What is the physical environment of a surgery suite primarily designed to promote? Show
b. Medical and surgical asepsis Although all of the factors listed are important to the safety and well-being of the patient, the first consideration in the physical environment of the surgical suite is prevention of transmission of infection to the patient. When transporting an inpatient to the surgical department, a nurse from another area of the hospital is able to access which area? b. Holding area Persons in street clothes or attire other than surgical scrub clothing can interact with personnel of the surgical suite in unrestricted areas, such as the holding area, nursing station, control desk, or locker rooms. Which nursing actions are completed by the scrub nurse (select all that apply)? a. Prepares the instrument table The scrub nurse is involved in sterile activities, including preparing instrument table and passing instruments to the surgeon, and remains in the sterile area of the OR. What is the primary goal of the circulating nurse during preparation of the operating
room, transferring and positioning the patient, and assisting the anesthesia team? a. Avoiding any type of injury to the patient The protection of the patient from injury int eh operating room environment is maintain by the circulating nurse, who ensures functioning equipment; prevents falls and injury during transport, transfer, and positioning; monitors asepsis; and provides supportive care for the anesthetized patient. Goals for patient safety in the OR include the Universal Protocol. What is included in this protocol? d. A surgical timeout is performed just before the procedure is started to verify patient identity, surgical procedure, and surgical site. The Universal Protocol supported by the TJC is used to prevent wrong site, wrong procedure, and working surgery in view of a high rate of these problems nationally. It involves pausing just before the procedure starts to verify patient identity, surgical site, and surgical procedure. A break in sterile technique occurs during surgery when the scrub nurse touches a. the mask with sterile gloved hands The mask covering the face is not considered sterile and if in contact with sterile gloved hands, it contaminates the gloves. During surgery, a patient has a nursing
diagnosis of risk for preoperative positioning injury. What is the common risk factor for this nursing diagnosis? c. Musculoskeletal deformities Musculoskeletal deformities can be a risk factor for positioning injuries and require special padding and support on the operating table.
At the end of the surgical procedure, the perioperative nurse evaluates the patient's response to the nursing care delivered during the preoperative period. What reflects a positive outcome related to the patient's physical status? d. The patient's respiratory function is consisted with or improved from baseline levels established preoperatively. The Preoperative Nursing Data Set includes outcome statements that reflect standards and recommended practices of perioperative nursing. Outcomes related to physiologic responses include those of physiologic function, such as respiratory function; perioperative safety includes the patient's freedom from any type of injury; and behavioral responses include knowledge and actions of the patient and family, including the consistency of the patient's care with the perioperative plan and the patient's right to privacy. Which short-acting barbiturate is most commonly used for induction of general anesthesia? d. Methohexital (Brevital) Methohexital (Brevital) ius a rapid-acting, short-lasting barbiturate used to induce general anesthesia. Because of the rapid elimination of volatile liquids used for general anesthesia, what should the nurse anticipate the patient will need early in the anesthesia recovery period? b. Analgesic medication The volatile liquid inhalation agents have very little residual analgesia and patients experience early onset of pain when the agents are discontinued. What is the primary advantage of the use of midazolam as an adjunct to general anesthesia? a. Amnestic effect Midazolam is a rapid, short-acting, sedative-hypnotic benzodiazepine that is used to prevent recall of events under anesthesia because of its amnestic properties. Monitored anesthesia care (MAC) is being considered for a patient undergoing a cervical dilation and endometrial biopsy in the health care clinic. The
patient asks the nurse, "What is this MAC?" The nurse's response is based one the knowledge that MAC d. provides maximum flexibility to match the sedation level with the patient and procedure needs. MAC refers to sedation that is similar to general anesthesia using sedative, anxiolytic, and/or analgesic medications. It can be administered by an ACP. Match the methods of local anesthetic administration with their descriptions. 1. Nerve block a. Injection of aunt into subarachnoid space -> 3. Spinal block b. Injection of anesthetic agent directly into tissues -> 5. Local infiltration c. Injection of a specific nerve with an anesthetic agent -> 1. Nerve block d. Injection of anesthetic agent into space around the vertebrae -> 4. Epidural block e. Injection of agent into veins of extremity after limb is exsanguinated -> 2. IV nerve block The patient will be placed under moderate sedation to allow realignment of a fracture in the emergency department. When the family asks about this anesthesia, what
should the nurse tell them? d. Patients remain responsive and breathe without assistance Moderate sedation uses sedative, anxiolytic, and/or analgesic medications. What condition should the nurse anticipate that may occur during
epidural and spinal anesthesia? b. Hypotension and bradycardia During epidural and spinal anesthesia, a sympathetic nervous system blockade may occur that results in hypotension, bradycardia, and nausea and vomiting. A preoperative patient reveals that an uncle died during
surgery because of fever and cardiac arrest. Knowing the patient is at risk for malignant hyperthermia, the perioperative nurse alerts the surgical team. What is likely to happen next?
b. Specific precautions can be taken to safely anesthetize the patient. Although malignant hyperthermia can result in cardiac arrest and death, if the patient is known or suspected to be at risk for the disorder, appropriate precautions taken by the ACP can provide for safe anesthesia for the patient. Because preventive measures are possible if risk is known, it is critical that preoperative assessment include a careful family history of surgical events. What complications of spinal anesthesia should tm be monitored for during surgery *?Bradycardia and cardiac arrest are the most worrisome complications related to spinal anaesthesia.
What is the priority nursing actions that should be taken when Tom arrives in the OR and why?PRIORITY DECISION: WHAT ARE THE PRIORITY NURSING ACTIONS THAT SHOULD BE TAKEN WHEN T.M. ARRIVES IN THE OR? ENSURE THAT ENOUGH HELP IS AVAILABLE TO TRANSFER THE PATIENT FROM THE STRETCHER TO THE OR TABLE.
What is the primary goal of the circulating nurse during preparation of operating room transferring and positioning the patient and assisting the Anaesthesia team?The circulating nurse manages the operating room and protects the safety and health needs of the patient by monitoring activities of members of the surgical team and checking the conditions in the operating room.
What is the primary goal of the circulating nurse during preparation?The protection of the patient from injury int eh operating room environment is maintain by the circulating nurse, who ensures functioning equipment; prevents falls and injury during transport, transfer, and positioning; monitors asepsis; and provides supportive care for the anesthetized patient.
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What condition should the nurse anticipate that may occur during epidural and spinal anesthesia?
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