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Periop 101 Exam Review 3 Flashcards | StudBud
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Periop 101 Exam Review 3
Periop 101 Exam Review 3
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1
Sterile fields should be monitored constantly as direct observation decreases likelihood of detection of contamination.
True
False
2
Special considerations when using laparoscopic instruments include all of the following EXCEPT:
Instruments insulation should be inspected
Two grounding pads should be applied
Focus on insulation due to risk for thermal burns
Inspect closely as defects may not be obvious with casual inspection
3
Exogenous sources for pathogens include surgical personnel, OR environment, tools, instruments, supplies.
True
False
4
Bier block is an IV regional anesthetic that is often used for lower extremity blocks.
True
False
5
Monitoring overload of IV/irrigation dispensed and returned during procedures are utilized to prevent hypovolemia.
False
True
6
When power instruments are in use, irrigation should be ready for use due to generation of heat.
True
False
7
Air in OR should be cleaned according to all EXCEPT:
Negative pressure
20 exchanges per hour
Via HEPA filter
Minimum of 4 exchanges from outdoor air
8
Events that occur during the inflammation phase of wound healing include all EXCEPT:
Edema
Hemostasis
Proliferation
Phagocytosis
9
Activities made possible with perioperative documentation include all EXCEPT:
Communicates when the RN needs lunch
Communication of patient care by caregivers
Billing and inventory facilitiation
Planning and evaluation of care
10
Advantages of CPOE include all of the following EXCEPT:
Allowing electronic recording of medication administration
Decreases risk for extensive, purposeless conversations with doctors
Physician enters own orders giving nurses time for other tasks
Decreased risk for misinterpretation of orders
11
Disadvantage of endoscopic surgery is smaller incisions.
False
True
12
Special considerations for patients undergoing MIS/endoscopic surgery include all of the following EXCEPT:
History of type II diabetes
Previous incisions, History of DVT
Consent for open as apossibility
Voiding prior to prevent puncture with trocar
13
When using formalin, the nurse should:
Use absorbent material to absorb
All of the above
Avoid splashing and skin contact, wash well if skin contact
Store securely in dedicated area away from meds, supplies, food
14
An advantage when using povidone-iodine prep is high persistence.
True
False
15
Intraop RN responsibilities for patients undergoing general include all of the following EXCEPT:
Double checking blood
Applying cricoid pressure, obtaining emergency equipment
Relieving anesthesia provider for breaks
Starting IV, assisting with monitoring equipment
16
Patient involvement in their care in the periop area via HCP/Doctor entails?
Information received from surgen Re: nature of impending procedure
Alternative treatments or interventions to procedure
It is not necessary for patient to sign consent if incapacitated
Risks and benefits
17
An epidural anesthetic is injected into the spinal canal.
True
False
18
Components of medical video equipment include:
Printer
Fiber optic cable and camera unit
Insuflator
Heater
19
Methods to reduce intraoperative skin injury include all of the following EXCEPT:
Placing hose of warmer under patient blanket, and leaning on patient
Protect sensitive areas with padding
Ensure prep does not pool by using blotting towels and allowing rep to dry
Manage IED (electromagnetic interference) sources
20
Factors that should be taken into account while assessing the patient for allergies:
Heredity
All of the above
Prior reaction
Type of reaction
21
Special considerations when using insufflation (establish pneumoperitoneum) include all of the following EXCEPT:
Have backup tank available
Alarms should be turned off
Position at patients heart level or higher
Maintain pressure under 12mm/hg
22
All of the following applies to mask usage EXCEPT:
Mask should be removed by the ties only
Masks can be worn around the neck
Top tie should be tied at back head, lower tie should be tied at neck level
Fresh, clean mask should be worn for every procedure
23
Jackson-Pratt drains are commonly used for abdominal and breast surgeries.
True
False
24
Hair should be covered after surgical attire is donned.
True
False
25
Fluid management in MIS is critical in achieving correct fluid management include all EXCEPT:
Monitoring irrigation fluids dispensed and returned during the procedure
Monitoring overload of IV and irrigation to avoid hyponatremia
When patient is having hysteroscope procedures
Monitoring overload of IV and irrigation to avoid hypernatremia
26
JPs and hemovacs are suction drains used to remove blood and other fluids might build up at the surgical site.
