The focus of nursing care in the intraoperative phase is to:
a. Prepare the patient for surgery
b. Maintain the sterile field
c. Ensure patient safety during the surgery
d. Obtain a signed informed consent
C
The intraoperative phase begins when the patient enters the operating suite and ends when the patient is admitted to the postanesthesia care unit. The nursing focus is to ensure patient safety during the surgical procedure by functioning as an advocate when clients cannot advocate for themselves and by monitoring the client and surgical environment throughout the procedure. Although the sterile field must be maintained in this phase and sterility contributes to patient safety, the focus of care is broader than the maintenance of sterility. Obtaining informed consent and preparing the patient for surgery are activities associated with the preoperative phase.
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Emancipated minors are:
1. Economically self-supporting adolescents under 18 years of age, no longer living at home, and not subject to parental control. 2. Beginning to understand treatment risks. 3. Designated when child and parents do not agree. 4. Declared when there is a potential conflict of interest between the child and parents.
A healthcare worker who is asymptomatic has a screening TST result of 10 mm of induration during a pre-employment physical. What will the nurse reading this test tell the patient?
a. "This is a negative test, so you are cleared for employment." b. "You have latent TB and will need to take isoniazid for 6 to 9 months." c. "You need to have a chest radiograph and a sputum culture." d. "You will begin taking a four-drug regi-men to treat tuberculosis."
A nurse instructs an infertile woman in self-administration of a gonadotropin-releasing hormone antagonist (Ganirelix)
Which statement by the patient demonstrates understanding of where to administer the medication? "The best sites for self-administration are the a. periumbilical area." b. arm." c. upper thigh." d. hip." e. love handles."
A patient expresses fear of nausea and vomiting postoperatively from the anesthesia. Select the nurse's best response
a. "I understand your concerns and fears. I hope your surgeon discussed that problem with you." b. "Try not to worry. You will be heavily sedated if that occurs, and you will not remember the feelings." c. "Nausea and vomiting occur much less frequently now, since we use a more balanced approach to anesthesia." d. "Let both the surgeon and the anesthesiologist know about your fears of this side effect."