Title WORKBOOK - PERIOP (KEY) ✅

C. Respirations between 20 and 25 per minute D. All of the above assessments 32. After spinal anesthesia, 30% of the patient develops spinal headache. This is due to: A. Severe hypotension associated with Vasodilation due to the anesthetics. B. Increase volume of the cerebrospinal fluid due to anesthesia induction. C. Cerebral edema due to rapid absorption of the anesthetics. D. CSF leakage due to the puncture created by the spinal needle in the membrane that surrounds the spinal cord. 33. The nurse instructs a client scheduled for surgery about the correct use of the incentive spirometer. Place the following instructions, given by the nurse, in the correct order. 1. Instruct the client to hold his breath for 2-3 seconds. 2. Demonstrate how to place the mouthpiece of the spirometer. 3. Instruct the client to exhale slowly. 4. Instruct the client to assume a high Fowler position. 5. Set the device for the volume level to be achieved with each breath. 6. Instruct the client to inhale slowly. A. 452613 B. 543162 C. 245316 D. 163254 34. General anesthesia consists of four stages, each associated with specific clinical manifestations. This stage of anesthesia is characterized variously by struggling, talking, singing, laughing or crying. Pupils dilate, but contract if exposed to light, the pulse rate is raid and respirations may be irregular. A. Stage I: Beginning B. Stage II: Delirium C. Stage III: Surgical Anesthesia D. Stage IV: Medullary Depression 35. The nurse is removing the client’s staples from an abdominal incision when the client sneezes and the incision splits open, exposing the intestines. Which of the following actions should the nurse take next? A. Press the emergency alarm to call the resuscitation team B. Cover the abdominal organs with sterile dressings moistened with NSS C. Have all visitors and family leave the room D. Call the surgeon to come to the client’s room immediately. 36. Another nursing check that should not be missed before the induction of general anesthesia is: A. Check for presence of underwear B. Check for presence of dentures C. Check patient’s identification D. Check vital signs 37. Before you use a disinfected instrument it is essential that you: A. Rinse with tap water followed by alcohol B. Dry the instrument thoroughly C. Wrap the instrument with sterile water D. Rinse with water 38. A surgical "time out" is performed when: A. the procedure is about to begin B. the atmosphere becomes tense and a “time out” is needed to relax and refocus the surgical team C. a surgical team member must leave the room because of illness or the need to use the restroom D. new staff enter the room to take over the scrub role 39. Which of the following is a nursing activity done during “sign in” at the OR? A. Team members introduce themselves by name and role B. Nursing reviews sterility of the area C. Name of the specimen is labeled D. Site of the operation is marked as necessary 40. Which of the following is the priority nursing diagnosis for intraoperative clients? A. Risk for infection related to break in skin integrity B. Potential for peripheral neurovascular dysfunction related to intraoperative positioning C. Deficient fluid volume related to blood loss D. Impaired skin integrity related to surgical incision 41. It is done before the patient leaves from the operating room A. Sign-in B. Time-out C. Sign-out D. Time-in 42. A post-operative patient develops hypovolemic shock from blood loss from surgery. The nurse caring for the client expects the following except: A. BP of 70/60 with small pule pressure B. Increase urine specific gravity C. Heart rate of 119 D. Elevated CVP 43. A patient is two days post-operative following an abdominal surgery developed diminished breath sounds in both lungs. The nurse best interprets this as. A. Atelectasis B. Pneumonia C. COPD D. A normal event 44. A client is experiencing headache, photophobia and double vision after a spinal anesthesiA. The nurse should A. Place patient flat on bed B. Limit fluid intake C. Administer steroid medication D. Notify surgeon 45. A post-operative client has a history of sickle cell disease. What nursing diagnosis should be the priority to addressed A. Anxiety B. Impaired skin integrity C. Deficient fluid volume D. Ineffective airway clearance 46. An adult patient post-operative is in need of transfusion of 2 bags of packed RBC. The nurse knows that the best IV gauge for blood transfusion is A. G - 18 B. G- 20 C. G - 22 D. G - 24 47. The following are symptoms of malignant hyperthermia except A. Muscle rigidity B. Rapid shallow breathing C. Slow pulse D. Excessive sweating 48. A client was given Morphine sulfate due to severe pain post-surgery. The nurse knows that she should watch out for A. Hypertension B. Tachypnea C. Respiratory depression D. Increase bleeding time 49. The nurse observe that the respiratory rate of the patient is gradually decreasing. The nurse is aware that the antidote for opioid toxicity. A. Naloxone B. Protamine sulfate C. Vitamin K D. Magnesium sulfate TOP RANK REVIEW ACADEMY, INC. Page 3 | 4