AORN Periop 101 Final Exam

AORN Periop 101 Final Exam NUMBER OF VENTILATION EXCHANGES FOR AN INDIVIDUAL OR Ans- 20 PER HOUR WITH 4 EXCHANGES FROM OUTDOOR AIR HUMIDITY RANGE FOR AN INDIVIDUAL OR Ans- 20-60% TEMPURATURE RANGE FOR AN INDIVIDUAL OR Ans- 68-75 DEGREES FAHRENHEIT 20-24 DEGREES CELSIUS THIS LOSES PLIABILITY IF DRIED OUT OPEN OVER SMALL BASIN SURGICAL GUT (PLAIN OR CHROMIC) AND COLLAGEN Ans- NATURAL ABSORBABLE SUTURE MAXON MONOCRYL VICRYL DEXON PDS & PDS II DO NOT SOAK OR DIP IN WATER (THIS CAUSES HYDROLYSIS AND REDUCTION OF TENSILE STRENGTH) Ans- SYNTHETIC ABSORBABLE SUTURE SILK SURGICAL COTTON (WEAKEST; GAINS STRENGTH WHEN WET) LINEN STAINLESS STEEL (USED FOR CLOSURE OF STERNUM, RETENTION SUTURE, SECONDARY REPAIR, RESP TRACT, ORTHO, NEUROSURGERY) Ans- NATURAL NONABSORBABLE SUTURE NYLON SUTURE -MONOFILAMENT (ETHILON & DERMALON) -COATED (SURGILON) -UNCOATED (NEUROLON) POLYESTER FIBER SUTURE -COATED (TICRON, ETHIBOND, TEFLON) -UNCOATED (MERSILENE & DACRON) POLYPROPYLENE (PROLENE & SURGILENE) POLYBUTESTER (NOVAFIL) POLY ETHYLENE (DERMALENE) Ans- SYNTHETIC NONABSORBABLE SUTURE -NO INFLAMMATION -RESP, AILMENTARY, AND GU TRACTS NOT ENTERED -EX. EYE SURGERY, HERNIA REPAIRS, BREAST SURGERY, NONTRAUMATIC NEURO & ORTHO SURGERY, CARDIAC, OR PERIPHERAL VASCULAR SURGERY Ans- CLASS I-CLEAN WOUNDS -RESP, AILMENTARY, OR GU WOUNDS ENTERED UNDER CONTROLLED CONDITIONS AND WITHOUT CONTAMINATION OF SURROUNDING TISSUE -NO EVIDENCE OF INFECTION OR MAJOR BREAK IN ASEPTIC TECHNIQUE -EX. D&C, TOTAL HYSTERECTOMY, GASTRECTOMY, CHOLE WITHOUT SPILLAGE, ELECTIVE APPY, CYSTOSCOPY, TURP ON PT W/ NEGATIVE URINE CULTURES, SIGMOID COLON RESECTION Ans- CLASS IICLEAN CONTAMINATED -OPEN, FRESH, TRAUMATIC WOUNDS -MAJOR BREAK IN STERILE TECHNIQUE -GROSS SPILLAGE FROM GI TRACT -INCISIONS WITH ACUTE NONPURULENT INFLAMMATION -EX. LAPAROTOMY W/ SIGNIFICANT SPILLAGE, TRAUMATIC WOUNDS, ACUTE APPENDICITIS OR CHOLECYSTITIS, COMPOUND FRACTURES Ans- CLASS III-CONTAMINATED WOUNDS -OLD, TRAUMATIC WOUNDS WITH DEVITALIZED TISSUE, PERFORATED VISCERA, DELAYED PRIMARY WOUND CLOSURE -EX. INCISION AND DRAINAGE, TOTAL EVISCERATION, PERFORATED VISCERA Ans- CLASS IV-DIRTY WOUNDS PURPOSE OF STANDARDIZED NURSING LANGUAGE SUCH AS PNDS Ans- MAINTAIN PT SAFETY, INFECTION CONTROL, AND MANAGEMENT OF SUPPLY COST PLAN OF CARE HELPS TO -PLAN NURSING INTERVENTIONS -ASSESS AND DEVELOP NURSING DIAGNOSES -ASSESS AND EVALUATE PT STATUS -EVALUATE RESPONSES TO POSITIONING REQUIREMENTS OF STORAGE AND MOVEMENT OF DIRTY, CLEAN AND STERILE SUPPLIES WITHIN THE OPERATING ROOM Ans- KEEP COVERED IN ENCLOSED CARTS LABELED, KEEP APART CLEAN, DIRTY AND STERILE ELEMENTS OF PROFESSIONALISM Ans- -GOVERNED BY PRACTICE ACTS THAT OUTLINE LEGAL SCOPE OF PRACTICE -MAINTAIN CURRENT KNOWLEDGE -SEEK OUT COLLEAGUES TO ASSESS THEIR PRACTICE -ACTIVATE PARTICIPANTS IN PROFESSIONAL ORGANIZATIONS -ENGAGE IN ONGOING PROFESSIONAL DEVELOPMENT -MAINTAIN COMPETENCE ACTIVITIES THROUGOUT CAREER PICO Ans- POPULATION, PATIENT, PROBLEM INTERVENTION COMPARISON OUTCOME 3 MAIN CATEGORIES OF DIRECT COSTS Ans- MEDICAL SUPPLIES PERSONNEL PURCHASING SERVICES IOM