ATI LPN
Perioperative Care Practice Questions Quizlet Questions
Question 1 of 5
Which nursing action is appropriate when providing care to a patient who is exhibiting low oxygen saturation levels in the postanesthesia care unit (PACU)?
Correct Answer: A
Rationale: Monitor breath sounds,' as low oxygen saturation requires assessing lung function (e.g., obstruction, atelectasis) guiding oxygen therapy. 'Heparin' (B) treats clots, not hypoxia. 'Hold opioids' (C) assumes cause without evidence. 'Malignant hyperthermia' (D) lacks fever context. In nursing, airway assessment is first; A aligns with NCLEX Perioperative, prioritizing respiratory evaluation.
Question 2 of 5
Which action should the circulating nurse anticipate when the patient is intubated with the administration of general anesthesia?
Correct Answer: A
Rationale: Securing the patient's airway,' as intubation during general anesthesia involves placing an endotracheal tube to protect and maintain the airway. 'Oxygen by mask' (B) precedes. 'Balanced anesthesia' (C) is ongoing. 'Suctioning' (D) is as needed. In nursing, airway security is critical; A aligns with NCLEX Perioperative, prioritizing intubation's purpose.
Question 3 of 5
The nurse is reviewing the medical records for patients who are scheduled for surgery the next day. Which patient may not provide consent to receive blood products?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A client with a perforated gastric ulcer is scheduled for surgery. The client cannot sign the operative consent form because of sedation from opioid analgesics that have been administered. The nurse should take which most appropriate action in the care of this client?
Correct Answer: D
Rationale: Obtain a telephone consent from a family member, following agency policy,' as sedation impairs consent capacity, and witnessed telephone consent from family is legally valid unlike 'court order' (A), excessive, 'charge nurse signing' (B), invalid, or 'no consent' (C), illegal. In nursing, consent ensures ethics; D aligns with NCLEX Perioperative, balancing urgency and legality.
Question 5 of 5
Which is the top priority for nurses during the perioperative period?
Correct Answer: C
Rationale: Patient safety is the top priority for nurses during the perioperative period because it encompasses the prevention of harm and ensures the patient's well-being throughout the surgical process. While patient teaching, diagnostic testing, and documentation are important aspects of care, they are secondary to maintaining a safe environment. Safety includes preventing infections, ensuring proper identification, and avoiding errors such as wrong-site surgery. The Surgical Care Improvement Project (SCIP) and Joint Commission standards emphasize safety as the foundation of perioperative nursing, making it the nurse's primary focus. For example, marking the operative site and verifying patient identity are critical safety measures that take precedence over teaching or documentation, which can be addressed once safety is assured. This prioritization aligns with the nursing principle of 'do no harm,' ensuring the patient's physical and emotional security during a vulnerable time.