Chapter 19: Nursing Management: Intraoperative Care

Chapter 19: Nursing Management: Intraoperative Care

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. The perioperative nurse encourages a family member or a friend to remain with a patient
in the preoperative holding area until the patient is taken into the operating room
primarily to
a. ensure the proper identification of the patient before surgery.
b. protect the patient from cross-contamination with other patients.
c. assist the perioperative nurse to obtain a complete patient history.
d. help relieve the stress of separation for the patient and significant others.
ANS: D
The presence of a family member or friend reduces the stress associated with the
preoperative period. Although the family may give information about the patient’s name
and history, this information is obtained and confirmed by the nurse in other ways.
Nursing staff, rather than family members, are responsible for prevention of cross-
contamination.
DIF: Cognitive Level: Comprehension REF: 351
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
2. Which description best defines the role of the nurse anesthetist as a member of the
surgical team?
a. Functions independently in the administration of anesthetics
b. Has the same credentials and responsibilities as an anesthesiologist
c. Is responsible for intraoperative administration of anesthetics ordered by the
anesthesiologist
d. Requires supervision by the anesthesiologist or surgeon while administering
anesthesia to a patient
ANS: A
The certified registered nurse anesthetist (CRNA) is independently responsible for all
aspects of the administration of anesthetic agents. Although the responsibilities of a
CRNA and an anesthesiologist have some overlap, the credentialing and roles are
different. No supervision by a health care provider is necessary during anesthetic
administration by a CRNA. The CRNA assesses the patient and makes the choice of
anesthetic agent.
DIF: Cognitive Level: Knowledge REF: 353-354 TOP: Nursing Process:
Planning
MSC: NCLEX: Safe and Effective Care Environment
Test Bank 19-2
3. Which outcome measure will be best for the operating room (OR) nurse manager to use
in determining the effectiveness of the physical environment and traffic control measures
in the operating room?
a. Smooth functioning of the OR team
b. Effective protection of patient privacy
c. Rapid completion of surgical procedure
d. Low incidence of perioperative infection
ANS: D
The primary focus when setting up the OR is the prevention of cross-contamination and
transmission of infection to the patient. Patient privacy, efficient completion of
procedures, and smooth functioning of the OR team also are important, but the priority is
protection of the patient from infection.
DIF: Cognitive Level: Application REF: 351
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment
4. Which action will the scrub nurse use to maintain aseptic technique during surgery?
a. Use waterproof shoe covers.
b. Wear personal protective equipment.
c. Insist that all operating room (OR) staff perform a surgical scrub.
d. Change gloves after touching the upper arm of the surgeon’s gown.
ANS: D
The sleeves of a sterile surgical gown are considered sterile only to 2 inches above the
elbows, so touching the surgeon’s upper arm would contaminate the nurse’s gloves. Shoe
covers are not sterile. Personal protective equipment is designed to protect caregivers, not
the patient, and is not part of aseptic technique. Staff members such as the circulating
nurse do not have to perform a surgical scrub before entering the OR.
DIF: Cognitive Level: Application REF: 356
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment