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ATIENT IN SURGERY 16TH EDITION BY ROTH
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ROCK ISBN10: 0323479146 ISBN13: 978032347
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, TablegofgContents
Unitg1:gFoundationsgforgPractice
1. ConceptsgBasicgtogPerioperativegNursing
2. PatientgSafetygandgRiskgManagement
3. WorkplacegIssuesgandgStaffgSafety
4. InfectiongPreventiongandgControl
5. Anesthesia
6. PositioninggthegPatientgforgSurgery
7. Sutures,gSharps,gandgInstruments
8. SurgicalgModalities
9. WoundgHealing,gDressings,gandgDrains
10. PostoperativegPatientgCaregandgPaingManagement
Unitg2:gSurgicalgInterventions
11. GastrointestinalgSurgery
12. SurgerygofgthegLiver,gBiliarygTract,gPancreas,gandgSpleen
13. HerniagRepair
14. GynecologicgandgObstetricgSurgery
15. GenitourinarygSurgery
16. ThyroidgandgParathyroidgSurgery
17. BreastgSurgery
18. OphthalmicgSurgery
19. OtorhinolarygologicgSurgery
20. OrthopedicgSurgery
21. Neurosurgery
22. ReconstructivegandgAestheticgPlasticgSurgery
22. ThoracicgSurgery
23. VasculargSurgery
24. CardiacgSurgery
Unitg3:gSpecialgConsiderations
26. PediatricgSurgery
27. GeriatricgSurgeryg28.gTraumagSurgery
29. InterventionalgandgImage-GuidedgProcedures
30. IntegrativegHealthgPractices:gComplementarygandgAlternativegTherapies
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,Chapter 01: Concepts Basic to Perioperative Nursing
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Rothrock: Alexander’s Care of the Patient in Surgery, 16th Edition
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MULTIPLEgCHOICE
1. ThegPerioperativegPatientgFocusedgModelgpresentsgkeygcomponentsgofgnursingginfluencegthatgguidegpatie
atementgthatgbestgdescribesgthegdynamicgrelationshipgwithingthegmodel.
a. Thegpatientgexperiencegandgthegnursinggpresencegaregingcontinuousginteraction.
b. Structure,gprocess,gandgoutcomegaregthegfoundationgdomainsgofgthegmodel.
c. Thegperioperativegnursegisgthegcentralgdynamicgcoregofgthegmodel.
d. Theginterrelatedgnursinggprocessgringsgbindgthegpatientgtogthegmodel.
ANS:g A
ThegPerioperativegPatientgFocusedgModelgconsistsgofgdomainsgorgareasgofgnursinggconcern:gnursinggdiag
gandgpatientgoutcomes.gThesegdomainsgaregingcontinuousginteractiongwithgtheghealthgsystemgthatgencirclesg
rsinggpractice—thegpatient.
2. ThegAssociationgofgPeriOperativegRegisteredgNurses’g(AORN)gStandardsgofgPerioperativegNursinggdesc
nterventions,gandgactivitiesgwithgpatients.gThisgisgbasedgongwhichgstandardsgcategory?
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS:g B
Processgstandardsgrelategtognursinggactivities,ginterventions,gandginteractions.gTheygaregusedgtogexplicategc
tygobjectivesgingperioperativegnursing.
3. Whichgordergbestgdescribesgthegprocessgusedgtogimplementgevidence-basedgprofessionalgnursing?
a. Literaturegsearch,gtheorygreview,gdataganalysis,gpolicygdevelopment
b. Regionalgsurvey,gliteraturegsearch,gmeta-analysis,gpracticegchange
c. Identifygproblem,gscientificgevidence,gdevelopgpolicy,gevaluategoutcome
d. Identifygissue,ganalyzegscientificgevidence,gimplementgchange,gevaluategprocess
ANS:g D
Evidence-
basedgpracticegisgagsystematic,gthoroughgprocessgbygwhichgtogidentifygangissue,gtogcollectgandgevaluategtheg
mplementgagpracticegchange,gandgtogevaluategthegprocess.
4. Thegambulatorygsurgerygunitgisgplanninggtogdevelopgagstandardizedgskingpreparationgpracticegforgtheirgunit
athergscientificginformationgisgto:
a. conductgagsurveygofgskingprepgpoliciesgatgthegnextgAORNgchaptergmeeting.
b. reviewgtheirgsurgicalgsiteginfectiongdatagfromgtheglastg6gmonths.
c. conductgagliteraturegsearchgongantimicrobialgagentsgandginfectiongprevention.
d. reviewgthegscientificgliteraturegfromgthegleadinggmanufacturersgofgprepgsolutions.
ANS:g C
Perioperativegnursesghavegangethicalgresponsibilitygtogreviewgpracticesgandgtogmodifygthemgbasedgongthegb
ce.gUsinggresearchgtogguidegpracticegisgcalledgevidence-basedgpracticeg(EBP).