True
False
27
The elements required to create a culture of safety includes all of the following EXCEPT:
Dissemination of receipt of information to all levels of staff
A sense of trust among team members
Development and support of a proactive approach
A non-sincere commitment to affirming safety as the first priority
28
Barriers to effective patient and family education in periop setting includes all EXCEPT:
Anxiety/Fear
Hunger
Limited time
Pain/Discomfort
29
Draping procedure includes all of the following EXCEPT:
Extra drapes may be needed for extremities,
Sterile to unsterile draping nearest first
Cuff over gloved hands
Drape from periphery to operative site, reaching over field to place drape
30
Documentation provides a basis for future reference for thing like all EXCEPT:
Evidence in a court of law
Reconstructs a personal experience record
Charting by excepting is all that is necessary
Ensures quality of care
31
_______ methods of hemostasis include sponges, camps, sutures, staples, clips, ligatures and pledgets.
Sensory
Scented
Mechanical
Chemical
32
A question a novice nurse might ask is "What does this patient need to support his cardiac function?"
True
False
33
Germicide labeled as a hospital disinfectant must be all of the following EXCEPT:
Labeled with EPA registration numbers
Regulated by the FDA
Has passed the potency test against pseudomonas, staph, salmonella
Use for low to intermediate level disinfection
34
The PNDS helps a perioperative nurse to:
All of the above
Plan nursing interventions
Assess and evaluate patient status and responses
Assess and develop nursing diagnoses
35
Expected outcome of primary importance when draping s patient is that patient is free from s/s infection.
True
False
36
Healing factors that are controlled by the surgical team are all EXCEPT:
Hemostasis/ suture material/ sufficient tension
Making sure that staff eats lunch and gets breaks
Removal of necrotic tissue/foreign material
Maintenance of sterile technique
37
Lasers provide an intense and concentrated beam of light that cuts and coagulates while minimizing tissue destruction.
True
False
38
An advanced nurse would ask "What's the anatomy and physiology of the heart?"
False
True
39
Symptoms of _____ include metallic taste, tinnitus, lightheaded, vision changes, lip numbness, confusion, tremors.
Hyperglycemia
Systemic toxicity
Hypoglycemia
Hypotesion
40
Types of sponges include:
Laps, tapes, raytecs
Tonsils, cherries
All of the above
Neuro patties
41
Special considerations when using an endoscopic light source are all of the following EXCEPT:
Disregard manufacturer's DFU
Do not turn on light until cable is connected
Light cable should be wound up and not kinked for storage
Standby mode when not in use
42
Continuous nerve stimulation helps ensure proper needle placement during regional/peripheral nerve blocks.
True
False
43
Drainage is achieved by passive (gravity) or active (suction) means.
True
False
44
Anesthesia can help during sponge counts by planning milestones to enable counts.
True
False
45
Circulating RN responsibilities include all EXCEPT:
Ordering surgeon's lunch
Emotional support, ongoing assessment, implement P&P
Specimen prep, coordinating nursing care, communication, documenting
Prep of supplies, instruments, equipment
46
Culture of Safety includes all EXCEPT:
Sense of trust aong team members, commitment to affirming safety =priority
Proactive approach, rather than reactive approach
Dissemination and verification of information to staff and mgmt
Passing sharps to surgeon hand to hand
47
Instruments should always be passed to surgeon with safety off, without drill guard.
False
True
48
Events that occur during the proliferation phase of wound healing include all EXCEPT:
Neovascularization
Collagen synthesis and contraction
Granulation
Epitheliation
49
Shearing risk can be reduced by all of the following EXCEPT:
Additional personnel for movement (2-4)
Draw sheets, lift patient to allow skin to realign with skeletal structures
Sliding lightweight patients without assistance
Using friction reducing sheets, slider boards, etc.
50
Mechanical methods of hemostasis include ESU coagulation, bipolar devices, lasers, ultrasonic energy, and argon gas.
True
False
51
Hemovacs are frequently used in orthopedics.
