Nokea
What are the primary responsibilities of the circulating nurse in surgery?
- A. Serving as the primary patient advocate
- B. Keeping notes of the surgical procedure
- C. Calling time outs
- D. Maintaining patient rights
Correct Answer: A,C,D
Rationale: The circulating nurse advocates for the patient, ensures safety protocols (time outs), and upholds patient rights.
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For which of the following patients would it be appropriate to schedule his or her surgery in a surgery center as opposed to a hospital setting?
- A. A patient with severe chronic respiratory disease who needs an appendectomy
- B. A patient with an above-the-knee amputation who needs a breast biopsy
- C. An elderly patient with hypertension and diabetes who needs a resection of the colon
- D. A patient with hemophilia who needs a tonsillectomy
Correct Answer: B
Rationale: A breast biopsy is a minor procedure suitable for a surgery center, especially for a patient with stable conditions.
Which of the following tests are performed on most surgical patients preop?
- A. Electrocardiogram, complete blood count, and urinalysis
- B. Magnetic resonance imaging, serum sodium level, and esophagogastroduodenoscopy
- C. Lumbar puncture, urine culture and sensitivity, and blood type
- D. Chest x-ray, finger stick blood sugar, and electrolytes
Correct Answer: A
Rationale: ECG, CBC, and urinalysis are standard preoperative tests to assess cardiac, hematologic, and renal function.
Which of the following types of information should you teach preop patients?
- A. Preop prep
- B. What to expect in the OR
- C. Roles of the surgical team members
- D. Actions to prevent complications
- E. Name of each surgical team member
Correct Answer: A,B,D
Rationale: Teaching preoperative preparation, OR expectations, and complication prevention empowers patients and enhances recovery.
What are the purposes for administering preop medication?
- A. Decrease risk of infection
- B. Prevent aspiration during anesthesia
- C. Decrease intraoperative anesthesia
- D. Convenience to surgical staff
Correct Answer: B,C
Rationale: Preop medications reduce aspiration risk (e.g., antacids) and minimize anesthesia needs (e.g., sedatives).
What interventions can you perform to stimulate a postop patient's circulation?
- A. Antiembolism hose
- B. Immediate ambulation on return from PACU
- C. Sequential compression devices
- D. Leg exercises
Correct Answer: A,C,D
Rationale: Antiembolism hose, sequential compression devices, and leg exercises promote venous return and prevent thrombosis.