Chapter 18 Medical Surgical Nursing Preparation For Practice 2nd Edition

Chapter 18  Medical Surgical Nursing Preparation For Practice 2nd Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
An omission of information occurred when the nurse anesthetist informed the nurse in the postanesthesia care unit about a patient’s surgical procedure. The risk management nurse would review the standards of which process?
1. Handoff communication
2. Discharge summary
3. End-of-shift report
4. Surgical time-out
Correct Answer: 1
Rationale 1: Handoff communication describes any pertinent information about the patient and surgical procedure provided to the postanesthesia care unit nurse. This communication is to be free of interruptions and includes a systematic process of verification.
Rationale 2: This communication between nurses is not a discharge summary.
Rationale 3: End-of-shift report occurs when one group of nurses discusses the status of patients with the nurses assuming their care for the next shift.
Rationale 4: A surgical time-out takes place before the start of the surgical procedure.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Physiological Integrity
Client Need Sub: Reduction of Risk Potential
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 18-3

Question 2
Type: MCSA
During a surgical procedure, the nurse assesses the patient’s response to anesthesia and determines the amount of pain medication to provide. Which role is this nurse fulfilling?
1. Scrub nurse
2. Certified registered nurse anesthetist
3. Registered nurse first assistant
4. Circulating nurse
Correct Answer: 2
Rationale 1: The scrub nurse works directly with the surgeon within the sterile field and passes instruments, sponges, and other items needed during the surgical procedure.
Rationale 2: The certified registered nurse anesthetist is an advanced-practice nurse educated to administer anesthesia and provide anesthesia-related care.
Rationale 3: The registered nurse first assistant collaborates with the surgeon and performs activities such as handling tissue, providing exposure, using instruments, and suturing wounds.
Rationale 4: The circulating nurse observes the surgical team from a broad perspective and assists the team to create and maintain a safe, comfortable environment for surgery.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 18-2

Question 3
Type: MCSA
A registered nurse is assisting the surgeon in conducting an exploratory laparoscopy. The nurse holds the tissue retractors, biopsies tissue, and sutures the patient at the conclusion of the case. Which role is this nurse fulfilling?
1. Circulating nurse
2. Scrub nurse
3. Certified registered nurse anesthetist
4. Registered nurse first assistant
Correct Answer: 4
Rationale 1: The circulating nurse observes the surgical team from a broad perspective and assists the team to create and maintain a safe, comfortable environment for surgery.
Rationale 2: The scrub nurse works directly with the surgeon within the sterile field and passes instruments, sponges, and other items needed during the surgical procedure.
Rationale 3: The certified registered nurse anesthetist is an advanced-practice nurse educated to administer anesthesia and provide anesthesia-related care.
Rationale 4: The registered nurse first assistant collaborates with the surgeon and performs activities such as handling tissue, providing exposure, using instruments, and suturing wounds.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 18-2

Question 4
Type: MCSA
The surgical team is assembled and is preparing to conduct a procedure on a patient. Which health care professional is responsible for the overall functioning of the surgical team?
1. Surgeon
2. Circulating nurse
3. Scrub nurse
4. Registered nurse first assistant
Correct Answer: 1
Rationale 1: The surgeon heads the surgical team and is responsible for making decisions related to the surgical procedure.
Rationale 2: The circulating nurse observes the surgical team from a broad perspective and assists the team to create and maintain a safe, comfortable environment for surgery.
Rationale 3: The scrub nurse works directly with the surgeon within the sterile field and passes instrument, sponges, and other items needed during the surgical procedure.
Rationale 4: The registered nurse first assistant collaborates with the surgeon and performs activities such as handling tissue, providing exposure, using instruments, and suturing wounds.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 18-2

Question 5
Type: MCSA
A patient has just had surgery and is being transported to the postanesthesia care unit. Which team member will accompany the nurse when transporting the patient?
1. The scrub nurse
2. The surgeon
3. The circulating nurse
4. The nurse anesthetist
Correct Answer: 4
Rationale 1: The scrub nurse will be performing other duties at this time.
Rationale 2: The surgeon will be performing other duties, such as talking with the family.
Rationale 3: The circulating nurse will be performing other duties at this time.
Rationale 4: Once the surgery is completed, the nurse anesthetist and the nurse will accompany the patient to the postanesthesia care unit.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 18-1