a count discrepancy." "We started with 70 sponges and find only 68." "We are missing
2 lap sponges." "Everyone, please check your areas." - ANS-Early on, during the preliminary
sponge count on closure of a repair of a ruptured abdominal aortic aneurysm, the circulating
nurse was unable to account for 2 lap sponges. He had meticulously maintained accountability
for all sponges and instruments discarded from the sterile field and bagged each sponge
carefully. He immediately turned and addresses the entire team in a clear voice. Select the
appropriate communication that the circulating nurse must employ during this count
discrepancy.
10 - ANS-A preoperative hemoglobin count of less than ___ indicates anemia and would be
containdication for surgery.
2 inches above the knee - ANS-To avoid compromising the venous circulation, the restraint or
safety strap should be placed
4 - ANS-What is the minimum number of people needed to move an unconscious patient from
the OR table to the stretcher?
97.6 F - ANS-The normal axillary temperature is ___.
A patient must undergo a therapeutic procedure. - ANS-Under what circumstances would many
hospitals rescind (invalidate) a "Do Not Resuscitate/ Do Not Intubate" order?
abducted less than 90 - ANS-When armboards are used on the operating room table for a
patient in the supine position, they must be ____.
All of those options are contributing factors - ANS-Spencer Robertson is a 4-week-old frail
neonate who had a rectal exam and dilatation under anesthesia following prior surgery for
imperforate anus. When the drapes were removed from Spencer, the perioperative nurse noted
an area of redness, swelling, and abrasions on the buttocks of the patient. Spencer had been
positioned prone for 20 minutes. The nurse who noted the skin condition had relieved the
circulating nurse and quickly reviewed the perioperative record and patient chart, but had not
, seen the patient before positioning. Which of the following safety factors may have contributed
to this event?
allow the circulatory system to adjust - ANS-Anesthetized patients should be moved slowly to
aspiration - ANS-The presence of food or fluid in the stomach during surgery increases the
danger of ____.
avoid hyper extension of the arm. - ANS-When using an arm board, the most important measure
is to
Bonanno suprapubic catheter - ANS-If the surgeon wants to assess the patient's ability to void
voluntarily via the urethra, yet sees the need for urinary drainage, he could use a
brachial plexus - ANS-Extreme positions of the head and arm can cause injury to the
Cheyne-Stokes - ANS-Fast, deep breaths followed by 20-60 seconds of apnea represent the
breathing pattern called ___.
coping mechanisms - ANS-Denial, rationalization, regression, and repression are examples of:
Cyanosis - ANS-Which of the following is a sign of cardiac arrest?
doctrine of Reasonable Man - ANS-The legal doctrine that mandates every professional nurse
and technician to carry out their duties according to national standards of care practiced
throughout the country is the
document of self-actualization - ANS-Which of the following is NOT a form of advance directive?
draining sinus - ANS-When evaluating the patient's skin for the preoperative prep, which of the
following is considered a contaminated area?
drugs - ANS-Induced hypothermia may be accomplished by all of the following except:
fat has poor vascularity - ANS-Why is the obese patient at greater surgical risk than one of
normal weight?
find out what needs to take place to prevent a recurrence of the event. - ANS-When unexpected
events occur that have, or could have, compromised patient safety, a systematic investigatory
process takes place. Significant information is gained through this meticulous exploration. The
primary motive for carrying out a root cause analysis is to:
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