Exam Study Guide – Practice
Questions with Answers.
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Update.
The patient's desirable and measurable physiological and psychological
responses to nursing interventions are called:
Process Standards
Outcome Standards
Clinical Efficiency
Quality Improvement - Ans✔✔-Outcome Standards
he common goal of standards is quality patient care. Patient outcomes are an
essential indicator of the quality patient care.
Alexander's Care of the Patient in Surgery 16th ed. Ch 1
What the wound classification for vaginal hysterectomy?
,Class 1
Class 2
Class 3
Class 4 - Ans✔✔-Class 2
There is controlled entry into the genitourinary tract.
Alexander's Care of the Patient in Surgery 16th ed. Ch 9
The 19-year-old patient arrives to the OR within 2 hours of a traumatic open
Tib/Fib fracture for ORIF. What wound class is it?
Class1
Class 2
Class 3
Class 4 - Ans✔✔-Class 3
A fresh open trauma is classified as Contaminated (Class 3), A fresh trauma is
one that is less than 4-6 hours old at the start of surgery.
Alexander's Care of the Patient in Surgery 16th ed. Ch 9
Patients with one or more of Virchow's triad are at increased risk for
Deep vein thrombosis
Hemorrhage
Surgical site infection
,Respiratory distress - Ans✔✔-DVT
Virchow's triad describes the three broad categories of factors that are thought
to contribute to thrombosis. Hypercoagulability. Hemodynamic changes (stasis,
turbulence) Endothelial injury/dysfunction. DVT is at an increased risk
Alexander's Care of the Patient in Surgery 16th ed. Ch. 24
The Spaulding classification system is used to determine:
Appropriate methods to attain desired level of processing required for safety in
patient care items.
Safety standards for safely administering and monitoring anesthesia care
Post-operative discharge criteria
Ideal pressurization for rubberized spherical items - Ans✔✔-Appropriate
methods to attain desired level of processing required for safety in patient care
items.
Earle Spaulding, a microbiologist, developed a classification system in 1968 to
determine the appropriate method to attain the desired level of processing
required for safety in patient care items. This system was adopted and later
modified by the CDC.
Berry and Kohn's Operating Room Technique 13th ed Ch 17
When passing the knife to the surgeon the best practice would be...
To place the knife into a designated tray and so the surgeon can pick it up
To firmly place the blade handle into the surgeon's palm
, Let the surgeon take what he wants from the mayo stand
With the use of a safety scalpel passing device - Ans✔✔-To place the knife into
a designated tray and so the surgeon can pick it up
The neutral zone is a sterile basin or tray or magnetic pad from which the
surgeon or assistant can retrieve them. When finished the surgeon returns the
item to the tray where the scrub person retrieves them. Hand to hand passing
of sharps increases the chance of accidental sharps injury. Nobody but me gets
to touch my mayo stand and I made up the safety scalpel passing device.
Alexander's Care of the Patient in Surgery 16th ed. Ch. 7
The ultimate responsibility for the nurse's competency is:
Nurse
Educator
Manager
Director - Ans✔✔-Nurse
While education is often facilitated by the educator, manager or director it's
ultimately the individual nurse's responsibility to maintain his or her own
competency and nursing practice.
Alexander's Care of the Patient in Surgery 16th ed. Ch. 3
During a bowel resection for malignancy the circulating nurse anticipates...
Recounting sponges sharps and instruments after the GI tract is clamped
Prepare for regowning and regloving of the entire surgical team at the field