Periop 101 Study Guide Part 1

Type of anesthesia and position required for surgery are not important considerations during periop assessment.

Thyroidectomies are considered CDC Classification:

Air sampling should be performed before construction begins, after demolition and at end of project.

The following should be included in preop interview EXCEPT:

Electrosurgery is used during surgery to cut/coagulate tissue using a low radio frequency electric current

Derived from scientific knowledge developed through research and clinical practice such as counting sponges:

Cocaine and heroin users are often pre-medicated with opiates.

What is a neutral zone?

Needle that has smooth point, no cutting edges, pushes tissue aside

When using dispersive electrodes, all of the following are true EXCEPT:

Major source of microbial contamination in the surgical environment:

If drapes shift after placement, you should slide them back into place as soon as possible.

Bipolar electrosurgery is commonly used, active electrode is in the surgical site while return electrode is on patient

CHG antimicrobial agent can not be safely used above the neck

Clamp used to control bleeders in muscle tissues:

A benefit to using reusable drapes is that fibers loosen over time and increase barrier quality after several cycles.

Individualized patient care plan initiated during pre-op phase includes:

Needle point that cuts through tissue, frequently used for skin closure

Patient and family education improves quality of care, patient satisfaction, increases adherence and:

Coordinates the activities related to positioning:

Surgical steel can be used in the presence of another alloy

To prevent ulnar nerve, elbows should be padded and sheet tucked between patient and under bed mattress.

Converts electrical energy to mechanical energy, transmitted to handpiece, for blunt or sharp dissection & coagulation.

Specimen collection and labeling includes the following, EXCEPT:

Individualized Care reflects art of nursing, meets patient needs and provides comfort measures

Sequence of events for healing: hemostasis, clean up, wound sealing, regeneration of epithelium, deeper tissue repair

What mandates employers to provide programs for training of employees regarding unsafe work conditions.

CDC's Wound Classification's purpose is to monitor postop infections and take steps to reduce them

Colon resections are considered CDC Classification I.

Documentation of placement of tubes, catheters, drains and packing include:

Transfer of electrical current from active electrode through intact insulation to adjacent conductive tissue or trocars.

In PACU, the FIRST thing the RN should assess is:

Includes Pre-op Holding, Waiting Rooms, Blood/Specimen processing.

Who is responsible for devising emergency plan?

Self determination is based on respect & patient's right to make choices based on truthful information

Zone located in the semi-restricted area, only accessible via semi-restricted area, includes actual procedure room

Multiple ESUs can be used, but should use same technology and conform to same set of applications.

"Changes in healthcare organizations will have the most impact on making care delivery process safer for patients"

Lab values can be altered by:

Informed consent for surgery includes:

Psychosocial assessment includes: (multiple answers)

Routine hand hygiene is to remove transient M/O from hands, reduce resident M/O and inhibit rebound regrowth.

When placing patient in lateral recumbent position includes the following EXCEPT:

Depressed consciousness that patient retains ability to maintain airway and respond appropriately

Surgical tissue banking is:

DVT Prophylaxis includes:

Form of monopolar electrosurgery that uses electrical current and argon gas, can cause gas emboli

Open/ Fresh traumatic wounds are classified as CDC Classification:

The most effective method for floor care in surgical suite is using hand vacuum.

Closed gloving is when gown sleeves are pulled up so hand and fingers are exposed

Biological monitoring: Absence of growth, all parameters have been met, no growth, no color change

JC's protocol for preventing wrong site, wrong procedure, wrong person surgery. Protocol includes all BUT:

Positions that adversely affect diaphragmatic movement are all of the following EXCEPT:

Accurate preoperative documentation of patient admission includes:

When does the body react to sutures and what is the reaction?

Guideline for environmental cleaning: a safe environment does not have to be established after each procedure

A hemostat used to control bleeders in SQ tissue:

When utilizing electrocautery near the head/ neck:

A sterile field can be covered when there is an unanticipated delay or during periods of increased activity.

Recreational drug users require higher does of anesthetic and must be monitored for withdrawal symptoms.

When labeling medications, include the following:

The first step in the sterilization process is cleaning.

Damp dusting is done with cloth dampened with disinfectant after first case of the day starting with lower surfaces.

Periop RN determines the position that will facilitate optimal exposure.

Most commonly used during vascular closure, septal repair, heart repair and hepatic repair.

A ligature strand tied around a blood vessel to occlude bleeding.

Bone wax is used in:

What is NOT included in the Aldrete Scale?

What age group interprets terms literally?

Objective data includes patient's thoughts, feelings and perceptions regarding surgery

What is a pledget?

Decontamination is the _______ step in the sterilization process. disassembly, flush lumens, enzymatic agent.

Organisms traveling from wet skin and soaking through contaminating an object

What is a mosquito?

Automatic suspension of DNR orders is a violation of patient rights to self determination.

Chemically dependent patients are not usually concerned with post-op medications.

Includes equipment room, sterile supply storage, sterile processing department.

A preceptor teaches,counsels, inspires,serves as a rolemodel and supports growth & development for FIXED period of time

Patients that should be considered latex sensitive are all f the following EXCEPT:

Periop nursing assessment in Phase I of PACU includes the following EXCEPT:

Supplements, drugs, smoking & ETOH do not effect bleeding times, increase toxicity, or interfere with drug metabolism.

Alcohol provides persistency in reduction of microbial counts.

The periop RN's role in patient and family education includes:

Terminal cleaning takes place at least once every 24' (at end of schedule).

Safe use of surgical energy includes:

Mixture of beeswax, isopropyl and softening agent

Anesthesia provider ensures that position does not compromise airway management, vascular access, or cardiac stability.

All of the following are TRUE, with the exception of:

Patient and family education does not increase knowledge, satisfaction and outcomes.

NPSG's focus/purpose is to include the following EXCEPT:

Suture choice for plastic surgery:

The surgical scrub or antisepsis hand rub performed before donning sterile attire preoperatively

Second intention or granulation phase of healing:

General hand hygiene is:

Alcohol provides the quickest reduction in microbial counts.

A ruptured appendix or old traumatic wound is classified by CDC as:

Subjective data includes facts, figures and findings including nursing notes and plan of care

Most effective way to prevent disease transmission/control infections is wearing a mask.

A fomite is:

Documentation of pneumatic tourniquet includes: