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• When should assistive technology be used when transfering a patient? -✓✓When
one team member is required to lift more than 35lbs of patient
• Time for surgeon to authenticate verbal orders (federal mandate, not hospital
policy) -✓✓48 hours
• Examples of clinical alarms -✓✓alarms on cardiac monitors anesthesia machines,
ventilators (visual, auditory or both)
• Universal Protocol -✓✓prevent wrong site, wrong procedure, and wrong surgery
1. Preop/ procedure verification process
2. marking site
3. time out
* part of assessment phase of Nursing Process
National Patient Safety Goals
• Examples of full body patient transfer devices -✓✓air-assisted transfer mattresses
(hovermats), full body slides, mechanical lifting equipment
• Examples of safety-engineered devices to prevent sharps injuries -✓✓blunt suture
needles, safety scalpels, needless systems, alternate wound closures
• Contact time -✓✓specific length of time disinfectants can remain in contact w/
microorganisms to achieve disinfection
• For every time of equipment of supply used on or for patient, what document
should always be followed? -✓✓IFU- manufacturer's instructions for use
,• Adverse reactions to polymethymethacrylate (bone cement) -✓✓hypotension,
cardiac arrest, CVA, pulmonary embolism, fat embolism, hypersensitivity,
thrombophlebitis, death
• RN's action after hearing a verbal order from Dr -✓✓read back the order
• Symptoms of local anesthetic systemic toxicity -✓✓metallic taste, confusion,
dizziness, numbness (initial phase)
• Indication for use of BSS (Endosol) (balanced salt solution) -✓✓keep eye moist
during surgery
• Effective meds to reduce postop N/V -✓✓Droperidol, Ondansetron,
Promethazine
• Maximum number of meds prep RN should compound in periop suite -✓✓Three
• What type of muscle cell is affected during MH? -✓✓Skeletal
• Examples of research evidence -✓✓RCTs, systematic reviews, quasi-
experimental studies
• Standardized language that reflects period nursing practices? -✓✓Perioperative
Nursing Data Set (PNDS)
• Examples of non-absorbable suture materials -✓✓cotton, milk, nylon sutures
• implant that reduces tremors, involuntary movements, gait problems for
Parkinson's -✓✓Deep brain stimulator
• What is Unique Device Identification? -✓✓FDA requirement; every device has a
number (also on package); for implantable life-supporting, sustaining devices
• Risk assessment for pressure injuries -✓✓Braden Scale, Munro Scale, Scott
Triggers Tool
• Using prophylactic dressings applied to healthy skin that is at risk for pressure
injury may reduce effects of -✓✓pressure, shear, friction
,• Scatter radiation -✓✓reflected off patient, table, shielding, material (secondary
radiation)
risk to personnel in room
• Leakage Radiation -✓✓emanates from X-ray tube housing (secondary radiation)
• Remnant Radiation -✓✓exits patient & imparts image on film
poses little threat to personnel
• The timing of the administration of a preoperative prophylactic antibiotic, when
ordered for a patient whose plan of care includes the use of a pneumatic tourniquet,
should be based on the -✓✓goal of achieving optimal tissue concentration
& policy/ procedures of hospital
• Limb occlusion pressure is the pneumatic
tourniquet pressure required to occlude
___________ blood flow in the limb. -✓✓arterial
• Before the pneumatic tourniquet is inflated, guidelines include the extremity may
be exsanguinated by -✓✓using an elastic wrap
elevating the limb
• The orthopedic surgeon and the anesthesia professional should determine the
initial tourniquet inflation pressure by measuringthe patient's -✓✓limb occlusion
pressure
• During application of a pneumatic tourniquet to an extremity, the perioperative
RN should position the cuff tubing on or near the ___________ aspect of the
extremity. -✓✓lateral
• A perioperative RN develops a plan of care for a patient whose surgery includes
the use of a pneumatic tourniquet placed on her right lower extremity. Monitoring
the patient's temperature throughout the perioperative period is considered what
part of the nursing process for this patient? -✓✓intervention
, • Maximum tourniquet cuff pressure for the
thigh should not exceed -✓✓350mmHg
• When the use of monopolar electrosurgery is anticipated, after the application of
a pneumatic tourniquet, the perioperative RN should place a single-use dispersive
electrode _____________ to the cuff. -✓✓proximal
• The employer must maintain the employee'sexposure record (ie, sharp incidents)
for the duration of employment plus ___ years? -✓✓30 years
• Using the Gown Liquid Barrier Performance Class rating, a surgical gown
classified as a Barrier Level 4 should be worn when the anticipated level of
exposure to fluids, splashes, or pressure on the gown is -✓✓high
• The perioperative RN should anticipate classifying a surgical wound when there
is a controlled entry into the GI tract without spillage of gastric or bowel content as
-✓✓Class II (Clean-contaminated)
• Bonewax is made of -✓✓beeswax, paraffin, and isopropyl palmitate.
• Which of the following is NOT a type of skeletal traction? -✓✓Cervical halo
Gardner-Wells tongs
***Hip Spica cast***
Thomas splint balance suspension
• Key points related to the use of methyl methacrylate include the following
EXCEPT
A. It is a respiratory, eye, and skin irritant.
B. It is a vasoconstrictor.
C. It is used to secure prostheses in bone.
D. Patients and staff can be allergic to it. -✓✓B- vasoconstrictor
It is a vasodilator that causes hypotension
• Osteotomes, gouges, and chisels are what type of surgical instrument? -
✓✓dissecting