True
False
52
Clinical setting culture is affected by all EXCEPT:
Beliefs and Attitudes
Political influence
Skills
Values
53
Appropriate counting of sponges includes all of the following EXCEPT:
Radio should be loud enough for room staff to hear
Separate as counted
Before, during, and after surgical procedures
2 people count, one must be an RN
54
ORs should be cleaned after each procedure with lint-free/microfiber cloth moistened with disinfectant.
True
False
55
A competent nurse might ask "How does the conduction system work?"
False
True
56
Recommendation II pertains to interim cleaning, "a safe clean environment should be reestablished after each procedure.
False
True
57
Sterile items should be stored as all of the following EXCEPT:
Next to the cafeteria
Temp between 72-78'
60-70% humidity
With adequate air circulation, 4 air exchanges per hour
58
Most wound disruptions occur:
Phase 2- Beginning of proliferative phase, 2-10 days
Remodeling phase, 21 days-2 years
Phase 1- Inflammation phase, first 6 days
59
SBAR means:
Sit Back And Relax
Stay Back And Remember
Situation Background Assessment Recommendation
Slow Burn And Roast
60
Aerobes that live in the air are endogenous sources for pathogens.
True
False
61
Events that occur during the remodeling phase of wound healing include collagen remodeling and tensile strength gain.
False
True
62
The ESU is used to apply electrical current through the patient's tissue to cut and/or coagulate tissue.
False
True
63
The following statements reflect the concept of critical thinking EXCEPT:
Informed practice
Holistic thinking
Application of step by step process
Biased thinking
64
Types of drains include:
NGT, T-tube
Penrose
Suction drains, chest tubes
All of the above
65
The following guidelines should be noted while transferring meds and solutions to sterile field EXCEPT:
Scissors can be used to open med bottles
Use commercially available sterile transfer devices
Do not remove stoppers to pour meds
Transfer while using sterile technique
66
When documenting patient positioning, all of the following should be documented EXCEPT:
Type/location of padding and position, arm placement
Color of surgeons socks
Names/titles of persons positioning
Preop assessment/Postop evaluation
67
Pneumatic tourniquet documentation includes serial #, LOP, cuff pressure, skin protection, cuff location and all EXCEPT:
Time of inflation and deflation
Patient age and weight
Skin integrity pre and post case, assessment of estremity
Name of person placing cuff
68
Precautions for Malignant Hyperthermia include giving Dantrolene, providing 100% O2, iced saline to cool the patient.
True
False
69
4 Stages of Anesthesia, AEIP: Stage 1- initial admin, Stage 2- Excitement, Stage 3- Intrasurgery, Stage 4-Possibility
True
False
70
Commonly used nursing tools include all of the following EXCEPT:
PNDS
WHO/JC/AORN
Nursing Process
Google search
71
All case personnel are responsible for counts, including remaining aware of location of sponges.
False
True
72
Skin clips include all of the following EXCEPT:
All of the above
Can be used when infection is present
Can be quickly applied
Cause more scar tissue than others
73
RN responsibilities in sponge counts includes all EXCEPT:
Initiate and perform count
Only RN can request a count
Document count activities
Report count deficiency
74
Argon beam is a device that uses gas and electrical current to coagulate vessels.
False
True
75
Scrub should be lint free, minimize bacterial shedding, secure at waist, tucked into pants to prevent skin shedding.
False
True
76
After spinal anesthetic is administered, the RN must be alert for the potential for hypertension due to vasoconstriction
False
True
77
Opening wrapped sterile supplies in the proper sequence for presentation to sterile field:
Each of the side flaps, the farthest flaps, the nearest flaps
The nearest wrapper flaps, each of the side flap, the farthest wrapper flap
The farthest wrapper flap, each of the side flap, the nearest wrapper flaps
Does not matter
78
Pharmacological agents (epi, vit K, protamine, lysine) and topical agents (thrombin, collagen, gelatins, phenol) are:
Insurance agents for hemostasis
Stimulants for hemostasis
Mechanical agents for hemostasis
Chemical agents for hemostasis
79
Sterile gowns can be:
Hand washed
Reusable or disposable and resistant to strike-through
Stored in staff lockers
Unsterile