Nokea
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.
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A surgical patient received a volatile liquid as an inhalation anaesthetic during surgery. Which of the following symptoms should the nurse monitor for in the immediate postoperative period?
- A. Tachypnea
- B. Myoclonia
- C. Hypertension
- D. Incisional pain
Correct Answer: D
Rationale: Because volatile liquid inhalation agents are rapidly metabolized, postoperative pain occurs soon after surgery. Hypertension and tachypnea are not associated with general anaesthetics. Myoclonia may occur with nonbarbiturate hypnotics but not with the inhaled inhalation agents.
The nurse from the general surgical unit is asked to bring the patient's hearing aid to the surgical suite. The nurse will take the hearing aid to which one of the following areas?
- A. Clean core
- B. Scrub sink area
- C. Nursing station or communication centre
- D. Corridors of the operating room area
Correct Answer: C
Rationale: The nurse from the general unit would not be wearing surgical scrub attire or a head covering and would be restricted to the nursing station or communication centre, which are unrestricted areas. The clean core, scrub sink area, and corridors are semirestricted areas that require staff members wear surgical scrub attire and head coverings.
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.
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 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.