What type of support would you place to alleviate pressure on the brachial plexus nerve when a patient is in a side-lying position - Ans-Axillary Roll You are the circulating nurse confirming consent with a patient scheduled for an exploratory laparotomy with colostomy. The patient states they do not want a colostomy. What should you do? - Ans-Do not take the patient to the operating room and consult the surgeon immediately What equipment is most important for a patient undergoing an emergency trauma surgery who declines a donated blood transfusion - Ans-Cell Saver You have been asked to take a specimen from an OR during a bronchoscopy and immediately take it to the lab. What must you do first - Ans-Confirm the specimen label and patient name You suspect long-term substance abuse during the pre-op interview with your patient. Which of the following assessment findings would support this suspicion - Ans-nasal irritation and frequent sniffing, needle tracks on arms, and burns on fingers and lips After applying an alcohol-based skin preparations for a laser procedure, what should you do next - Ansassess for pooling or moisture from the prep What medication should be administered to a patient who has received moderate sedation with midazolam who has unexpected respiratory depression - Ans-romazicon (flumazenil) After starting a blood transfusion, you observe that a patient undergoing moderate sedation has a temperature increase from 98.2 to 101.3 and coarse breath sounds. What is the first thing you should do - Ans-Stop the transfusion and notify the surgeon What is the minimum distance unscrubbed personnel should remain from the sterile field - Ans-12 inches You are preparing a patient for a laparotomy. What instrument do you anticipate seeing on the back table - Ans-malleable Which of the following medications is contraindicated for a patient with a family history of malignant hyperthermia - Ans-Quelicin (succinylcholine) You are caring for a patient who is infected with Methicillin- Resistant Staphylococcus Aureus (MRSA). What infection control practice must you implement after transferring the patient - Ans-Clean and disinfect all patient care equipment Upon opening a sterile major tray, you discover the chemical indicators are missing. What should you do? - Ans-Remove and replace the major tray As a circulator, where do you stand during induction - Ans-at the head of the bed You are the perioperative nurse who is doing the preoperative skin preparation on a clean abdominal case. Where should you start the skin preparation - Ans-site of incision and move to the periphery A patient was prepared for intubation by mask ventilation with a mixture of sevoflurane, nitrous oxide, and oxygen. One minute after intubation their heart rate increased from 160 to 195 b/m. Soon the patient's end tital carbon dioxide concentration was increased from 35 to 65 mmHg. Also, the patient's oral temperature increased to 38.9 within 5 minutes after induction. What is the patient experiencing - Ans-Malignant Hyperthermia After draping the left side of the patient, how should you drape the right side - Ans-From the left side open the drape over the patient Shake the drape open as your assistant places the drape Reach over the patient to place the drape Walk around the operating room table What is the safest location for sharps during a surgical procedure - Ans-in knife holder/needle board on back table You review the patient's chart and discover that the patient has an allergy to penicillin. What medication order should you be worried about - Ans-Ancef Upon arrival to PACU you notice your patient is having a laryngospasm. What is the first action - AnsApply positive pressure ventilation When should a surgical "Time Out" be performed - Ans-When all team members are in the room, the patient is prepped and draped and prior to initial incision Your OR patient has a suspected diagnosis of pulmonary tuberculosis. What type of transmission based precaution is needed - Ans-Airborne