This word that starts with the letter P may lead to nerve injury.
What is pressure.
100
The perioperative RN should pad ____ _______ and relieve pressure while positioning by using gel pads, egg-crate pads, towels, etc.
What is bony prominences.
100
Intact, reddened skin does not blanch to fingertip pressure.
What is Stage I Pressure Ulcer.
100
Patient ________ should be removed before the positioning or transferring of the patient to the procedure bed as these may provide a pressure point.
What is jewelry.
100
Anesthetic agents cause (increased or reduced) tissue perfusion?
What is reduced.
200
_______ occurs when skin surfaces rub over a rough, stationary surface. It can denude the epidermis and increase the risk for pressure ulcer formation.
What is friction.
200
Three forces can act on the patient as they lay on the surgical table. They are ____, ____, and ____.
What are Pressure, Shearing, and Friction.
200
It is important for the RN circulator to remember that patients under anesthesia may not express physical indicators that would warn of _______ when considering positioning.
What is pain/pressure.
200
The back of the head, ear, scapula, vertebra, rib, elbow, sacrum, ischial tuberosity, greater trochanter, medial and lateral condyles, malleolus, and heel are examples of _______ ________.
What are pressure points.
200
The patient's ____ should be elevated off the underlying surface whenever possible.
What are heels.
300
Partial skin loss involving the epidermis and/or dermis. Skin is abraded, blistered, or has shallow craters.
What is Stage II Pressure Ulcer.
300
The ______ the surgery, the less tissue perfusion.
What is longer.
300
Ensure that active electrocautery and laser electrodes are handled and stored so they are not _________ discharged.
What is inadvertently (accidently).
300
When a patient is in the reverse trendelenberg position, a padded footboard should be used to prevent slippage (_________) to the foot of the table.
What is shearing.
300
The ____ of pressure is more important than the intensity.
What is duration.
400
The perioperative RN should protect sensitive areas such as eyes, ears, breasts, and genitalia while positioning by not dragging sheets or items over them, and by ensuring that they are in normal _______ position once positioning is complete.
The RN should check their position throughout the procedure.
What is anatomical.
400
Full-thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures.
What is Stage IV Pressure Ulcer.
400
The use of chemical agents can cause skin to break down if _____ on skin for long periods of time.
Ensure that prep solution does not ____ on the patient’s skin or on drapes under or resting on the patient.
What is pooled/pool.
400
Massage heels & back of head, conduct ROM, and reposition _______ when possible on patients enduring extensive surgical time.
What are extremities.
400
Remove ______ ________ from the patient's skin postoperatively.
What is prep solutions.
500
Ensure that positioning devices are the correct ____ for the patient.
What is size.
500
______ occurs when the patient’s skin remains stationary and underlying tissues shift or move, as might occur when the patient is pulled or dragged without support to the skeletal system or while using a draw sheet. This can cause blood vessels and tissues to stretch, angulate, and become damaged. Patients most at risk are the elderly, obese, debilitated, or those in a poor nutritional state.
What is shearing.
500
Full-thickness skin loss possibly down to, but not through, the fascial layer. Deep craters with or without undermining adjacent tissue.
What is Stage III Pressure Ulcer.
500
While positioning patients for surgery, it is important for the RN circulator to remember to ensure that the patient"s skin does not inadvertently touch any _____ item (part of the bed, IV pole, etc).
What is metal.
500
________ occurs when moisture on the skin saturates and weakens the epidermis, making it vulnerable to the effects of external forces.
This may happen if a patient is lying in a pool of prep solution, blood, irrigation solution, or urine.