1. The nurse is concerned about the skin integrity of the patient in the

intraoperative phase of surgery. Which action will the nurse take to minimize skin

breakdown?

a. Encouraging the patient to bathe before surgery

b. Securing attachments to the operating table with foam padding

c. Periodically adjusting the patient during the surgical procedure

d. Measuring the time a patient is in one position during surgery

ANS: B

Although it may be necessary to place a patient in an unusual position, try to

maintain correct alignment and protect the patient from pressure, abrasion, and

other injuries. Special mattresses, use of foam padding, and attachments to the

operating suite table provide protection for the extremities and bony prominences.

Bathing before surgery helps to decrease the number of microbes on the skin.

Periodically adjusting the patient during the surgical procedure is impractical and

can present a safety issue with regard to maintaining sterility of the field and

maintaining an airway. Measuring the time the patient is in one position may help

with monitoring the situation but does not prevent skin breakdown.

2. The nurse is assessing a postoperative patient with a history of

obstructive sleep apnea for airway obstruction. Which assessment finding

will best alert the nurse to this complication?

a. Drop in pulse oximetry readings

b. Moaning with reports of pain

c. Shallow respirations

d. Disorientation

ANS: