Chapter 37: Intraoperative Care

Chapter 37: Intraoperative Care

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The charge nurse is assigning duties in the surgical arena. Which member of the surgical team should be assigned to the role of circulating nurse?

ANS:  A

The circulating nurse is always an RN who is the charge nurse in the operating room.

DIF:    Cognitive Level: Application           REF:   Text reference: p. 908

OBJ:   Describe the roles of a registered nurse in the operating room.

TOP:   The Circulating Nurse                     KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

2. Which of the following is true about the circulating nurse’s primary responsibility?

ANS:  C

The circulating nurse is a “nonsterile” member of the surgical team who assumes responsibility and accountability for maintaining patient safety and continuity of quality care. This includes supervising the conduct of the scrub technician and delegating tasks to licensed and unlicensed nursing assistive personnel (NAP) as appropriate. The circulating nurse is also an assistant to the first assistant, the scrub nurse/technician, and the surgeon. The scrub nurse/technician provides the surgeon with instruments and supplies. The registered nurse first assistant (RNFA) performs a combination of nursing and delegated medical functions and/or skills.

DIF:    Cognitive Level: Application           REF:   Text reference: p. 908

OBJ:   Describe the roles of a registered nurse in the operating room.

TOP:   The Circulating Nurse                     KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity

3. The scrub nurse’s hands are being washed in preparation for a surgical procedure. As the nurse finishes, the scrub nurse accidentally touches the faucet with one hand. Which action should the nurse take next?

ANS:  D

The scrub nurse/technician who accidentally touches the faucet with one hand while rinsing will rescrub. This is an example of following a sterile conscience and being committed to safe, quality patient care.

DIF:    Cognitive Level: Application           REF:   Text reference: pp. 908-909

OBJ:   Describe the meaning of a sterile conscience.                     TOP:   Sterile Conscience

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

4. The nurse recognizes that evidence-based care is appropriate when the nurse witnesses the surgeon take which step?

ANS:  C

Recent research demonstrates that hand scrub preparations containing 50% to 90% alcohol combined with chlorhexidine gluconate are just as effective as the traditional scrubbing method in preventing SSI.

DIF:    Cognitive Level: Analysis                REF:   Text reference: p. 910

OBJ:   Identify guidelines for the use of sterile technique in the operating room.

TOP:   Hand Scrub    KEY:  Nursing Process Step: Evaluation

MSC:  NCLEX: Physiological Integrity