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Periop 101 review Flashcards | StudBud
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Periop 101 review
Periop 101 review
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Review for periop 101 exam
Flashcards
70 cards
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Practice quiz
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Host live
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Questions
70
Answers
1
What is the correct temperature for sterile storage areas?
40-52F
68-90F
62-68F
72-78F
2
What is the name of these sponges?
tonsil sponge
peanuts
laparotomy square
3
In which position does the patient require an extra gurney to be available at all times and why
prone
supine
lateral
4
important values affecting the clinical setting include which of the following
conflict resolution
decision making
problem solving
fair and equitable health care
5
Which concepts reflect the process of critical thinking? select all that apply
unbiased thinking
holistic thinking
following a check list
informed practice
6
What is the most effective method of floor care in a surgical suite?
sweeping
waxing
mopping
wet vaccuming
7
What should the circulating nurse focus on for a patient undergoing MIS or endoscopic?
Previous incisions and scarring
voiding prior to surgery
consent including possibility of open procedure
History of CHF
8
Which ESU is preferred when a patient has an IED?
monopolar
niether
bipolar
9
Which zone is where surgeries actually take place?
restricted
touchdown
semi-restricted
unrestricted
10
Where do perianesthesia nurses care for patient's? Select all that apply
ICU
preadmission area
Extended care unit
PACU
11
Which phase of anesthesia begins when the first incision is made?
maintnence
emergence
induction
12
What should you NOT do with medications in the OR?
discard medications immediately after use
use one container of medication per case
label all medications
13
A time out must always include the patient while they are awake.
false
true
14
The hose of a patient's warmer can be placed under the blanket if no beir hugger is present
false
true
15
What is the name of the specimen that will be used to study cell biology?
cytology
biopsy
culture
routine specimen
16
What is NOT the responsibilities of an OR nurse?
making the surgeon happy
emotional support
preparing specimens
document
17
What is NOT a barrier to patient and family education?
pain
limited time
excitement
fear
18
DNR orders should be automatically suspended during the periop process.
true
false
19
What should not be documented about skin prep?
skin color
name of person performing prep
area of body prepped
prep agent used
20
What is the first step in the sterilization process?
cleaning
disinfection
sterilization
21
Which clamp is most appropriate to control bleeding during open abdominal procdure?
allis
kocher
kelly
22
Which is a thermal method of hemostasis? Select all that apply
argon gas
ultrasonic energy
ESU
thrombins
23
What factors in biological monitoring indicate absence of bacterial growth? select all
no color change
humidity
no fluoresence
no growth
24
Which type of anesthesia requires anesthesia personel to be present? Select all that apply
MAC
Local
General
Moderate sedation
25
Arm extension should always be in which position? If it is not what can happen?
tucked at sides
Greater than 80degrees
directly above the head
Less than 90 degrees
26
Intestinal gases are a potential fuel for surgical fires
true
false
27
Which bacteria are easily removed by mechanical cleansing?
cdiff spores
resident microorganisms
transient bacteria
28
CHG (Chlorhexidine gluconate) should always be used above the neck for prepping
true
false
29
Which forces act on the patient as they lay on the surgical table? select all that apply
air flow
shearing
friction
pressure
30
When using an endoscope when should you turn on the light source?
when the surgeon instructs you to
before the cable is connected to the scope
once the cable is connected to the scope
31
What are complications of the trendelenberg position? select all
retinal detachment
increased icp
hypotension
aspiration
32
which item is typically subjected to nonbiologic testing?
amniotic fluid
donor tissue
cell washings
bullet from a crime scene
33
Which is NOT a factor that contributes to deciding the type of anesthesia during surgery?
Size of incision
Doctor and patient preference
Recovery time post operativley
Positioning
34
Full thickness skin loss and damage to muscle or bone is considered which stage pressure ulcer?
