During a surgical procedure using ketamine as the

Question 1 of 5

During a surgical procedure using ketamine as the induction and maintenance agent, the perioperative nurse should:

A. promote a safe, quiet, and low-stimulus environment of care. B. maintain close proximity to the patient and anesthesia provider in case the patient has hallucinations. C. have the difficult airway cart in the room in case of respiratory distress. D. monitor the dosage and amount of ketamine used.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A frail and thin 91-pound, 83-year-old woman is scheduled for a right pneumonectomy for non-small cell lung cancer. She will be positioned in left lateral position for her procedure. Based on the perioperative nurse's preoperative assessment, identify three position-related nursing diagnoses for this procedure and four relevant nursing interventions. Select from the options to fill in the blanks.

A. Falls; pain; impaired physical mobility; remain at patient's side during induction; use under- and over-body forced air-warming blanket; prevent fluid pooling under dependent areas; pad all bony prominences with foam or gel pads B. Hypothermia, impaired skin integrity; impaired comfort; use under- and over-body forced air-warming blanket; prevent fluid pooling under dependent areas; pad all bony prominences with foam or gel pads; unlock OR bed and transport vehicle after transfer C. Impaired skin integrity; falls; pain; remain at patient's side during induction; use at least four people to assist with lift and transfer; pad all bony prominences with foam or gel pads; unlock OR bed and transport vehicle after transfer. D. Hypothermia; impaired skin integrity; falls; remain at patient's side during induction; use under- and over-body forced air-warming blanket; use at least four people to assist with lift and transfer; pad all bony prominences with foam or gel pads

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A veteran perioperative nurse remembers a time when all suture needles had eyes, and she even had her own needle rack. She hand-threaded all sutures according to the surgeon's preference. The newer sutures were originally called 'atraumatic' sutures because they did not double back through a needle eye and cause tissue trauma during pulling or suturing through the tissue. Today, we call this manufacturing process of connecting the suture thread to the needle:

A. engineered crimp. B. controlled release. C. reverse cutting. D. swaged.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

When caring for a patient with pulmonary hypertension, which parameter is most appropriate for the nurse to monitor to evaluate the effectiveness of the treatment?

A. Central venous pressure (CVP) B. Systemic vascular resistance (SVR) C. Pulmonary vascular resistance (PVR) D. Pulmonary artery wedge pressure (PAWP)

Correct Answer: C

Rationale: Choice C as PVR directly assesses resistance in pulmonary circulation, the primary issue in pulmonary hypertension. A decrease indicates treatment success. CVP (choice A) reflects right heart preload, SVR (choice B) systemic resistance, and PAWP (choice D) left heart preload none target pulmonary hypertension specifically. Monitoring PVR aligns with physiological integrity in NCLEX, providing a precise measure of therapeutic impact. This focus ensures nurses track the condition's core pathology, optimizing care for improved lung perfusion and oxygenation.

Question 5 of 5

To maintain proper cuff pressure of an endotracheal tube (ET) when the patient is on mechanical ventilation, the nurse should

A. inflate the cuff with a minimum of 10 mL of air. B. inflate the cuff until the pilot balloon is firm on palpation. C. inject air into the cuff until a manometer shows 15 mm Hg pressure. D. inject air into the cuff until a slight leak is heard only at peak inflation.

Correct Answer: D

Rationale: Choice D as the minimal occluding volume technique ensures safe cuff pressure (20-25 mm Hg) by allowing a slight leak at peak inflation. Fixed volumes (choice A), palpation (choice B), or low pressure (choice C) risk over- or under-inflation. This reflects NCLEX physiological integrity, balancing airway protection and tracheal safety.

During a surgical procedure using ketamine as the induction and maintenance agent, the perioperative nurse should:

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