AORN Periop 101 Final Exam Study Guide with complete solution 2022/2023

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1.This type of needle point is what you would expect to be needed for suturing friable tissue such as the liver. - ANSWER What is a Blunt needle point? 2.These particular wound closing items are av... ailable in a wide variety of instrument sizes. - ANSWER What are disposable stapler sets? 3.Give one example from TJC list of Do-Not-Use Abbreviations, Acronyms, and Symbols. - ANSWER What is cc? 5.The surgical wound classification for a total abdominal hysterectomy. - ANSWER What is Clean contaminated? 4.Following an excisional breast biopsy, the circulating nurse would anticipate the need to have available this type of drain - ANSWER What is a Jackson-Pratt? 6.This position can cause physiological effects of circulatory and respiratory compromise due to pressure on the abdomen. - ANSWER What is Lithotomy Position? 7.To protect sensitive areas of the skin with appropriate padding is a recommended practice for this: - ANSWER What is to reduce the patient's risk of intraoperative skin injury. 8.An environmental sanitation practice that is required to limit the transmission of microorganisms to personnel when handling body fluid spills - ANSWER What is personal protective equipment? 9.It is recommended to inspect the active electrode for insulation defects to prevent this from occurring during MIS - ANSWER What is capacitive coupling? 10. According to AORN RP for positioning the patient, the perioperative nurse should: What is... a. Use a consistent method of procedure-specific position for each patient b. Rely on the surgeon's and anesthesia provider's assessments to guide positioning c. use additional precautions as appropriate based on unique patient considerations d. Depend on the patient's natural defense mechanisms to indicate the need for positioning alterations - ANSWER c. use additional precautions as appropriate based on unique patient considerations 11.The disadvantage of using this type of wound closure is because they often cause more scarring than other skin closure methods. - ANSWER What is skin clips? 12.An automatic intraoperative suspension of a do-not-resuscitate decision violates a patient's ethical right to... - ANSWER What is Self-determination? 13. This type of human factor error is responsible when a perioperative nurse is trying to attend to several tasks at once - ANSWER What is situational-based error? 14.Restricting pathogenic organisms from the patient, environment, equipment, and supplies is the definition of.... - ANSWER What is aseptic technique? The most important consideration when selecting these materials is to prevent risk of contaminating patients with endogenous and exogenous microorganisms; and risk of exposing healthcare workers to patient's blood and body fluids - ANSWER What are draping materials? 16.Patient and caregiver education for continuing post-op care at home is the primary focus of this Phase of post anesthesia care. - ANSWER What is Phase II? 17.According to the Institute of medicine recommendations for improving patient safety, this organization has the greatest potential impact to make changes on improving pt safety - ANSWER What are Healthcare organizations? 18. This statement about gloving technique is true What is... a. When gloving another person, always glove the left hand first. b. The scrub gown should be fastened in the back before donning gloves c. Open glove technique is used for initial donning of the sterile gown and gloves. d. Closed glove technique is used to glove the surgeon or assistant. - ANSWER b. The scrub gown should be fastened in the back before donning gloves 19. Draping material is this source in the fire triangle? (fuel, ignition, oxidizer) - ANSWER What is fuel source? 20. The safest way to pass a cutting instrument to a surgeon is: - ANSWER What is place it in a designated neutral zone with a verbal cue 21. To place a patient safely in this particular position the knees are over the break in the procedure bed to allow for knee flexion. - ANSWER What is Trendelenberg? 22. A packaging system for items undergoing sterilization should possess this characteristic: What is.... 1. Made of only disposable materials 2. to permit aseptic delivery of contents to the sterile field 3. Maintain sterility of the items for a specified length of time. 4. Compatible with all sterilization processes - ANSWER 2. to permit aseptic delivery of contents to the sterile field 23. Silicone catheters should be stocked on this particular cart in the surgical suite. - ANSWER What is a Latex-safe cart? 24. Open this package carefully over a small basin to prevent splashing of the packaging solution. - ANSWER What is handling natural absorbable sutures (plain, chromic) 25. An example of administrative controls to assure safe use of lasers, is the appointment of a person in this role: - ANSWER What is a laser safety officer? 26. This statement about the perioperative nurse's role in bioethical decision making is most justifiable. The perioperative nurse should... WHAT IS... a. Try to avoid involvement in ethical dilemmas unless they are personally engaged in a situation. b. Refer all ethical dilemmas to the institution's ethics committee to decide the best course of action. c. act according to the terms of agreement establishing the nature of the relationship between the pt and the nurse d. Defer to surgeons judgment when there is disagreement about the right course of action. - ANSWER c. act according to the terms of agreement establishing the nature of the relationship between the pt and the nurse 27. A precaution that should be taken when using this hemostatic agent intraoperatively is to avoid using it with an autologous blood salvage unit (cell saver). - ANSWER What is microfibrillar collagen 28. A designation of 4-0 on a suture package indicates this about the suture material. - ANSWER What is the diameter? 29. A recommended means of promoting the safety of personnel in the surgical suite is: What is.... a. Routine screening of patients for HIV and hepatitis C b. Providing access to MSDS (material safety data sheets) for hazardous agents in that environment c. Double-glove for every procedure d. Leaving the room when x-rays are being used, even if scrubbed. - ANSWER b. Providing access to MSDS (material safety data sheets) for hazardous agents in that environment [Show More]

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