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Safety
Specimens
Perioperative RN
Medication
Miscellaneous
100
When a Bier block is used during a procedure, the perioperative nurse should: (2)
1. check the calibration of the tourniquet before applying it 2. monitor the length of time the tourniquet is inflated
100
Proper handling of an explant removed because of an apparent defect of failure includes: (2)
1. Documentation fo the serial number in the medical record and on the pathology requisition 2. Completing a risk management report
100
What components should be included in perioperative nursing documentation? (4)
1. Evaluation of patient outcomes 2. Nursing plan of care 3. Occurrence of any unusual events 4. Perioperative nurse's legal signature
100
What is a desired outcome most closely related to use of local anesthesia for a procedure?
The patient reports adequate pain control throughout the perioperative process
100
An important difference between minimally invasive (MIS) and open surgical procedures is that MIS:
Can be performed through smaller incisions
200
A patient is scheduled for reconstruction of her external ear following a dog bite injury. Which skin prep agent is contraindicated for use in this case?
What is Chlorhexidine gluconate (CHG)
200
To ensure proper handling of surgical specimens, which unique identifiers should the perioperative nurse verify BEFORE the patient enters the OR? (2)
1. Patient's medical record number 2. Spelling of the patient's name
200
What phases of the nursing process does the perioperative nurse practice during the PREOPERATIVE phase of the surgical experience? (4)
1. Assessment 2. Identification of desired outcome 3. Nursing Diagnosis 4. Planning
200
What precaution should be taken when microfibrillar collagen is used as a hemostatic agent intraoperatively?
Avoid using it with an autologous blood salvage unit (i.e. cellsaver)
200
Types of powered cutting instruments include: (4)
1. bone reamers 2. dissectors 3. saws 4. tissue shavers
300
What responsibilities do OR staff members have in maintaining a safe OR environment?(3)
1. Adhering to facility policies related to safety 2. Consistently applying OR-specific safety practices 3. Reporting safety hazards and violations to appropriate authorities
300
After a surgical specimen is procured by the surgeon, the scrub person should: (2)
1. Keep it in a sterile basin until it can be passed to the circulating nurse 2. Keep it moist with saline
300
What practice violates a patient's ethical right to self-determination?
Automatic INTRAoperative suspension of a do-not-resuscitate decision
300
The PERIOPERATIVE nurse's role in preparing and administering medications includes: (3)
1. Assessing the patient's medication allergies and use of herbal or dietary supplements 2. Verifying the administration of the correct medication, dose, and route 3. Writing down and reading back the surgeon's oral orders before preparing medication
300
A (horrible) example of an occluding clamp is a:
Kocher
400
The nominal hazard zone for laser use is the:
space where direct, scattered, or reflected laser radiation exceeds maximal permissible exposure
400
Proper handling of an explant removed because of an apparent defect or failure includes:
Documentation of the serial number in the medical record and on the pathology requisition
400
The perioperative nurse's role in bioethical decision making is most justifiable with:
Perioperative nurse should act according to the terms of agreement establishing the nature of the relationship between the patient and the nurse
400
Which route are antibiotics most commonly administered by the PERIOPERATIVE nurse during the INTRAoperative phase?
Irrigation solution
400
What should be the most important considerations when selecting drape materials? (2)
1. Risk of contamining patients with endogenous and exogenous microorganisms 2. Risk of exposing healthcare workers to patients' blood and body fluids
500
An accurate interpretation of the Institute of Medicine's recommendations for improving patient safety is:
Changes WITHIN the healthcare organizations have the greatest potential impact on improving patient safety
500
In which surgical wound category should a total abdominal hysterectomy (removal of uterus) be classified?
Clean contaminated
500
Critical thinking is:
An abstract concept that has been developing since Socrates
500
Which are true clinical manifestations of a true allergic response to latex? (3)
1. Contact urticaria 2. Periorbital edema and itching 3. Wheezing
500
EPA-registered germicides labeled as hosptial disinfectants must have demonstrated effectiveness against: (3)
1. pSEUDOmonas aeruginosa 2. SALMONELLA cholerae suis 3. STAPHylococcus aureus