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Perioperative- Pearson Questions with Accurate Answers
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Perioperative- PearsonPreprocedural verification process
The preprocedural verification process ensures that the correct procedure is being done
on the correct patient at the correct site. A time-out momentary pause and accuracy
check is done by all members of the surgical team before an invasive procedure. A
handoff report is a standardized communication process that captures all essential
patient information for healthcare providers exchanging responsibility (e.g., SBAR).
Universal protocol guidelines for healthcare professionals help to prevent errors. -
answer A patient who is scheduled for surgery is concerned about wrong-site surgery
incidents.
Which guideline addresses the patient's concern?
Time out
Preprocedural verification process
Handoff report
Universal protocol
The surgery will proceed as scheduled.
A human chorionic gonadotropin (HCG), or pregnancy, test is performed on all women
of childbearing age. An HCG test <5I U/L means that the patient is not pregnant, and
the surgery will proceed. There is no need to cancel, postpone, or schedule the surgery
earlier based on these test results. - answer The nurse is assessing a female patient
who is scheduled for an elective surgery and finds that the human chorionic
gonadotropin results are normal.
Which should the nurse expect?
The surgery will be postponed.
The surgery will be scheduled earlier.
The surgery will be canceled.
The surgery will proceed as scheduled.
Wearing lead shields to cover the body, including a neck shield to cover the thyroid
gland
,Lead shields should cover the body, including a neck shield to protect the thyroid and
lead apron to protect reproductive organs due to the risk of sterility. Laser-approved
goggles are not needed to protect against radiation. Windows and surfaces do not need
to be covered with radiation treatments. Staff members should request a radiometer to
measure their dose of radiation exposure. It is not necessary to place a radiometer on
the patient. - answer The nurse is preparing to treat a patient with radiation.
Which is the next action for the nurse?
Wearing laser-approved goggles
Covering all windows and reflective surfaces with a towel
Wearing lead shields to cover the body, including a neck shield to cover the thyroid
gland
Placing a radiometer on the patient's body
"I cannot wait to take a shower tonight."
The patient should not shower for 24 hours after surgery. The patient should allow the
dressings to fall off naturally and should not soak in a bath until the dressings have
fallen off. Sutures or staples will be removed at postoperative follow-up appointments. -
answerThe nurse completed discharge teaching for a patient who just had surgery.
Which patient statement indicates to the nurse that further teaching is required?
"I will not soak in a bath until the dressings have fallen off."
"I cannot wait to take a shower tonight."
"The staples will be removed during the follow-up appointment."
"I will let the surgical dressing fall off naturally."
Certified registered nurse anesthetist
Anesthesia personnel during a surgery can include an anesthesiologist (medical
doctor), certified registered nurse anesthetist (CRNA), or anesthesia assistant (AA). The
first assistant assists the surgeon with techniques of surgery. The surgical technician
passes surgical equipment during the surgery. The circulating nurse cares for the
patient during the surgical procedure. - answerWhich core member of the perioperative
team has the responsibility to deliver anesthesia during the procedure and monitor the
patient's physiological status?
First assistant
, Certified registered nurse anesthetist
Circulating nurse
Surgical technician
Ensuring that the patient signed consent forms
The nurse's role in informed consent is to verify that the surgeon or healthcare provider
discussed the surgical procedure with the patient and that the patient signed the
informed consent form. Ensuring the patient has a full understanding of the procedure is
not the nurse's role. Positioning the patient for safety and assisting with airway
management are part of the role of the intraoperative nurse, not the preoperative nurse.
- answerThe nurse is reviewing preoperative documentation before sending the patient
to the operating room.
Which is the most important action for the nurse?
Ensuring that the patient signed consent forms
Assisting with airway management
Positioning the patient for safety
Ensuring the patient has a full understanding of the surgical procedure
Aldrete score of 7
The patient should have an Aldrete score of at least 8 to be discharged from the
postanesthesia care area. A consciousness score of 2 means that the patient is fully
awake. A respiration score of 2 means that the patient can take a deep breath and
cough. An activity score of 2 means that the patient is able to move all four extremities. -
answerThe nurse is preparing a patient for discharge from the postanesthesia care
area.
Which assessment finding should cause the nurse to postpone the discharge?
Circulation score of 2
Consciousness score of 2
Respiration score of 2
Aldrete score of 7
Cough reflex
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