Alexander’s Care Of The Patient In Surgery 17th Edition Rothrock || CHAPTER
1-30 ||RATED 5 STAR
,Table Of Contents
Unit 1: Foundations For Practice ........................................................................................................... 3
Chapter 01: Concepts Basic To Perioperative Nursing ....................................................................... 3
Chapter 02: Patient Safety And Risk Management........................................................................... 12
Chapter 03: Workplace Issues And Staff Safety ................................................................................ 24
Chapter 04: Infection Prevention And Control ................................................................................. 34
Chapter 05: Anesthesia ..................................................................................................................... 47
Chapter 06: Positioning The Patient For Surgery .............................................................................. 62
Chapter 07: Sutures, Sharps, And Instruments................................................................................. 73
Chapter 08: Surgical Modalities ........................................................................................................ 84
Chapter 09: Wound Healing, Dressings, And Drains ......................................................................... 97
Chapter 10: Postoperative Patient Care And Pain Management Rothrock .................................... 108
Unit 2: Surgical Interventions ............................................................................................................ 119
Chapter 11: Gastrointestinal Surgery ............................................................................................. 119
Chapter 12: Surgery Of The Biliary Tract, Pancreas, Liver, And Spleen Rothrock: ......................... 128
Chapter 13: Hernia Repair .............................................................................................................. 139
Chapter 14: Gynecologic And Obstetric Surgery ............................................................................ 149
Chapter 15: Genitourinary Surgery ................................................................................................. 160
Chapter 16: Thyroid And Parathyroid Surgery ................................................................................ 171
Chapter 17: Breast Surgery ............................................................................................................. 182
Chapter 18: Ophthalmic Surgery .................................................................................................... 192
Chapter 19: Otorhinolaryngologic Surgery ..................................................................................... 203
Chapter 20: Orthopedic Surgery ..................................................................................................... 227
Chapter 21: Neurosurgery .............................................................................................................. 243
Chapter 22: Reconstructive And Aesthetic Plastic Surgery ............................................................ 257
Chapter 23: Thoracic Surgery.......................................................................................................... 272
Chapter 24: Vascular Surgery.......................................................................................................... 284
Chapter 25: Cardiac Surgery ........................................................................................................... 297
Unit 3: Special Considerations ........................................................................................................... 311
Chapter 26: Pediatric Surgery ......................................................................................................... 311
Chapter 27: Geriatric Surgery ......................................................................................................... 324
Chapter 28: Trauma Surgery ........................................................................................................... 339
Chapter 29: Interventional And Image-Guided Procedures ........................................................... 351
Chapter 30: Integrative Health Practices ........................................................................................ 363
,Unit 1: Foundations For Practice
Chapter 01: Concepts Basic To Perioperative Nursing
MULTIPLE CHOICE
1. The Perioperative Patient Focused Model Presents Key Components Of Nursing Influence
That Guide Patient Care. Select The Statement That Best Describes The Dynamic Relationship Within
The Model.
A. The Patient Experience And The Nursing Presence Are In Continuous Interaction.
B. Structure, Process, And Outcome Are The Foundation Domains Of The Model.
C. The Perioperative Nurse Is The Central Dynamic Core Of The Model.
D. The Interrelated Nursing Process Rings Bind The Patient To The Model.
ANSWER>> A
The Perioperative Patient Focused Model Consists Of Domains Or Areas Of Nursing Concern: Nursing
Diagnoses, Nursing Interventions, And Patient Outcomes. These Domains Are In Continuous
Interaction With The Health System That Encircles The Focus Of Perioperative Nursing Practice—The
Patient.
2. The Association Of Perioperative Registered Nurses’ (AORN) Standards Of Perioperative
Nursing Describes Nursing Interactions, Interventions, And Activities With Patients. This Is Based On
Which Standards Category?
A. Evidence-Based
B. Process
C. Outcome
D. Structural
ANSWER>> B
Process Standards Relate To Nursing Activities, Interventions, And Interactions. They Are Used To
Explicate Clinical, Professional, And Quality Objectives In Perioperative Nursing.
3. Which Order Best Describes The Process Used To Implement Evidence-Based Professional
Nursing?
