Reference no: EM133385061
"The nurse caring for Ms. Doe alerts both the surgeon and anesthesiologist that she appears to be in pain and is combative. Her preoperative check is completed quickly, and she is provided with IV pain medication and a benzodiazepine for her anxiety. Her daughter is brought to her bedside to provide support while she waits to enter the OR. Soon after, Ms. Doe is transported into the OR and transferred to the OR bed. Her daughter is escorted to the waiting area and is told she will be updated on a regular basis. After proper positioning and safety checks are completed, the time-out is performed and surgery is started. Ms. Doe has her appendix removed without complication.
Case Study Questions
1. If Ms. Doe indicates there is a family history of problems with anesthesia, it is important to discuss this with the anesthesia provider in order to avoid the use of which MH-triggering agent?
A. Nitrous oxide
B. Morphine
C. Succinylcholine
D. Ketamine
2. The nurse understands that surgical attire is worn for what purpose? (Select all that apply.)
A. Prevent transmission of microorganisms between the patient and the team
B. Promote cleanliness in the OR suite
C. Prevent the spill of blood and body fluids to the surgical team's apparel
D. Promote confidentiality of patient and staff identity
E. Facilitate the surgical team working together collaboratively
3. Prior to the start of Ms. Doe's surgical procedure, all members of the surgical team participate in a time-out. Which of the following are components of the time-out? (Select all that apply.)
A. Correct procedure
B. Correct site
C. Correct equipment
D. Laterality
E. Correct OR
4. While Ms. Doe is in the OR, what considerations will be taken to ensure her safety and positive outcome? (Select all that apply.)
A. Time-out
B. Maintenance of sterile technique
C. Continuous patient monitoring
D. Instrument count/sponge count
E. Breaks for personnel
5. Potential adverse effects of the supine position for Ms. Doe's surgery include which of the following? (Select all that apply.)
A. Skin breakdown in the heels and elbows
B. Venous pooling in the legs
C. Ulnar nerve injury
D. Retinal detachment
E. Cerebral edema"