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This comprehensive study guide offers 44 multiple-choice questions and answers covering various aspects of perioperative nursing. topics include surgical team roles, patient safety protocols, nursing process application, patient assessment, and ethical considerations. Ideal for nursing students preparing for exams or professionals seeking to enhance their knowledge.
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gowns and gloves during the procedure? Ans>> Scrub Person AND Surgical assistant
of the following areas? Ans>> Unrestricted area
during the preoperative phase of the surgical experience? Ans>> Assessment, Iden- tification of desired outcome, Nursing diagnosis, Planning
process Ans>> Assessment
diag- nosis within the PNDS? Ans>> Risk for perioperative positioning injury
Ans>> Direct a nurse's activity in the perioperative arena; Provide a basic model to evaluate the quality of nursing practice; Ascertain a level of skills and abilities necessary to fulfill the professional role (All of the above)
in the nursing process Ans>> Outcome identification
Ans>> Scrub person- Monitors aseptic technique; RN circulator- Creates and maintains a safe envi- ronment; Housekeeping- Cleans the furniture at the end of the OR day; Nurse anesthetist- administers anesthesia to the patient
lowing mechanisms? Ans>> Convene and communicate with members about safety; Incorporate attention to
Commission's Universal Protocol for preventing Wrong Site, Wrong Proce-
dure, Wrong Person Surgery? Ans>> Using a time-out procedure before beginning the procedure
Ans>> Promote specific improvements in patient safety; Highlight problematic areas in health care; Describe evidence and expert-based system-wide solutions to the problems
Ans>> Information on ad- ministrative topics; Information that can be used to develop institution-specific poli- cies; Scientific evidence for clinical practices.
Perioperative Practice? Ans>> They are based on what nurses do in ideal situations; They may be fulfilled to varying degrees in different situations.
understanding of business principles? Ans>> To enable them to plan safe and effective care that is also cost-effective; To facilitate competition for patient volume; To manage and allocate resources wisely
Ans>> Gross revenue- All monies received by the facility for goods and services; Fixed expenses- Medical records and administration; Net revenue- gross revenue minus expenses;
Ans>> Willingness to take responsibility for one's actions; Being dependable in all situations; Making the best decisions with the input available; Willingness to bare consequences for one's actions
Ans>> Data that is the information written in the patient's record and nursing notes; History, physical, and laboratory data are examples of objective data
understanding Ans>> - Birth to one month- The child is able to express only through crying; 1- 12 months- The baby will smile, babble, and gurgle; One to three years- The baby is able to understand and respond to simple com- mands; Three to six years- The child is able to literally interpret terms.
volume per unit of body weight? Ans>> Children
ask patients about their use of herbal preparations, alcohol, tobacco, and recreational drugs? Ans>> Herbal supplements may affect the metabolism of drugs administered; Recreational drug use may affect the choice of preoperative sedation; Smoking may affect circulatory and respiratory system assessment results.
Ans>> Coping styles; cultural beliefs and practices; Expectations of perioperative care; Spiritual or religious beliefs
true? Ans>> Lung capacity decreases with increasing age
injury and cold? Ans>> Decrease in subcutaneous fat
recreational drugs before surgery? Ans>> Herbal preparations can affect bleeding times; Herbal preparations can interfere with drug metabolism; Recreational drug use can result in withdrawal symptoms; Recreational drug users may require higher doses of anesthetic medications.
