NURS 309 Quiz 2 Intraoperative Patients Questions With
Complete Solutions
A client has undergone an 8-hour surgical procedure under
general anesthesia. In assessing the client for complications
related to positioning, the nurse is most concerned with which
finding?
A. Decreased sensation in the lower extremities
B. Diminished peripheral pulses in the lower extremities
C. Pale, cool extremities
D. Reddened areas over bony prominences Correct Answers B.
Diminished peripheral pulses in the lower extremities
A client is having an arthroscopy of the left knee and has just
been moved to the surgical holding area. Which statement by the
nurse properly identifies the client while the nurse checks the
identification label?
A. "Are you Mr. Smith?"
B. "Good morning, Mr. Smith."
C. "What is your name, and when were you born?"
D. "What surgery are you having today?" Correct Answers C.
"What is your name, and when were you born?"
A client who is preparing to undergo a vaginal hysterectomy is
concerned about being exposed. How does the nurse ensure that
this client's privacy will be maintained?
A. Remind the client that she will be asleep.
B. Ensure that drapes will minimize perianal exposure.
C. Explain postoperative expectations.
D. Restrict the number of technicians in the procedure. Correct
Answers B. Ensure that drapes will minimize perianal exposure.
,A patient experiences malignant hyperthermia (MH)
immediately after induction of anesthesia. What is the nurse
anesthetist's priority action?
A. Administer IV dantrolene sodium (Dantrium) 2-3 mg/kg
B. Apply a cooling blanket over the torso
C. Assess arterial blood gases (ABGs) and serum chemistries
D. Stop all inhalation of anesthetics agents and succinylcholine
Correct Answers D. Stop all inhalation of anesthetics agents
and succinylcholine
A patient has a malignant hyperthermia (MH) incident during
surgery. To whom does the nurse report this incident?
A. North American Malignant Hyperthermia Registry
B. The Joint Commission
C. Centers for Disease Control
D. Occupational Safety and Health Administration Correct
Answers A. North American Malignant Hyperthermia Registry
A patient is requesting moderate sedation for repair of a torn
meniscus and has no medical contraindications. How does the
nurse respond to this patient's request?
A. "Your surgeon will decide if you will receive moderate or
general anesthesia."
B. "You can discuss your request for moderate sedation with
your surgeon and anesthesiologists."
C. "Most patients prefer general anesthesia. Can you tell me
why you want moderate sedation?"
D. "It can be frightening to see surgery done on yourself. You
need to think about that." Correct Answers B. "You can discuss
, your request for moderate sedation with your surgeon and
anesthesiologists."
A patient with breast cancer is scheduled for a left mastectomy.
The patient has informed the surgeon and the nurse that she is a
Jehovah's Witness and does not want any blood transfusions. IN
preparation for intraoperative care of this patient, what measures
does the nurse take? SATA
A. Obtain two units of packed red blood cells, typed and cross-
matched
B. Make provider aware of the patient's request for no blood
transfusions
C. Ensure autotransfusion device is in place intraoperatively
D. Ensure patient has a medical necessity order for emergency
blood transfusion
E. Inform the patient of potential risks if blood transfusion is not
given
F. Tell the patient that is case of emergency she may receive
blood to save her life Correct Answers B. Make provider aware
of the patient's request for no blood transfusions
C. Ensure autotransfusion device is in place intraoperatively
A preoperative client wears a hearing aid and is extremely hard
of hearing without it. What does the nurse do to help reduce this
client's anxiety?
A. Actively listen to this client's concerns.
B. Allow the client to wear the hearing aid to surgery.
C. Ask if the client may wear the hearing aid until anesthesia is
given.
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