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Periop 101 Exam Review Part 2 Flashcards | StudBud
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Periop 101 Exam Review Part 2
Periop 101 Exam Review Part 2
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1
You are circulating a lap appy. Surgeon encounters purulent inflammation of the appendix. What is the wound class?
Dirty
Contaminated
Clean
Clean contaminated
2
Evidence-based practice questions are typically formatted as PICO questions. What does PICO stands for?
Patient, Investigation, Comparison, Outlier
Patient/Problem, Intervention, Comparison, Outcome
Populations, Interventions, Counter-intervention, Outlier
Patient/Problem, Investigation, Counter-Intervention, Outcome
3
Perioperative nursing care documentation must include a description of the pt care delivered and the pt response
True
False
4
Which of the following is
TRUE
concerning using AORN Guidelines for perioperative practice
AORN guidelines reflect scientific evidence of how RN's practice in the OR
Work setting & situation variations may determine extent guideline applied
Both medical and nursing licensing boards require compliance w/ guidelines
AORN guidelines legally supersede department & institution policies
5
Which of the following
BEST
illustrates the purpose of perioperative patient and family education?
To increase the patient's and family's satisfaction with quality of care
To convey genuine caring for the patient's well-being
To increase patient and family adherence to the plan of care
To support legal, ethical, and regulatory mandates
6
How should the perioperative RN transfer medication from a medication vial to the sterile field?
Transfer all meds into a container on sterile field before starting surgery
Use a commercially available sterile transfer device
Clean vial stopper w/ alcohol and hold vial steady while scrub draws med up
Remove stopper from vial and pour solution into container on sterile field
7
According to AORN Guidelines, what is the correct documentation for this medication?
M.S. 2.0 mg
Morphine Sulfate 2.0 mg
Morphine Sulfate 2 mg
MS 2 mg
8
Pt is awake and alert in PACU after shoulder surgery. What is the
BEST
measure to assess the patient's pain?
Discuss the patient's pain with a close family member
Ask patient to describe her pain or use a standardized pain scale
Monitor vital sign changes
Observe facial expression and behaviors
9
Laser is which type of hemostatic agent?
Thermal
Mechanical
Chemical
10
What is important to consider when transferring a pt who rec'd general anesthesia from OR bed to gurney to go to PACU?
One staff member should routinely be available for pt transfers
Transfer with a minimum of 4 staff members in attendance
Pre-medicate the pt to make them less anxious during transport
Wait until pt fully awake & able to transfer self from OR bed to gurney
11
Thrombin is which type of hemostatic agent?
Thermal
Mechanical
Chemical
12
In planning safe pt care related to prevention of positioning injury, the RN should
depend on the pt's natural defense mechanisms to indicate need for change
rely on surgeon and anesthesiologist assessment to guide positioning
use additional precautions as appropriate based on unique pt considerations
use a consistent method of procedure-specific positioning for every patient
13
What type of human factor error occurs when periop RN is trying to juggle several tasks at once?
Device user error
Skill-based
Knowledge-based
Situational
14
What should be included as part of the psychosocial nursing assessment?
Cultural practices, religious beliefs, and age
Anxiety, temperature, and religious beliefs
Cultural beliefs, perception of surgery, and religious beliefs
Anxiety, temperature, and cultural practice
15
Bone wax is which type of hemostatic agent?
chemical
thermal
mechanical
16
After setting up for a total joint a dirty instrument is discovered on the back table. What step should the RN take
NEXT
Remove dirty instrument from sterile field & replace with a sterilized one
Cover the area where the dirty instrument was found with a sterile towel
Bring the pt in the room & document the contamination in the pt chart
Break down the back table and re-establish the sterile field
17
Over-pressurization of a tourniquet cuff may cause
compression injuries to blood vessels
muscle spasms
blood in the surgical field
shock
18
Which sensory assessment finding is common among elderly patients?
Decreased ability to understand explanations
Memory impariment
Decrease in vision including color and depth perception
Increased perception of pain
19
The ventilation system in the restricted area of the OR should have an air exchange rate of at least
20 air exchanges per hour
15 air exchanges per hour
5 air exchanges per hour
10 air exchanges per hour
20
Which practice violates a pt's ethical right to self-determination or removes his/her ability to make informed choices?
Automatically suspending an intraoperative "do-not-rescuscitate" decision
Providing information about the scientific evidence for planned care
Including family members in the education process
Performing emergency surgery without informed consent
21
A pt. scheduled for surgery with general anesthesia eats a cheeseburger. How long is optimal to wait before anesthesia?
6 hours
4 hours
8 hours
2 hours