A. Literature Search, Theory Review, Data Analysis, Policy Development
, B. Regional Survey, Literature Search, Meta-Analysis, Practice Change
C. Identify Problem, Scientific Evidence, Develop Policy, Evaluate Outcome
D. Identify Issue, Analyze Scientific Evidence, Implement Change, Evaluate Process
ANSWER>> D
Evidence-Based Practice Is A Systematic, Thorough Process By Which To Identify An Issue, To Collect
And Evaluate The Best Evidence To Design And Implement A Practice Change, And To Evaluate The
Process.
4. The Ambulatory Surgery Unit Is Planning To Develop A Standardized Skin Preparation
Practice For Their Unit. The Best Process To Gather Scientific Information Is To:
A. Conduct A Survey Of Skin Prep Policies At The Next AORN Chapter Meeting.
B. Review Their Surgical Site Infection Data From The Last 6 Months.
C. Conduct A Literature Search On Antimicrobial Agents And Infection Prevention.
D. Review The Scientific Literature From The Leading Manufacturers Of Prep Solutions.
ANSWER>> C
Perioperative Nurses Have An Ethical Responsibility To Review Practices And To Modify Them Based
On The Best Available Scientific Evidence. Using Research To Guide Practice Is Called Evidence-Based
Practice (EBP).
5. The Cardiac Team Is Developing A Standardized Sterile Back Table Setup And Is Unable To
Find Sufficient Research Evidence For Their Project. Where Might They Look For Information On Best
Practices?
A. Survey Regional Surgical Technology Programs For Their Back Table Models
B. Review Case Studies And Expert Opinions On Sterile Back Table Setups
C. Review AORN’s Guidelines For Perioperative Practice On Sterilization And Disinfection
D. Consult With Facility Instrument Vendor Representatives For Their Advice
ANSWER>> B
When There Is Not Enough Evidence To Guide Practice, Perioperative Nurses Should Consider
Gathering Information From Varied Trusted Sources That Reflect Best Practices.
6. How Do Institutional Standards Of Care, Such As Policies And Procedures, Differ From
National Standards, Such As AORN’s Standards Of Perioperative Nursing?
A. They Are Written By Nurses.
B. They Are Written Specifically To Address Responsibilities Under Specific Circumstances.
1-30 ||RATED 5 STAR
,Table Of Contents
Unit 1: Foundations For Practice ........................................................................................................... 3
Chapter 01: Concepts Basic To Perioperative Nursing ....................................................................... 3
Chapter 02: Patient Safety And Risk Management........................................................................... 12
Chapter 03: Workplace Issues And Staff Safety ................................................................................ 24
Chapter 04: Infection Prevention And Control ................................................................................. 34
Chapter 05: Anesthesia ..................................................................................................................... 47
Chapter 06: Positioning The Patient For Surgery .............................................................................. 62
Chapter 07: Sutures, Sharps, And Instruments................................................................................. 73
Chapter 08: Surgical Modalities ........................................................................................................ 84
Chapter 09: Wound Healing, Dressings, And Drains ......................................................................... 97
Chapter 10: Postoperative Patient Care And Pain Management Rothrock .................................... 108
Unit 2: Surgical Interventions ............................................................................................................ 119
Chapter 11: Gastrointestinal Surgery ............................................................................................. 119
Chapter 12: Surgery Of The Biliary Tract, Pancreas, Liver, And Spleen Rothrock: ......................... 128
Chapter 13: Hernia Repair .............................................................................................................. 139
Chapter 14: Gynecologic And Obstetric Surgery ............................................................................ 149
Chapter 15: Genitourinary Surgery ................................................................................................. 160
Chapter 16: Thyroid And Parathyroid Surgery ................................................................................ 171
Chapter 17: Breast Surgery ............................................................................................................. 182
Chapter 18: Ophthalmic Surgery .................................................................................................... 192
Chapter 19: Otorhinolaryngologic Surgery ..................................................................................... 203
Chapter 20: Orthopedic Surgery ..................................................................................................... 227
Chapter 21: Neurosurgery .............................................................................................................. 243
Chapter 22: Reconstructive And Aesthetic Plastic Surgery ............................................................ 257
Chapter 23: Thoracic Surgery.......................................................................................................... 272
Chapter 24: Vascular Surgery.......................................................................................................... 284
Chapter 25: Cardiac Surgery ........................................................................................................... 297
Unit 3: Special Considerations ........................................................................................................... 311
Chapter 26: Pediatric Surgery ......................................................................................................... 311
Chapter 27: Geriatric Surgery ......................................................................................................... 324
Chapter 28: Trauma Surgery ........................................................................................................... 339
Chapter 29: Interventional And Image-Guided Procedures ........................................................... 351
Chapter 30: Integrative Health Practices ........................................................................................ 363
,Unit 1: Foundations For Practice
Chapter 01: Concepts Basic To Perioperative Nursing
MULTIPLE CHOICE
1. The Perioperative Patient Focused Model Presents Key Components Of Nursing Influence
That Guide Patient Care. Select The Statement That Best Describes The Dynamic Relationship Within
The Model.