REPORT Ans- INSTITUTE OF MEDICINE SAYS THAT NURSES SHOULD PRACTICE TO TE FULL EXTENT OF THEIR EDCUCATION AND TRAINING AREAS OF THE STERILE GOWN TAHT ARE CONSIDERED STERILE Ans- CHEST, GOWN SLEEVES AT 2 INCHES ABOVE ELBOW TO CUFF CIRCUMFERENTIALLY, CHEST TO LEVEL OF STERILE FIELD WHY IS THERE A RECOMMENDATION TO CHANGE SURGICAL GLOVES AFTER MAX TIME OF 150 MINUTES Ans- PERFORATION RATES INCREASE AFTER 150 MINUTES RELATED TO INCREASED WATER ABSORPTION CAUSING INCREASED PERMEABILITY AND POROSITY 3 CATEGORIES OF DISINFECTION ACCORDING TO SPAULDING CLASSIFICATION SYSTEMS Ans- - NONCRITICAL: CONTACT WITH UNBROKEN SKIN -SEMI CRITICAL: CONTACT WITH MUCOUS MEMBRANES -CRITICAL: CONTACT WITH BLOOD STREAM OR OTHERWISE NORMALLY STERILD BODY AREAS FIRST STEP IN STERILIZATION PROCESS Ans- CLEANING (REMOVING GROSS SOIL AND MOISTENING) STEPS IN DECONTAMINATION PROCESS Ans- 1. OPEN BOX LOCKS & DISASSEMBLE INSTRUEMENTS WITH MULTIPLE PARTS 2. USE ENZYMATIC DETERGENT ON HEAVILY SOILED INSTRUMENTS 3. WEAR PPE 4. INSTRUMENTS WITH LUMEN SHOULD BE FLUSED WITH WATER OR DETERGENT SOLUTION CLASS 3 CHEMICAL INDICATOR REACTS TO: Ans- A SINGLE PARAMETER OF STERILIZATION PROCESS CLASS 5 CHEMICAL INDICATOR REACTS TO: Ans- ALL CRITICAL PARAMETERS OVER A SPECIFIED RANGE OF STERILZATION CYCLES INDUCED REVERSIBLE STATE OF UNCONSCIOUSNESS INCLUDES AMNESIA, ANALGESIA, LOSS OF RESPONSIVENESS, DECREASED STRESS RESPONSE, AND LOSS OF SKELETAL MUSCLE REFLEXES Ans- GENERAL ANESTHESIA INJECTION OF LOCAL ANESTHETICS NEAR NERVE FIBERS TO CAUSE REVERSIBLE LOSS OF SENSATION OVER AN AREA OF THE BODY Ans- REGIONAL ANESTHESIA INFILTRATION OR TOPICAL ADMINISTRATION OF AGENTS TO ANESTHETIZE A PART OF THE BODY AnsLOCAL ANESTHESIA WHEN AN ANETESIA PROVIDER MONITORS THE PATIENT, ADMINISTERS SEDATIVES AND OTHER AGENTS AS NEEDED Ans- MONITORED ANESTHESIA CARE (MAC) ADMINSTRATINO OF SEDATIVE ANALGESIC, AND/R ANXIOLTIC AGENTS BY A PHYSICIAN OR UNDER PHYSICIAN SUPERVISION Ans- MODERATE SEDATION SIGNS OF MALIGNANT HYPERTHERMIA Ans- UNEXPLAINED INCREASE IN END-TIDAL CO2 -SKELETAL MUSCLE RIGIDITY -HYPERTHERMIA -VENTRICULAR DYSRHYTHMIA 5 COMPLICATIONS OF ADMINISTERING ANETHESIA Ans- LARYNGOSPASMS HEART PROBLEMS BP CHANGES ARRYTHMIA HEMORRHAGE ANAPHYLAXIS HYPO/HYPERTHERMIA 6 THINGS PERIOP NURSE SHOULD DOCUMENT WHEN PERFORMING SKIN ANTISEPSIS ON A PT Ans- SKIN CONDITION HAIR REMOVAL AREA PREPPED PERSON PERFORMING PREP ANY HYPERSENSITIVITY REACTIONS SOLUTION USED 4 STEPS OF WRONG SITE, WRONG PROCEDURE, WRONG PERSON SURGERY PROTOCOL Ans- PATIENT PARTICIPATION INDENTIFYING THE PATIENT MARKING THE SITE TIME OUT FIRE TRIANGLE Ans- IGNITION SOURCE, OXIDIZER, FUEL -ARM EXTENTION SHOULD BE LESS THAN 90 DEGREES TO AVOID COMPRESSION OF BRACHIAL PLEXUS -PRESSURE POINTS PADDED -SOFT PILLOW UNDER KNEES TO PREVENT LOWER BACK STRESS -SAFETY STRAP APPLIED WITH BLANKET PROTECTING SKIN Ans- SUPINE POSITION -PATIENT'S BUTTOCKS IS EVEN WITH LOWER BREAK IN OR BED BUT SHOULD NOT EXTEND OVER THE BREAK TO PREVENT STRAIN ON SACRUM -ARMS ARE PLACED ON PADDED ARM BOARDS TO PREVENT PATIENT FINGERS FROM RESTING IN THE OR TABLE BREAK PHYSIOLOGIC EFFECTS