Nokea
The nurse is preparing a patient for surgery. Which of the following actions should the nurse include in the surgical time-out procedure?
- A. Check for placement of IV lines.
- B. Have the surgeon identify the patient.
- C. Confirm the hospital chart identification (ID) number.
- D. Have the patient state name and date of birth.
- E. Ask the patient to state the surgical procedure.
- F. Verify the patient ID band number.
Correct Answer: C,D,E,F
Rationale: These actions are included in surgical time out to ensure correct patient, procedure, and site. IV line placement and identification of the patient by the surgeon are not included in the surgical time-out procedure.
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After orienting a new staff member to the scrub nurse role, the nurse preceptor will know that the teaching was effective if the new staff member implements which of the following actions?
- A. Documents all patient care accurately.
- B. Labels all specimens to send to the laboratory.
- C. Keeps both hands above the operating table level.
- D. Takes the patient to the postanaesthesia recovery area.
Correct Answer: C
Rationale: The scrub nurse role includes maintaining asepsis in the operating field and both hands must stay above waist level to ensure that they are above the operating table level. The other actions would be appropriate to the circulating nurse role.
Which of the following actions by a member of the surgical team requires rapid intervention by the charge nurse?
- A. Wearing street clothes into the nursing station
- B. Wearing a surgical mask into the holding room
- C. Walking into the hallway outside an operating room without the hair covered
- D. Putting on a surgical mask, cap, and scrubs before entering the operating room
Correct Answer: C
Rationale: The corridors outside the OR are part of the semirestricted area where personnel must wear surgical attire and head coverings. Surgical masks may be worn in the holding room, although they are not necessary. Street clothes may be worn at the nursing station, which is part of the unrestricted area. Wearing a mask and scrubs is essential when going into the OR.
The nurse is completing an inventory of medications on the unit. Which of the following anaesthesia medications should the nurse expect to observe under refrigeration?
- A. Atracurium
- B. Pancuronium
- C. Rocuronium
- D. Neostigmine bromide
- E. Succinylcholine
Correct Answer: A,E
Rationale: Succinylcholine and atracurium both require refrigeration. The other medications listed do not require refrigeration.
The nurse is caring for a patient before surgery who has a question about the preoperative medication. Which of the following people will the nurse communicate this information to?
- A. Scrub nurse
- B. Anaesthesiologist
- C. Circulating nurse
- D. Registered nurse first assistant (RNFA)
Correct Answer: B
Rationale: The anaesthesiologist is responsible for prescribing and answering questions about preoperative medications. The RNFA and surgeon are responsible for the surgery, but not for the preoperative sedation. The circulating nurse does not have authority to make a change in any medication.
Which of the following descriptions best define the role of the nurse anaesthetist as a member of the surgical team?
- A. Is able to administer anaesthetics.
- B. Has the same credentials and responsibilities as an anaesthesiologist.
- C. Is responsible for intraoperative administration of anaesthetics ordered by the anaesthesiologist.
- D. Does not require supervision by the anaesthesiologist while administering anaesthesia to a patient.
Correct Answer: A
Rationale: The registered nurse anaesthesia assistant (RNAA) is able to administer anaesthetic agents. Although the responsibilities of a RNAA and an anaesthesiologist have some overlap, the credentialing and roles are different. Supervision by an anaesthesiologist is necessary during anaesthetic administration by a RNAA as the RNAA works in collaboration with and under the supervision of an anaesthesiologist.