___ is an ideal complementary therapy to decrease pt anxiety
during the intraoperative period, as there is no contact between
the practitioner's hand and the pt Correct Answers therapeutic
touch
___ is the mneumonic used when performing a secondary
assessment of a pt after all life threatening issues have been
treated Correct Answers FGHI
R/ when appropriate, the pt will receive a secondary assessment
using the FGHI mnemonic: Full set of vitals, Give comfort
measures, perform a Complete history, and Inspect the posterior
areas of the body
____ protected types of mobile hospital tents and containers are
used in areas where nuclear, chemical or biological terrorism
threat exists Correct Answers chemically
R/in critical areas where a mobile hospital must be established,
then tents and containers are chemically treated to protect those
inside from dangerous threats of terrorism
) the perioperative nurse brings a completed case's contaminated
instruments to the decontamination area. He notes that the
personal protective equipment )PPE) for workers in this area
consists of gloves and shoe coverings. Which of the following is
the correct response to this observation? Correct Answers in
addition to current PPE, workers whould be wearing a fluid
resistant gown with sleeves, masks & eye protection
R/use of PPE should be based on expected exposure to
suspected or confirmed infectious agents. The risk for splashes,
,splatters, and skin contact of potentially infectious materials is
high for personnel handling contaminated instruments
34 year old female pt with a diagnosis of breast cancer is
scheduled for a R breast mastectomy. When performing the
surgical skin prep, the nurse Correct Answers uses a no touch
technique during prepping
a ___ involves removal of the entire breast along with axillary
lymph nodes, the pectoral muscles, and all adjacent tissues
Correct Answers radical mastectomy
Rational: tissues that have been identified as having malignancy
should be removed in their entirety to prevent further spread of
the cancer cells. A radical mastectomy will remove the breast
and all surrounding tissues
A ____ is a major cause of death during & immediately
following a surgical procedure that can result from blood
pooling in low pressure areas Correct Answers pulmonary
embolism
Rational: PE can be caused by blood clots or other debris like
fat. Debris blocks the pulmonary artery or one of the branches.
A PE is most often caused by stasis of blood in deep veins
during extended proceedures.
a 12 year old boy is scheduled for srgery to repair a fracture to
the knee involving the epiphyseal plate. The perioperative nurse
recognizes the primary complication resulting from the injury is
Correct Answers impaired growth to the affected leg
,a child is at risk of blunt intestinal trauma from Correct Answers
seatbelt in a motor vehicle accident
R/the location of a seatbelt on a child is over the abdomen. In
the event of a motor vehicle accident, the seatbelt ca nhave a
forceful direct pressure on the intestines and cause injury
a complementary therapy that could be utilized during the
perioperative period to help reduce anxiety is Correct Answers
music therapy
a coup-contracoup brain injury is due to Correct Answers
acceleration/deceleration forces
R/ coup-contracoup injury is a result of an acceleration force to
one area of the brain and deceleration force to the opposite side
a form of standardized language in the perioperative setting is
reinforced by the use of which documentation format? Correct
Answers PNDS
a nurse assists the anesthesiologist with placement of a spinal
anesthetic. The nurse notices the physicians sterile gloves brush
againstteh OR table. Which of the following actions
demonstrates professional conduct by the nurse? Correct
Answers inform the md of the break in sterile technique &
provide new sterile gloves
Rational: pt safety should be maintained through effective
communication of a break in sterile technique. It's the nurse's
responsibility to speak up and protect the pt
a perioperative nurse is made aware of the impaired practice of
another team member. According to the American nurses
, association's code of wthics, the perioperative nurse should
Correct Answers act to ensure the impaired person receives
assistance
R/the perioperative nurse;s primary commitment is to the health,
well being and safety of the pt. perioperative nursing ethical
principals require the reporting of any behavior that could pose a
threat to pt
safetywww.aorn.org/guidelines/clinical-resources/code -of-
ethics , pg 19
a potential complication of epidural anesthesia caused by a/an
____ is complete paralysis requiring intubation and systemic
support until the block is resolved Correct Answers
subarachnoid injection
R/ Subarachnoid injection caused by the initial needle or an
epidural catheter that moves and punctures the subarachnoid
space may result in total paralysis. Injection of medications
should be done with a test dose1st followed by injections of up
to 5 mL at a time to ensure proper placement
A pt age 7 is scheduled for a tonsillectomy and adenoidectomy
at the ambulatory surgery center. During the preoperative
telephone interview, the mother asks the preoperative nurse if
her daughter will be able to take her favorite stuffed animal into
the OR. Which of the following is the best response based on the
child's developmental level Correct Answers we will make sure
the toy stays with your daughter until the anesthetic takes effect
a pt aged 72 is scheduled for a R modification mastectomy. The
L breast is removed in error, which is discovered in the
postanesthesia care unit (PACU). The correct breast is removed