Stage 1
Stage 5
Stage 3
35
What are signs of systemic toxicity? Select all that apply
confusion
pt reports salty taste in mouth
respiratory arrest
sweating
36
Which cases should skin clips NOT be used for?
critical cases
when infection or drainage is present
cosmetic procedures
37
When are surgical stainless steel sutures used? select all
lung closing
Obstetric
podiatry
sternum
38
How many exchanges with outside air must occur per hour in the OR?
none
4
3
20
39
Which position should the patient's head and neck always be maintained in?
nuetral
rotation
extension
40
Which of the following is NOT a topical hemostatic agent?
ligature
flowable agents
protamine
41
What should the temperature of the water be when washing your hands?
100-110F
70-80F
69-75F
42
Where is the epidural anesthetic injected?
between the ligamentum flavum and the dura
between C1-C3
spinal canal
43
Where should the safety strap be applied?
just above the knees
across the neck
at knee level
44
What should the temperature and humidity of the OR be?
60-70F and 10-30% humid
68-75F and 20-60% humid
68-75F and 60-80% humid
45
What is a special precaution when using argon enhanced coag?
the gas can result in a risk of gas emboli formation
The room may get hot be sure to maintain thermostat temp
the surgeon does not have to wear a mask
46
What events occur during the inflammation phase of healing? select all
epithelialization
collagen remodeling
hemostasis
edema
47
What should be included on the patient's consent? Select all that apply
resident's signature
specific name of procedure and indictations
signature of patient
patient preferences
48
Which are chemical methods of hemostasis? select all that apply
gelatin sponge
pledget
styptic
suture
49
What should the periop nurse monitor for after spinal anesthesia is given? Why
hypertension
hypotension
50
How long should surgeon wait after prepping before applying drapes?
3min
2min
4min
As long as the surgeon says to wait
51
Microfibrillar collagen should be used with autologous blood salvage units
true
false
52
Which organizations provide guidance related to surgical tissue banking? select all
USDA
FDA
AATB
YMCA
53
Which drape should be used for a laparoscopic cholesystectomy ?
laparotomy
thyroid sheet
extremity sheet
54
During lithotomy position it is important that the buttock's is 2in from the break in the bed
false
true
55
Which anesthesia medication is most often used as a muscle relaxant to assist in intubation?
lidocaine
propofol
rocuronium
56
What factors do NOT put a patient at risk for hypothermia?
being female
hypogylcemia
hyperthyroidism
having CHF
57
Blunt point needles are used for dissection of friable tissue (liver,spleen,kidney)
true
false
58
Which is NOT a sign of MH?
hyperthermia
atrial dysrythmia's
increase in tidal CO2
rigidity
59
Which of the following are complication of the sitting and semi-sitting position? select all
arterial pooling
air embolism
venous embolism
a closed foramen ovale
60
What should NOT be documented in the intraop epic page?
scrub tech positioning of back table
type of positioning used
surgeon's drug administration
names of all staff in room
61
Where should the axillary roll be placed ?
under the hip bone
proximal to axillary fold
under patient's dependent thorax
62
What is the name of the system that includes noncritical, semicritical, critical?
aldrete scale
spaulding system
GCS
63
Incisional biopsy is when a large portion of tissue is incised and sent for examination
true
false
64
What are special considerations for elderly patient's in the OR?
increase rate of medication absorption
increased risk for hypothermia
65
spillage from GI tract in an open abdominal procedure would be considered...
clean-contaminated
dirty infected
clean
66
Synthetic absorbable sutures are made of..
surgical gut
collagen
polymers
67
What Should you do when MH is expected? select all that apply
Provide Dantrolene
provide 100% oxygen
Call the attending general surgeon to run the room
provide room temperature saline
68
During the initial donning of sterile gown and gloves you will use the closed gloving technique
false
true
69
Where should the CO2 insufflator be positioned on the cart?
below the patient's legs
at the level of the patient's heart or higher
On top of the bovie machine
70
mechanical methods to achieve hemostasis include which of the following? select all
bone wax
styptics
ligatures
collagen sponges