DIGEST WITH CORRECT SOLUTIONS
◉What is a Kronig incision. Answer: An 8cm vertical incision made
in the lower uterine segment after the bladder is separated and
retracted away
◉A Sterile field has been prepared for a vaginal hyst. The surgeon
has been called away for an emergency C-Section, delaying the
scheduled case by at least 1 hour. the appropriate method for
maintaining the sterile field for a delayed case is to
A. Tape the door closed
B. Cover the sterile field with a sterile drape and leave the room
C. Cover the sterile field with a sterile drape and remain in the room
D. Wait for an hour and the tear down the back table. Answer: C.
Cover the sterile field with a sterile drape and remain in the room
◉A pt has lost 750mL of blood intraop. Vitals are WNL. Which of the
following interventions sould the nurse anticipate.
A. Send a blood specimen for a stat type and cross
B. Set up autologous blood transfusion unit
,C. Send an order for 2 units of O-neg
D. Obtain additional crystalloids. Answer: D. Obtain additional
crystalloids
◉The RN completing the final count for a knee arthroscopy
discovers that an atraumatic needle is missing. After an exhaustive
search, an X-Ray is ordered. The results are negative and the surgeon
closes the wound. How does the RN document the incident
A. Document that the count was incorrect or unreconciled and
describe the steps that were taken to rectify the count
B. Document that the count was correct because the x-ray was
negative
C. Notify the supervisor and document what he or she instructs
according to policy
D. Inform the patient that a needle may have been left in the wound.
Answer: A. Document that the count was incorrect or unreconciled
and describe the steps that were taken to rectify the count
◉A pt is scheduled for a total knee. During time out the scrub
discovers that the incorrect implant is on the back table. The correct
implant is available, but unsterile. The surgeon would like to
continue with the case. What is the best course of action.
A. Notify the surgeon that the correct implant may be sterilized via
the immediate-use steam sterilization method if biological and class
V indicators are placed in the load
, B. Notify the surgeon that the correct implant may be sterilized via
the ethylene oxide method if the aeration period is aborted
C. Notify the surgeon that a root cause analysis will be initiated
D. Cancel and reschedule the procedure. Answer: A. Notify the
surgeon that the correct implant may be sterilized via the
immediate-use steam sterilization method if biological and class V
indicators are placed in the load
◉An 18 y/o pt is scheduled for surgery to have cochlear implants
placed, The patient refuses to have the implants tracked even after
the team has informed her of the possible implications of a recall or
adverse event. What is the next course of action
A. Cancel the procedure and it rescheduled at a different facility
B. Notify the surgeon and let them decide what to do
C. Proceed with the surgery and document in the perioperative
notes that the patient has refused to allow tracking of the medical
device
D. Report the incident to the US food and Drug admin. Answer: C.
Proceed with the surgery and document in the perioperative notes
that the patient has refused to allow tracking of the medical device
◉When should the scrub person transfer specimens from the sterile
field to the RN
A. At the end of the procedure
B. When it's convenient for the scrub person