Test Bank For Current Medical Diagnosis And Treatment 2023 62nd Edition By By Maxine Papadakis, Stephen Mcphee, Michael Rabow & Kenneth Mcquaid 4. Rinse with disinfectant and place in a gas sterilizer. ANS: 2 Prion diseases are rare, but they can survive some sterilization processes, and chemical disinfectants are not strong enough to eliminate them. These instruments will need to be sterilized with a special treatment to eliminate the prions. High-pressure steam, bacteriostatic solutions, chemicals, disinfectants, and gas sterilizers are not known sterilization methods to eliminate prions. PTS: 1 DIF: Apply REF: Personal Protective Equipment 9.A client received general anesthesia for a surgical procedure. Which of the following assessments will the nurse complete first for this client? 1. Surgical dressing 2. Intravenous sites 3. Airway 4. Pain ANS: 3 Clients often require assistance in maintaining a patent airway after use of general anesthesia. The first assessment the nurse should make is that of the clients airway. The surgical dressing, intravenous sites, and pain can be assessed after the clients airway has been established. 10.The student nurse observing a surgical procedure begins to feel lightheaded and nauseated. Which of the following should the student do at this time? 1. Tell someone she does not feel well. 2. Leave the operating room immediately. 3. Nothing since this feeling will pass. 4. Immediately sit down on the floor. ANS: 2 If feelings of lightheadedness or nausea occur during an observation of a surgical procedure, the first thing to do is head for the door or at least to a wall away from the surgical field. The student should not tell someone that she is not feeling well. The student should not ignore these feelings since they are signs of fainting. The student should not immediately sit on the floor since this could be in the area of the sterile field and could compromise the surgical procedure. PTS:1DIF:Apply REF: Box 21-2 Tips for the Student When Observing in Operating Room 11.A nurse is filling the role of circulator during a surgical procedure. Which of the following will this nurse do to provide care to the client during the case? 1. Maintain the sterile field. 2. Assist the surgeon. 3. Serve as the client advocate. 4. Assist with the administration of anesthesia. ANS: 3 The circulating nurse serves as the client advocate while the client is least able to care for himself. Maintaining the sterile field is a responsibility of the scrub nurse. Assisting the surgeon is an activity of the registered nurse first assistant. Assisting with the administration of anesthesia is an activity of the nurse anesthetist. PTS: 1 DIF: Apply REF: Circulator/Circulating Nurse 12. An elderly client is scheduled for a surgical procedure. The nurse realizes that the outcome of the clients operation will depend upon the clients: 1. age. 2. severity of illnesses. 3. nutritional status. 4. activity status. ANS: 2
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