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, Table of Contents
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Unit 1: Foundations for Practice
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1. Concepts Basic to Perioperative Nursing
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2. Patient Safety and Risk Management
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3. Workplace Issues and Staff Safety
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4. Infection Prevention and Control
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5. Anesthesia
6. Positioning the Patient for Surgery
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7. Sutures, Sharps, and Instruments
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8. Surgical Modalities
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9. Wound Healing, Dressings, and Drains
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10. Postoperative Patient Care and Pain Management x x x x x
Unit 2: Surgical Interventions
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11. Gastrointestinal Surgery x
12. Surgery of the Liver, Biliary Tract, Pancreas, and Spleen
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13. Hernia Repair
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14. Gynecologic and Obstetric Surgery x x x
15. Genitourinary Surgery x
16. Thyroid and Parathyroid Surgery
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17. Breast Surgery
x
18. Ophthalmic Surgery x
19. Otorhinolaryngologic Surgery x
20. Orthopedic Surgery x
21. Neurosurgery
22. Reconstructive and Aesthetic Plastic Surgery x x x x
23. Vascular Surgery x
24. Cardiac Surgery
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Unit 3: Special Considerations
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26. Pediatric Surgery x
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,27. Geriatric Surgery x
28. Trauma Surgery x
29. Interventional and Image-Guided Procedures x x x
30. Integrative Health Practices: Complementary and Alternative Therapies
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Chapter 01: Concepts Basic to Perioperative Nursing
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xMULTIPLE CHOICE x
1. The Perioperative Patient Focused Model presents key components of nursing influence that guide
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patient care. Select the statement that best describes the dynamic relationship within the model.
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a. The patient experience and the nursing presence are in continuous interaction.
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b. Structure, process, and outcome are the foundation domains of the model.
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c. The perioperative nurse is the central dynamic core of the model.
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d. The interrelated nursing process rings bind the patient to the model.
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xANS: A x
The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursing
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diagnoses, nursing interventions, and patient outcomes. These domains are in continuous interaction with
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the health system that encircles the focus of perioperative nursing practice—the patient.
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2. The Association of PeriOperative Registered Nurses‘ (AORN) Standards of Perioperative Nursing
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describes nursing interactions, interventions, and activities with patients. This is based on which
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standards category?
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a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS: B
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Process standards relate to nursing activities, interventions, and interactions. They are used to explicate
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clinical, professional, and quality objectives in perioperative nursing.
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3. Which order best describes the process used to implement evidence-based professional nursing?
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a. Literature search, theory review, data analysis, policy development
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, b. Regional survey, literature search, meta-analysis, practice change
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c. Identify problem, scientific evidence, develop policy, evaluate outcome
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d. Identify issue, analyze scientific evidence, implement change, evaluate process
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xANS: D x
Evidence-based practice is a systematic, thorough process by which to identify an issue, to collect and
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evaluate the best evidence to design and implement a practice change, and to evaluate the process.
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4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for their
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unit. The best process to gather scientific information is to:
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a. conduct a survey of skin prep policies at the next AORN chapter meeting.
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b. review their surgical site infection data from the last 6 months.
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c. conduct a literature search on antimicrobial agents and infection prevention.
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d. review the scientific literature from the leading manufacturers of prep solutions.
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xANS: C x
Perioperative nurses have an ethical responsibility to review practices and to modify them based on the
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best available scientific evidence. Using research to guide practice is called evidence-based practice
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(EBP).
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5. The cardiac team is developing a standardized sterile back table setup and is unable to find sufficient
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research evidence for their project. Where might they look for information on best practices?
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a. Survey regional surgical technology programs for their back table models
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b. Review case studies and expert opinions on sterile back table setups
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c. Review AORN‘s Guidelines for Perioperative Practice on sterilization and disinfection
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d. Consult with facility instrument vendor representatives for their advice
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xANS: B x
When there is not enough evidence to guide practice, perioperative nurses should consider gathering
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information from varied trusted sources that reflect best practices.
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6. How do institutional standards of care, such as policies and procedures, differ from national standards,
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such as AORN‘s Standards of Perioperative Nursing?
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a. They are written by nurses.
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