25 terms

Patient Safety and Positioning

A patient who will be induced with general anesthesia may be positioned for operation when
the anesthesiologist indicates the patient is ready
During a preop visit, the or nurse should do all of the following except:
1. use hospital jargon
2. minimize the seriousness of the operation
3. offer realistic hope
4. observe emotional reactions
5. moralize
Specimens that should not be placed in preservative solution are
1. frozen section biopsy
2. bone graft culture
3. urinary calculi
4. glass or metallic foreign bodies
all 1-4
Which statement concerning the geriatric surgical patient is false?
Hypertension predisposes elderly to thrombus formation
In the prone position, the patient's venous return may be compromised by:
1. tight leg restraint
2. increased diastolic pressure
3. dependent lower extremities
4. visceral compression of the inferior vena cava
Which position compromises respiratory function in the surgical patient
1. lithotomy
2. lateral
3. prone
4. reverse trendelenburg
Geriatric surgical patients are especially susceptible to infection because
of decreased immunoglobulin production
Extreme care must be taken with the diabetic surgical patient to prevent ___ which causes dehydration, and ___ which may result in coma if allowed to progress untreated.
hyperglycemia, ketoacidosis
Correct identification of the surgical patient in the OR is the responsibility of
1. circulating nurse
2. anesthesiologist
3. operating surgeon
4. scrub nurse
Infection rate may be higher in the obese surgical patient because
fat has poor blood supply
Electrolyte and metabolic distrubances following opeartion that lead to nutritional imbalance can result from
1. cell destruction
2. gastric drainage
3. diaphoresis
4. use of drugs
5. loss of muscle tissue
all 1-5
Which statement regarding positioning is false?
Arms should never be abducted beyond 60*
In returning the patient during operation from the Trendelenburg to the horizontal position, first the table's leg section is raised slowly to
*increase venous return
*overcome circulatory stasis
*prevent contamination of drapes over foot of table
the or nurse should include the patient's intraop nurses notes
1. position and manufacturer of implanted devices
2. arrive and departure time
3. location of electrosurgical ground device
4. type of IV administration and solutions given
5. site of drains
all 1-5
Which statement concerning the obese surgical patient is false?
anesthetic drugs are metabolized quickly thorugh adipose tissue
In the lateral kidney position, the patient's respiratory function is compromised by
1. weight of body on lower chest
2. limited diaphragmatic movement
3. increased tension on intercostal musculature
4. a sandbag or pillow under the lower extremity
Factors intrinsic to the patient likely to cause postoperative infection are
1. foreign body left in the wound
2. obesity
3. vascular insufficiency
4. anemia
5. bronchitis
A 44yo patient is admitted for an elective total hysterectomy. The circulating nurse must ascdertain from her chart that the surgeon's orders are completed for
1. xrays
2. EKG
3. type and crossmatch
4. pulmonary function studies
unknown question
After a preop visit, the anesthesiologist assigns the patient a class 5 physical status, the OR nurse should know to expect a/an
patient with minimal chance of survival
which would be the most reassuring response for a circulating nurse to give to a patient onthe operating table in an effort to reduce preop anxiety?
you'll awaken in the recovery room with a bandage over your incision. there may be a burning sensation at that point
Following the preop visit, the OR nurse makes a nursing diagnoses to
identify the patient's needs and define action to meet the needs
Contraindicated uses for a parenteral alimentation catheter in a debilitated patient are
1. blood administration
2. central venous pressure monitoring
3. blood drawing for lab studies
4. piggy back iV setup
all 1-4
Traffic flow in and out of the OR should be ketp to a minimum to
1. decrease microbial count
2. reduce noise level
3. increase team concentration
4. maximize effects of neuroleplanesthesia
all 1-4
Injury resulting from prolonged pressure and stretching due to improper positioning of the anesthesized patient can occur in wotf peripheral nerves?
1. brachial plexus
2. ulnar
3. radial
4. cervical
5. peroneal
6. facial