elderly patients? Ans>> Employ DVT prophylactic devices; Position the patient for effective air exchange; Use warming devices to maintain the normothermia
intervention in a manner that preserves and protects Ans>> Patient autonomy, dignity, and human rights
involving Ans>> Influenc- ing behavior; Producing changes in knowledge; Producing change in attitudes and skills
include Ans>> Age; Attitude; Emotional state; Intellectual ability; Physical ability
over a nondirective interview technique when the information he or she needs Ans>> - Consists of predetermined questions; Consists of questions in a predetermined order; Is to document the patient's health history
Ans>> Reconsidered to ensure that the risks and benefits of anesthesia and surgery are discussed before surgery
Ans>> Communicating infor- mation and documenting the decision
understand- ing? Ans>> By asking questions about the procedure and evaluating the answer
Ans>> Structures with predetermined questions
experience postoperatively are Ans>> The surgical site; The nature and intended purpose of the surgery; the patient's fears regarding anesthesia or surgery
related to inanimate environmental surfaces? Ans>> Source or Reservoir
con- trol infections in health care settings is Ans>> Hand Hygiene
correct examples of precautions that should be implemented Ans>> Contact- Donning PPE and environmental cleaning; Droplet- Donning PPE and patient placement
the following when splashes, spray, spatter, or droplets occur Ans>> Masks; Shoe coverings; Eye protection devices; Gloves
multi drug resistant organisms Ans>> Effectiveness of prevention methods; Numbers of colonized patients; Vulnerability of the patients
Ans>> Surgical site infections- SSIs; Multidrug resistant organisms- MDROs; Central line associated blood stream nfections- CLABSIs; Catheter associated urinary tract infections- CAUTIs
include Ans>> Effective environmental clean- ing procedures; Performance of sterile technique; Use of surgical attire and other barriers (All of the above)
all of the following except Ans>> Shingles
Ans>> Class I Clean- Procedure does not involve the respiratory, alimentary, or genitourinary tract and no infection or inflammation is present. Class 2 Clean Contaminated- alimentary, or genitourinary tract is entered under controlled condition. Class 3 Contaminated- Gross spillage from GI tract occurs or unsterile instruments are used
. Class 4 Dirty- A clinical infection exists or an internal organ perforation is present.
except Ans>> Consulting with the risk manager
infection is Ans>> Hand Hygiene
be done Ans>> In the morning before bringing in any surgical supplies
the OR Ans>> - Wet vacuum or single use mop
reusable suction systems? Ans>> done according to federal, state, and local regulations
Ans>> Spray bottles can aerosolize poten- tially infectious materials; Spray bottles are not used to apply disinfectant
and
environe- ment Ans>> Escherichia coli; Methicilin resistant STaph aureus; Serratia marcescens.
hysterectomy be classified? Ans>> Clean contaminated wound
Ans>> Disinfection- A chemical or physical process of destroying all pathogenic microorganisms, except spores, on inanimate objects. Decontamination- The use of physical or chemical means to remove, inactivate, or destroy bloodborne or other pathogens on a surface or item. Sterilization- The process of destroying all microorganisms on a substance by exposure to physical and chemical agents; the complete elimination of all forms of microorganisms. High level disinfection- A process that destroys all microorganisms with the excep- tion of high numbers of bacterial spores.
used Ans>> In urgent situations
should Ans>> Permit aseptic delivery of contents to the sterile field
variables Ans>> proper time, gas concentration, temperature, and Ans>> Chamber humidity
Ans>> EO expo- sure is potentially carcinogenic and mutagenic to personnel and patients
items Ans>> Items must be immersible
of the following parameters Ans>> Temperature, time, and presence of steam
peroxide gas plasma sterilization Ans>> Items can be stored for future use; No toxic residue is produced; The sterilant is bactericidal, viruicidal, and fungicidal; It can be used for items that are heat sensitive.
Ans>> Exposure to external events; Type of packaging material used; Number of personnel who may have handled the package.
their uses Ans>> - Graspers- To handle tissues and dressings. Retractors- To provide exposure of the operative site. Cutting instruments- To incise, cut, dissect, or separate tissue. Clamps- To hold join, or compress parts together.
Ans>> May increase moisture and bacterial growth under the drape; Are NOT recommended for use.
Ans>> Implemented during surgical procedures to prevent microbial contamination
Ans>> 1. Surgical con- science-Allows for no compromise in the principles of sterile technique
and sterility of identified areas during operative or other invasive procedures.
Ans>> -handling sterile drapes as little as possible
Ans>> - Gown sleeves from two inches above the elbow to the cuff, circumferential.
Ans>> closed assisted gloving should be used to glove team members during initial gowning and gloving; Once the scrubbed team member's hands pass through the cuff, the cuffs are
considered contaminated; Scrubbed team members should wear two pairs of surgical gloves.
recommended by AORN? Ans>> a. Cuff the drapes over your gloved hand to prevent contamination.
sterile field.
instrument tray on the back table? Ans>> c. The entire sterile field should be broken down and a sterile field reestablished.
that "A sterile field should be maintained and monitored constantly"? Ans>> A sterile field that has been set up for more than 1 hour before the procedures begins should be broken down and a new set up prepared. If a delay occurs after a sterile field is set up, the personnel may leave the room as long as the room as been secured.
erative nurse should Ans>> Avoid removing stoppers from vials. Discard unused, opened irrigation or IV solutions at the end of the procedures. Dispense the entire contents to the container slowly. Use a sterile transfer device.