A. The Patient Experience And The Nursing Presence Are In Continuous Interaction.
B. Structure, Process, And Outcome Are The Foundation Domains Of The Model.
C. The Perioperative Nurse Is The Central Dynamic Core Of The Model.
D. The Interrelated Nursing Process Rings Bind The Patient To The Model.
ANSWER>> A
The Perioperative Patient Focused Model Consists Of Domains Or Areas Of Nursing Concern: Nursing
Diagnoses, Nursing Interventions, And Patient Outcomes. These Domains Are In Continuous
Interaction With The Health System That Encircles The Focus Of Perioperative Nursing Practice—The
Patient.
2. The Association Of Perioperative Registered Nurses’ (AORN) Standards Of Perioperative
Nursing Describes Nursing Interactions, Interventions, And Activities With Patients. This Is Based On
Which Standards Category?
A. Evidence-Based
B. Process
C. Outcome
D. Structural
ANSWER>> B
Process Standards Relate To Nursing Activities, Interventions, And Interactions. They Are Used To
Explicate Clinical, Professional, And Quality Objectives In Perioperative Nursing.
3. Which Order Best Describes The Process Used To Implement Evidence-Based Professional
Nursing?
A. Literature Search, Theory Review, Data Analysis, Policy Development
, B. Regional Survey, Literature Search, Meta-Analysis, Practice Change
C. Identify Problem, Scientific Evidence, Develop Policy, Evaluate Outcome
D. Identify Issue, Analyze Scientific Evidence, Implement Change, Evaluate Process
ANSWER>> D
Evidence-Based Practice Is A Systematic, Thorough Process By Which To Identify An Issue, To Collect
And Evaluate The Best Evidence To Design And Implement A Practice Change, And To Evaluate The
Process.
4. The Ambulatory Surgery Unit Is Planning To Develop A Standardized Skin Preparation
Practice For Their Unit. The Best Process To Gather Scientific Information Is To:
A. Conduct A Survey Of Skin Prep Policies At The Next AORN Chapter Meeting.
B. Review Their Surgical Site Infection Data From The Last 6 Months.
C. Conduct A Literature Search On Antimicrobial Agents And Infection Prevention.
D. Review The Scientific Literature From The Leading Manufacturers Of Prep Solutions.
ANSWER>> C
Perioperative Nurses Have An Ethical Responsibility To Review Practices And To Modify Them Based
On The Best Available Scientific Evidence. Using Research To Guide Practice Is Called Evidence-Based
Practice (EBP).
5. The Cardiac Team Is Developing A Standardized Sterile Back Table Setup And Is Unable To
Find Sufficient Research Evidence For Their Project. Where Might They Look For Information On Best
Practices?
A. Survey Regional Surgical Technology Programs For Their Back Table Models
B. Review Case Studies And Expert Opinions On Sterile Back Table Setups
C. Review AORN’s Guidelines For Perioperative Practice On Sterilization And Disinfection
D. Consult With Facility Instrument Vendor Representatives For Their Advice
ANSWER>> B
When There Is Not Enough Evidence To Guide Practice, Perioperative Nurses Should Consider
Gathering Information From Varied Trusted Sources That Reflect Best Practices.
6. How Do Institutional Standards Of Care, Such As Policies And Procedures, Differ From
National Standards, Such As AORN’s Standards Of Perioperative Nursing?
A. They Are Written By Nurses.
B. They Are Written Specifically To Address Responsibilities Under Specific Circumstances.
