CNOR PREP EXAM NEWEST 2024 ACTUAL EXAM TEST BANK COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)

What is the primary and secondary line of defense to protect pts from pathogens in OR procedures? In the health care setting, you should keep your nails no longer than? What temperature should hand washing water be kept between and why? - ANSWERS,-surgical hand antisepsis, wearing sterile surgical gloves -2mm or 0.08in -70 & 80F to prevent dermatitis List instances when you should wash your hands in the healthcare setting (7) after hand washing, what should you do before donning gloves &why? in the absence of visible soil, how should you disinfect your hands and why? - ANSWERS,- before/after pt care, before performing sterile/clean tasks, after body fluid/blood exposure, after contact with pt surroundings, visibly soiled hands, before/after eating, after using bathroom -dry hands completely to prevent skin irritation from wet hands in gloves -use alcohol sanitizer, well tolerated and association with less contact dermatitis than soap/h2o What should you consider when determining how to deal with a contamination of your sterile gloves? (4) Describe how a contaminated glove should be changed - ANSWERS,-degree of contamination, part of the glove that was contaminated, risk of exposing pt or others to blood/body fluids/infectious material, length of time left in procedure -circulator removes contaminated glove w/o altering position of cuff, scrub holds open new glove and person inserts hand into glove while only touching cuff to inside of glove GLOVE CHANGES: after each pt ? every ?-? mins if you suspect the glove was? immediately after contact with what? after touching unsterile equipment such as? after touching what on your head? - ANSWERS,-procedure -90 to 150 -perforated/is visibly perforated or contaminated -methyl methacrylate (bone cement) -eye pieces on microscope or c-arm -surgical helmet hood or visor GOWNING/GLOVING: Where do you keep your cuffs for initial g/g? What is Closed Assisted gloving? What is Open Assisted gloving? - ANSWERS,-at or beyond the fingertips -your cuffs are at or beyond finger tips, cuff only touches inside of glove -your cuffs are pulled down to wrist level and you insert your hand w/o touching outside of glove What parts of the your gown are sterile and what parts aren't? What is the Critical Zone on the sterile field? - ANSWERS,-chest down to level of sterile field and your sleeves cuff to 2in above the elbow circumferentially, neckline shoulders axillary region back & sleeve cuffs after hands pass through them -area of protective apparel or surgical drape where direct contact w/ blood/body fluids/infectious materials is more likely to occur SCRUBBED IN: keep hands&arms above? if arms are folded, don't put your hands where? avoid changing levels and only sit when? don't turn your ? on the sterile field how should you turn during position changes? remain outside a ? unidirectional air system curtain and don't walk between a ? one. - ANSWERS,- waist level -axillary region -the whole procedure will be performed seated -back -turn face to face or back to back with others while keeping distance from others/sterile field/unsterile field -vertical, horizontal Where should you start placing drapes on the sterile field? what parts of the drape are considered sterile and what parts aren't? if in the lateral position and in general, what part of the c-arm is considered unsterile? what is the two cuffed drape method? - ANSWERS,-start at incision and work to periphery -top surface of drape is sterile, any items below sterile field aren't -upper portion/top of c-arm drape -place 1st drape horizontally over area to be covered with the cuff at or just beyond the halfway point then place the 2nd drape from opposite side of table with cuff positioned so it completely covers cuff of 1st drape what should assess before prepping the pt? (3) Where do you start prepping and move out to? When should you throw away your prep stick and get a new one? - ANSWERS,-skin integrity/sensitivities, allergies, procedure site -incision site moving away towards periphery of the site -after contact periphery or contamination area When the incision site is more contamination than the surrounding skin such as ?(name sites), where should you start your prep? If a pt doesn't bathe or use CHG wipes pre op, what can you do