The intraoperative practical/vocational nurse is caring for a patient who is undergoing abdominal surgery with general anesthesia. What interventions should the nurse implement? (Select all that apply.)

a. Assist physician as directed.
b. Assist with patient positioning.
c. Encourage leg exercises.
d. Assist the patient to change position in bed every 4 hours.
e. Monitor for unilateral swelling of the calf.
f. Participate in a time out before surgery begins.


ANS: A, B, F
A. The surgical (second assistant) technician: assists physician (may be an RN, LPN/LVN, or surgical technologist). B and F are focused on preventing complications for this patient in surgery. The practical/vocational nurse can participate in positioning as directed. Everyone must participate in the time out. C, D, and E are postoperative interventions for respiratory and circulatory complications, not intraoperative interventions. Also, the patient should move more than every 4 hours.

Nursing

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