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2. During surgery, the anesthesiologist announces that the client is experiencing malignant hyperthermia and that emergency protocols must be implemented. The pt is most likely experiencing A. A decrease in blood pressure and increase in pulse rate. B. Cyanosis and exacerbation of finger clubbing, C. Muscle flaccidity and severe D. A rapid rise in temperature and muscular rigidity. 3. The nurse is caring for a patient intraoperatively. Primary roles of the circulating nurse include: A. Establishing and implementing the plan of care. B. Maintaining a sterile field. C. Assisting with applying sterile drapes. D. Handling sterile instruments and supplies to the surgcon 4. An important aspect of the nurse’s job is to ensure that foreign bodies are removed from the operative site before closure of the surgical wound. This is accompanied by: A. Counting sponges and instruments before the beginning of surgery. B. Ordering and x-ray of the operative site before moving the client off the operating table C. Co-signing the operative record verifying that no objects have been left in the wound. D. Coughing after being suctioned. 5. Immediate nursing action should be taken to prevent airway obstruction when the client is: A. Spitting out his airway B. Lying on his back with his face turned lateral C. On his back with his neck flexed D. Coughing after being suctioned. 6. Priority nursing interventions in the immediate postoperative recovery phase include such activities as: A. Assessment of airway, blood pressure, heart rate and rhythm, repiratory rate an depth, skin color and integrity, perfusion. O B. Assessment of the level of consciousness, special equipment needed at home, and presence freflexes. C. Assessment of IV’s, drains, teaching relaxation techniques, proving emotional support to person and significant others. D. Assessment of temperature, presence of reflexes, desire for spiritual referral and intake and output.
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