Which action by the circulating nurse is appropriate when providing care to a patient during the maintenance phase of general anesthesia?

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Question 1 of 5

Which action by the circulating nurse is appropriate when providing care to a patient during the maintenance phase of general anesthesia?

Correct Answer: D

Rationale: Documenting drugs for administered for balanced anesthesia,' as the maintenance phase involves sustaining anesthesia, and the circulating nurse records agents used. 'Securing airway' (A) is induction. 'Oxygen by mask' (B) is pre-intubation. 'Suctioning' (C) is situational. In nursing, accurate records ensure continuity; D aligns with NCLEX Perioperative, reflecting maintenance duties.

Question 2 of 5

A preoperative client expresses anxiety to the nurse about upcoming surgery. Which response by the nurse is most likely to stimulate further discussion between the client and the nurse?

Correct Answer: C

Rationale: Can you share with me what you've been told about your surgery?,' as it invites the client to express knowledge and fears, fostering discussion unlike 'everyone's nervous' (A), dismissive, 'explain procedure' (B), or 'postop care' (D), both presumptive. In nursing, open-ended questions reduce anxiety; C aligns with NCLEX Perioperative, enhancing communication.

Question 3 of 5

Which statements best describe the preoperative period? (Select all that apply.)

Correct Answer: D

Rationale: The preoperative period begins when the patient is scheduled for surgery and ends when they are transferred to the surgical suite . It is a phase focused on preparation, including establishing the need for surgery and providing testing and education (not listed but implied). Choice A is incorrect because the preoperative period does not start with a surgeon's appointment, which is part of the decision-making process, not the formal preoperative phase. Choice B is true but incomplete alone, while choice C is accurate but not the sole descriptor. Choice D is the most precise starting point, as scheduling initiates the preoperative timeline, during which assessments, consents, and preparations occur. This period ensures the patient is physically and mentally ready for surgery, with safety protocols like lab tests and patient education occurring systematically after scheduling.

Question 4 of 5

The nurse has received a patient in the holding area who is scheduled for a left femoral-popliteal bypass. What are the priority safety measures for this patient before surgery? (Select all that apply.)

Correct Answer: B

Rationale: Priority safety measures include positive identification with name and date of birth and surgeon-marked operative limb , confirmed by the patient . Room number isn't a reliable identifier. The rationale emphasizes error prevention: wrong-site surgery is a critical risk, mitigated by Joint Commission protocols like marking and dual identification. Name and birth date ensure accuracy over room-based checks, while patient confirmation reinforces consent and awareness. These steps, part of the preoperative checklist, align with nursing's role in advocating for safety, reducing perioperative harm through systematic verification.

Question 5 of 5

A patient with breast cancer is scheduled for a left mastectomy. The patient has informed the surgeon and nurse that she is a Jehovah's Witness and does not want any blood transfusions. In preparation for intraoperative care of this patient, what measures does the nurse take? (Select all that apply.)

Correct Answer: B

Rationale: The nurse informs the provider of the no-transfusion request and ensures an autotransfusion device , respecting the Jehovah's Witness belief. Obtaining blood or emergency orders contradicts the patient's wishes. The rationale centers on autonomy: honoring religious preferences is legally and ethically mandated. Autotransfusion recycles the patient's blood, avoiding donor transfusions, while provider notification ensures team alignment. Nursing advocates for patient rights, balancing safety with beliefs, distinct from overriding consent.

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