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