Nokea
An OR nurse is teaching a nursing student about the principles of surgical asepsis as a requirement in the restricted zone of the operating suite. What personal protective equipment should the nurse wear at all times in the restricted zone of the OR?
- A. Reusable shoe covers
- B. Mask covering the nose and mouth
- C. Goggles
- D. Gloves
Correct Answer: B
Rationale: Masks are worn at all times in the restricted zone of the OR. Shoe covers are worn one time only; goggles and gloves are worn as required, but not necessarily at all times.
You may also like to solve these questions
The nurse is performing wound care on a 68-year-old postsurgical patient. Which of the following practices violates the principles of surgical asepsis?
- A. Holding sterile objects above the level of the nurses waist
- B. Considering a 1 inch (2.5 cm) edge around the sterile field as being contaminated
- C. Pouring solution onto a sterile field cloth
- D. Opening the outermost flap of a sterile package away from the body
Correct Answer: C
Rationale: Whenever a sterile barrier is breached, the area must be considered contaminated. Pouring solution onto a sterile field cloth violates surgical asepsis because moisture penetrating the cloth can carry microorganisms to the sterile field via capillary action. The other options are practices that help ensure surgical asepsis.
You are caring for a male patient who has had spinal anesthesia. The patient is under a physicians order to lie flat postoperatively. When the patient asks to go to the bathroom, you encourage him to adhere to the physicians order. What rationale for complying with this order should the nurse explain to the patient?
- A. Preventing the risk of hypotension
- B. Preventing respiratory depression
- C. Preventing the onset of a headache
- D. Preventing pain at the lumbar injection site
Correct Answer: C
Rationale: Lying flat reduces the risk of headache after spinal anesthesia. Hypotension and respiratory depression may be adverse effects of spinal anesthesia associated with the spread of the anesthetic, but lying flat does not help reduce these effects. Pain at the lumbar injection site typically is not a problem.
As an intraoperative nurse, you know that the patients emotional state can influence the outcome of his or her surgical procedure. How would you best reinforce the patients ability to influence outcome?
- A. Teach the patient strategies for distraction.
- B. Pair the patient with another patient who has better coping strategies.
- C. Incorporate cultural and religious considerations, as appropriate.
- D. Give the patient antianxiety medication.
Correct Answer: C
Rationale: Because the patients emotional state remains a concern, the care initiated by preoperative nurses is continued by the intraoperative nursing staff that provides the patient with information and reassurance. The nurse supports coping strategies and reinforces the patients ability to influence outcomes by encouraging active participation in the plan of care incorporating cultural, ethnic, and religious considerations, as appropriate. Buddying a patient is normally inappropriate and distraction may or may not be effective. Nonpharmacologic measures should be prioritized.
The OR nurse is participating in the appendectomy of a 20-year-old female patient who has a dangerously low body mass index. The nurse recognizes the patients consequent risk for hypothermia. What action should the nurse implement to prevent the development of hypothermia?
- A. Ensure that IV fluids are warmed to the patients body temperature.
- B. Transfuse packed red blood cells to increase oxygen carrying capacity.
- C. Place warmed bags of normal saline at strategic points around the patients body.
- D. Monitor the patients blood pressure and heart rate vigilantly.
Correct Answer: A
Rationale: Warmed IV fluids can prevent the development of hypothermia. Applying warmed bags of saline around the patient is not common practice. The patient is not transfused to prevent hypothermia. Blood pressure and heart rate monitoring are important, but do not relate directly to the risk for hypothermia.
The surgical patient is a 35-year-old woman who has been administered general anesthesia. The nurse recognizes that the patient is in stage II (the excitement stage) of anesthesia. Which intervention would be most appropriate for the nurse to implement during this stage?
- A. Rub the patients back.
- B. Restrain the patient.
- C. Encourage the patient to express feelings.
- D. Stroke the patients hand.
Correct Answer: B
Rationale: In stage II, the patient may struggle, shout, or laugh. The movements of the patient may be uncontrolled, so it is essential the nurse help to restrain the patient for safety. None of the other listed actions protects the patients safety.