AORN Periop 101 Final Exam (Answered) 2022
Who can provide anesthesia care? (4)
1. Anesthesiologists
2. CRNA's
3. Anesthesia assistants
4. Periop nurses
4 types anesthesia
General - loss of consciousness
Regional - loss of sensation
Local - small area loss of sensation
MAC - IV
Whose responsibility during MAC to monitor pt?
RN
What should RN monitor during MAC? (3)
1. Extravasation of IV
2. Reduction of arterial O2 sat
3. Difficulty breathing
4 Stages of anesthesia
1. Initial administration
2. Excitement - unconscious to loss of eyelid reflex
3. Intrasurgery
4. Possibility of resp failure
3 Phases of Anesthesia
1. Induction - admin until 1st incision
2. Maintenance - incision to completion
3. Emergence - from when pt awakens until pt exits OR
What is often used for upper extremity nerve blocks?
IV regional anesthetic/Bier block
Where is epidural anesthetic injected?
between ligamentum flavum and dura
(NOT spinal canal)
What helps ensure proper needle placement during peripheral nerve block with regional
anesthesia?
continuous nerve stimulation
First sign of Malignant Hyperthermia
increased end-tidal CO2
What should be done for pt with MH crisis?
1. Stop surgery & stop triggering agents
2. Give dantrolene
3. Give 100% O2
4. Cool pt with iced saline
, Mentor or preceptor?
"One who provides encouragement and acts as a guide and facilitator while modeling
professional nursing behaviors"
Mentor
Mentor or preceptor?
"One who teaches, counsels, inspires, serves as a role model, and supports the growth
and development of the novice for a fixed and limited period"
Preceptor
Mentor or preceptor?
Guides nurse through a wide range of professional activities
Mentor
Mentor or preceptor?
Guides nurse through defined clinical activities
Preceptor
What should intra-abd pressure be maintained under in an adult pt during CO2
insufflation for endoscopic surgery?
12 mm Hg
Single most important factor in minimizing microorganism transfer
Hand hygiene
The most effective method for floor care in surgical suite
Wet vacuuming
When should air sampling be done in OR? (3)
1. Before construction begins
2. After demolition
3. At end of project
examples of mechanical hemostasis (8)
1. Manual pressure (sponges)
2. Clamps
3. Sutures
4. Staples
5. Clips
6. Ligatures
7. Pledgets
8. Bone wax
What type of hemostasis is achieved by occluding severed vessels until platelet
formation occurs
Mechanical
Strand of material tied around blood vessel to occlude lumen and prevent bleeding
Ligature
non-absorbable suture support used when there is possibility of sutures tearing through
tissue
Pledget
What type of hemostasis uses pharmacological or topical products?
Chemical
Ex of thermal hemostasis (3)
Who can provide anesthesia care? (4)
1. Anesthesiologists
2. CRNA's
3. Anesthesia assistants
4. Periop nurses
4 types anesthesia
General - loss of consciousness
Regional - loss of sensation
Local - small area loss of sensation
MAC - IV
Whose responsibility during MAC to monitor pt?
RN
What should RN monitor during MAC? (3)
1. Extravasation of IV
2. Reduction of arterial O2 sat
3. Difficulty breathing
4 Stages of anesthesia
1. Initial administration
2. Excitement - unconscious to loss of eyelid reflex
3. Intrasurgery
4. Possibility of resp failure
3 Phases of Anesthesia
1. Induction - admin until 1st incision
2. Maintenance - incision to completion
3. Emergence - from when pt awakens until pt exits OR
What is often used for upper extremity nerve blocks?
IV regional anesthetic/Bier block
Where is epidural anesthetic injected?
between ligamentum flavum and dura
(NOT spinal canal)
What helps ensure proper needle placement during peripheral nerve block with regional
anesthesia?
continuous nerve stimulation
First sign of Malignant Hyperthermia
increased end-tidal CO2
What should be done for pt with MH crisis?
1. Stop surgery & stop triggering agents
2. Give dantrolene
3. Give 100% O2
4. Cool pt with iced saline
, Mentor or preceptor?
"One who provides encouragement and acts as a guide and facilitator while modeling
professional nursing behaviors"
Mentor
Mentor or preceptor?
"One who teaches, counsels, inspires, serves as a role model, and supports the growth
and development of the novice for a fixed and limited period"
Preceptor
Mentor or preceptor?
Guides nurse through a wide range of professional activities
Mentor
Mentor or preceptor?
Guides nurse through defined clinical activities
Preceptor
What should intra-abd pressure be maintained under in an adult pt during CO2
insufflation for endoscopic surgery?
12 mm Hg
Single most important factor in minimizing microorganism transfer
Hand hygiene
The most effective method for floor care in surgical suite
Wet vacuuming
When should air sampling be done in OR? (3)
1. Before construction begins
2. After demolition
3. At end of project
examples of mechanical hemostasis (8)
1. Manual pressure (sponges)
2. Clamps
3. Sutures
4. Staples
5. Clips
6. Ligatures
7. Pledgets
8. Bone wax
What type of hemostasis is achieved by occluding severed vessels until platelet
formation occurs
Mechanical
Strand of material tied around blood vessel to occlude lumen and prevent bleeding
Ligature
non-absorbable suture support used when there is possibility of sutures tearing through
tissue
Pledget
What type of hemostasis uses pharmacological or topical products?
Chemical
Ex of thermal hemostasis (3)
