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Periop 101 Exam Review Flashcards | StudBud
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Periop 101 Exam Review
Periop 101 Exam Review
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1
After setting up for a total joint a dirty instrument is discovered on the back table. What step should the RN take
NEXT
Break down the back table and re-establish the sterile field
Bring the pt in the room & document the contamination in the pt chart
Cover the area where the dirty instrument was found with a sterile towel
Remove dirty instrument from sterile field & replace with a sterilized one
2
The ventilation system in the restricted area of the OR should have an air exchange rate of at least
10 air exchanges per hour
15 air exchanges per hour
5 air exchanges per hour
20 air exchanges per air
3
Thrombin is which type of hemostatic agent?
Mechanical
Thermal
Chemical
4
What should be included as part of the psychosocial nursing assessment?
Cultural beliefs, perception of surgery, and religious beliefs
Cultural practices, religious beliefs, and age
Axiety, temperature, and religious beliefs
Anxiety, temperature, and cultural practice
5
How should the perioperative RN transfer medication from a medication vial to the sterile field?
Use a commercially available sterile transfer device
Transfer all meds into a container on sterile field before starting surgery
Remove stopper from vial and pour solution into container on sterile field
Clean vial stopper w/ alcohol and hold vial steady while scrub draws med up
6
What type of human factor error occurs when periop RN is trying to juggle several tasks at once?
Device user error
Knowledge-based
Situational
Skill-based
7
A pt. scheduled for surgery with general anesthesia eats a cheeseburger. How long is optimal to wait before anesthesia?
2 hours
8 hours
4 hours
6 hours
8
Bone wax is which type of hemostatic agent?
thermal
mechanical
chemical
9
You are circulating a lap appy. Surgeon encounters purulent inflammation of the appendix. What is the wound class?
Dirty
Clean
Clean contaminated
Contaminated
10
Perioperative nursing care documentation must include a description of the pt care delivered and the pt response
True
False
11
Which of the following
BEST
illustrates the purpose of perioperative patient and family education?
To increase the patient's and family's satisfaction with quality of care
To convey genuine caring for the patient's well-being
To support legal, ethical, and regulatory mandates
To increase patient and family adherence to the plan of care
12
According to AORN Guidelines, what is the correct documentation for this medication?
Morphine Sulfate 2.0 mg
M.S. 2.0 mg
Morphine Sulfate 2 mg
MS 2 mg
13
Which of the following is
TRUE
concerning using AORN Guidelines for perioperative practice
AORN guidelines legally supersede department & institution policies
AORN guidelines reflect scientific evidence of how RN's practice in the OR
Both medical and nursing licensing boards require compliance w/ guidelines
Work setting & situation variations may determine extent guideline applied
14
What is important to consider when transferring a pt who rec'd general anesthesia from OR bed to gurney to go to PACU?
Pre-medicate the pt to make them less anxious during transport
One staff member should routinely be available for pt transfers
Transfer with a minimum of 4 staff members in attendance
Wait until pt fully awake & able to transfer self from OR bed to gurney
15
Over-pressurization of a tourniquet cuff may cause
blood in the surgical field
compression injuries to blood vessels
shock
muscle spasms
16
In planning safe pt care related to prevention of positioning injury, the RN should
depend on the pt's natural defense mechanisms to indicate need for change
use additional precautions as appropriate based on unique pt considerations
rely on surgeon and anesthesiologist assessment to guide positioning
use a consistent method of procedure-specific positioning for every patient
17
Which sensory assessment finding is common among elderly patients?
Increased perception of pain
Decrease in vision including color and depth perception
Memory impariment
Decreased ability to understand explanations
18
Which practice violates a pt's ethical right to self-determination or removes his/her ability to make informed choices?
Providing information about the scientific evidence for planned care
Automatically suspending an intraoperative "do-not-rescuscitate" decision
Performing emergency surgery without informed consent
Including family members in the education process
19
Laser which type of hemostatic agent?
Thermal
Chemical
Mechanical
20
Evidence-based practice questions are typically formatted as PICO questions. What does PICO stands for?
Patient/Problem, Intervention, Comparison, Outcome
Populations, Interventions, Counter-intervention, Outlier
Patient, Investigation, Comparison, Outlier
Patient/Problem, Investigation, Counter-Intervention, Outcome
21
Pt is awake and alert in PACU after shoulder surgery. What is the
BEST
measure to assess the patient's pain?
Monitor vital sign changes
Observe facial expression and behaviors
Discuss the patient's pain with a close family member
Ask patient to describe her pain or use a standardized pain scale
