Deck 4: Emergencies

Question 1

When providing an alarm system for an operating suite to use in case of emergency, which of the following are important design factors?

A)All surgical personnel should know how to activate the alarm and what to do when it is turned on.
B)The alarm should clearly notify personnel of an emergency by flashing lights and emitting a loud noise within the surgical suite.
C)The alarm should notify personnel who are outside of the operating room, such as those at the tech's station nearby.
D)Both A and C

Answer 1

Both A and C

Question 2

Which of the following measures is an example of patient burn prevention in the perioperative period?

A)Cleaning tables and supplies with acetone solution.
B)Placing towels under the patient during the skin preparation to collect fluid.
C)Storing flammable liquids next to the patient monitor, away from the electrosurgical unit.
D)Both B and C

Answer 2

Placing towels under the patient during the skin preparation to collect fluid.

Question 3

A patient is given anesthesia during the induction period and begins to develop muscle stiffness and cyanosis. His temperature is noted to be increasing at a rate of two degrees Celsius approximately every five minutes. What condition has this patient most likely developed?

A)Latex allergy reaction
B)Pulmonary embolism
C)Malignant hyperthermia
D)Stroke

Answer 3

Malignant hyperthermia

Question 4

What is the process for managing an overdose of anesthesia during the surgical procedure?

A)Extubate the patient and stop the surgical process.
B)Decrease the amount of anesthesia while increasing oxygen.
C)Stop the anesthetic and administer a narcotic antagonist.
D)Both A and C

Question 5

A perioperative tech is assessing a patient recovering from abdominal surgery. As they check the incision site, blood rushes out, followed by loops of intestine. Which intervention is necessary for an abdominal evisceration?

A)Put on sterile gloves and carefully push the loops of bowel back into the wound.
B)Place sterile dressings moistened with saline over the intestines.
C)Notify the surgeon of the need for surgical intervention.
D)Both B and C

Question 6

The perioperative tech assists with an emergency intubation of a patient who has developed respiratory distress. The patient's oxygen saturation levels are increasing and there is symmetrical chest expansion. What is the tech's next action?

A)Suction the endotracheal tube to clear secretions.
B)Obtain a chest x-ray to verify correct placement of the tube.
C)Secure the tube to the patient's face to prevent accidental extubation.
D)Trim down any excess length of the tube to prevent kinking.

Question 7

What is the purpose of critical incident stress debriefing for a patient with an adverse outcome?

A)To discuss painful feelings related to the situation.
B)To talk about what interventions were incorrect when caring for the patient.
C)To protect the techs and physicians involved from liability.
D)To give caregivers involved in the situation time off from work.

Question 8

In the middle of a surgical procedure, the patient on the table goes into cardiac arrest and needs CPR. What is the first action of the perioperative tech?

A)Turn on the alarm to notify others of the need for assistance.
B)Verify that the patient does not have a heart rate.
C)Administer oxygen by bag and mask ventilation.
D)Begin chest compressions at a rate of 100 per minute.

Question 9

A patient is admitted with severe burns over 50 percent of their body. The tech inserts an IV to begin fluid administration and for medications. What is the typical process of fluid shift for this type of patient within the first 48 hours?

A)Fluid is pulled out of the blood vessels and into the tissues.
B)Fluid is pulled out of the tissues and into the blood vessels.
C)Fluid maintains equilibrium between the blood vessels and the tissues.
D)Fluid movement depends on the type of burn and the patient's electrolyte status.

Question 10

A tech is assisting with a cesarean section and notes that the fetus appears to be in distress. Upon delivery, the baby is limp and pale, with meconium staining the amniotic fluid. What is the most appropriate action of the tech?

A)Move the baby to a radiant warmer and stimulate it to breathe and cry.
B)Turn the baby prone and slap the soles of its feet.
C)Provide tracheal suctioning to remove meconium from the airway.
D)Wrap the baby up in a blanket and take it to see its mother.