5. Thegcardiacgteamgisgdevelopinggagstandardizedgsterilegbackgtablegsetupgandgisgunablegtogfindgsufficientgrese
roject.gWheregmightgtheyglookgforginformationgongbestgpractices?
a. Surveygregionalgsurgicalgtechnologygprogramsgforgtheirgbackgtablegmodels
b. Reviewgcasegstudiesgandgexpertgopinionsgongsterilegbackgtablegsetups
c. ReviewgAORN’sgGuidelinesgforgPerioperativegPracticegongsterilizationgandg
disinfection
d. Consultgwithgfacilityginstrumentgvendorgrepresentativesgforgtheirgadvice
ANS:g B
, 7. Whichgofgthegfollowinggactionsgbestgdescribesgangelementgofgthegperioperativegnursinggassessment?
a. Scanninggthegsurgicalgschedulegforgthegdaygbeforegmorninggreport.
b. Readinggthegpick/preferenceglistgattachedgtogthegcasegcart.
c. Reviewinggthegpatientgmedicalgrecord.
d. Studyinggangon-linegtutorialgaboutgthegintendedgsurgicalgprocedure.
ANS:g C
Assessmentgisgthegcollectiongandganalysisgofgrelevantghealthgdatagaboutgthegpatient.gSourcesgofgdatagmaygbe
thgthegpatientgandgthegpatient’sgfamily;greviewgofgthegplannedgsurgicalgorginvasivegprocedure;greviewgofgth
xaminationgofgthegresultsgofgdiagnosticgtests;gandgconsultationgwithgthegsurgeongandganesthesiagprovider,g
el.
8. Agfrailg76-year-
oldgdiabeticgwomangisgscheduledgforgmajorgsurgery.gShegisgvulnerablegandgatghighgriskgforgharmgbecausego
ergpreexistinggconditionsgandgoverallghealthgstatus.gAsgpartgofgdevelopinggagplangtogguideghergcare,gthegnur
tivegterms.gThisgstepgofgthegnursinggprocessgisgcalled:
a. nursinggdiagnosis.
b. nursinggassessment.
c. nursinggoutcome.
d. nursinggintervention.
ANS:g A
Nursinggdiagnosisgisgthegprocessgofgidentifyinggandgclassifyinggdatagcollectedgingthegassessmentgingagwaygt
nursinggcare.gNursinggdiagnosisgcomponentsgincludegagdefinitiongofgthegdiagnosticgterm,gdefininggcharact
9. Duringgthegadmissionginterview,gthegnurseginitiatedgthegdischargegteachinggandgdemonstratedgcrutch-
walkinggactivities.gThegteachinggactivitiesgaregwhatgstagegofgthegnursinggprocess?
a. Assessment
b. Implementation
c. Outcomegidentification
d. Evaluation
ANS:g B
Implementationgisgperforminggthegnursinggcaregactivitiesgandginterventionsgthatgweregplannedgandgrespon
orderlygactiongtogchangesgingthegsurgicalgprocedure,gpatientgcondition,gorgemergencies.gImplementationgis
10. Whilegconductinggthegpreoperativeginterviewgwithgagpatientgscheduledgforgagseptoplasty,gthegperioperative
ntgwasglatexgsensitive.gBasedgongthisgknowledge,gthegnursegreviewedgthegpick/preferenceglistgandgreassemb
tupgtogreflectgthisgnewginformationgandgchangegingcaregdelivery.gWhichgtwogphasesgofgthegnursinggprocess
’sgactions?
a. Assessmentgandgplanning
b. Assessmentgandgimplementation
c. Planninggandgimplementation
d. Nursinggdiagnosisgandgintervention
ANS:g C
Planninggisgpreparinggingadvancegforgwhatgwillgorgmayghappengandgdetermininggthegprioritiesgforgcare.gPla
essmentgresultsgingknowinggthegpatientgandgthegpatient’sguniquegneeds.gImplementationgisgperforminggtheg
terventionsgthatgweregplannedgandgrespondinggwithgcriticalgthinkinggandgorderlygaction.gImplementationgi
11. Thegperioperativegnursegimplementsgprotectivegmeasuresgtogpreventgskingorgtissueginjurygcausedgbygtherm
ccomplishmentgofgthisginterventiongwouldgmeetgwhichgofgthegfollowinggdesiredgnursinggoutcomes?
a. Thegpatientgisgfreegfromgsignsgandgsymptomsgofginjurygfromganxiety.
b. Thegpatientgisgfreegfromgsignsgandgsymptomsgofgimpairedgskingintegrity.
c. Thegpatientgisgfreegfromgsignsgandgsymptomsgofgsurgicalgsiteginfection.
d. Thegpatientgisgfreegfromgsignsgandgsymptomsgofghyperthermia.
ANS:g B
Chemicalgandgthermalgsourcesgusedgingsurgerygcangcausegskingandgtissuegburnsg(e.g.,gelectrosurgery,gpovi
iodine,gradiation,glasers).gThegpatientgbeinggfreegfromgsignsgandgsymptomsgofgchemicalginjury,gradiationgin