Periop 101 Study Guide Part 1

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

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

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

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

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

A hemostat used to control bleeders in SQ tissue:

Documentation of pneumatic tourniquet includes:

Suture choice for plastic surgery:

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

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

When labeling medications, include the following:

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

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

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

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

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

When utilizing electrocautery near the head/ neck:

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

What is a mosquito?

CHG antimicrobial agent can not be safely used above the neck

Mixture of beeswax, isopropyl and softening agent

DVT Prophylaxis includes:

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

What is NOT included in the Aldrete Scale?

Organisms traveling from wet skin and soaking through contaminating an object

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

Psychosocial assessment includes: (multiple answers)

Specimen collection and labeling includes the following, EXCEPT:

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

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

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

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

Accurate preoperative documentation of patient admission includes:

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

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

Thyroidectomies are considered CDC Classification:

Alcohol provides the quickest reduction in microbial counts.

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

What age group interprets terms literally?

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

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

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

Colon resections are considered CDC Classification I.

Open/ Fresh traumatic wounds are classified as CDC Classification:

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

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

What is a neutral zone?

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

Surgical steel can be used in the presence of another alloy

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

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

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

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

What is a pledget?

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

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

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

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

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

Lab values can be altered by:

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

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

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

Informed consent for surgery includes:

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

The first step in the sterilization process is cleaning.

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

Second intention or granulation phase of healing:

Major source of microbial contamination in the surgical environment:

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

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

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

A fomite is:

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

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

General hand hygiene is:

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

Clamp used to control bleeders in muscle tissues:

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

Safe use of surgical energy includes:

Periop RN determines the position that will facilitate optimal exposure.

Alcohol provides persistency in reduction of microbial counts.

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

Who is responsible for devising emergency plan?

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

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

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

The following should be included in preop interview EXCEPT:

Surgical tissue banking is:

Coordinates the activities related to positioning:

Bone wax is used in:

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

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

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

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

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

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

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

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

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