AORNPeriop101
z z
FinalExam 2022
z z
, AORN Periop 101 Final Exam
z z z z z
IndemnityzPaymentz-zanswerPaymentzmadezonzbehalfzofzthezpolicyzholder
Liabilityz-zanswerAzlegalzresponsibility
Negligencez-zanswerAnzactzorzfailureztozactzthatzdeviateszfromzthezstandardzofzcare
NursingzMalpracticez-
zanswerAznurse'sznegligencezorzanyzintentionalzactzthatzcauseszphysical,zfinancial,zemotional,zp
sychosocial,zand/orzcognitivezdamageztozthezpersonzinztheznurse'szcare
RespondeatzSuperiorz-
zanswerAnzemployerziszlegallyzresponsiblezforztheznursezemployeezonlyzwhen:
o Theznursezactszwithinzthezscopezofzpractice
o Anyzallegationszbroughtzagainstztheznursezoccurredzduringztheznurse'szemployment
o Theznurse'szactionszwerezwithinzthezemployer'szbestzinterests.
Tortz-zanswerAzbreachzofzdutyztozanotherzpersonzaszoutlinedzbyzlaw
Whatzarezthezfourzelementszofzmalpractice?z-zanswer•zDuty
• Breachzofzduty
• Thezbreachzofzdutyzcausedzanzinjury
• Thezinjuryzwaszharmfulztozthezpatient
ElementszofzInformedzConsentz-
zanswer•zMustzbezobtainedzbyzthezlicensedzprofessionalzwhoziszperformingzthezprocedure
,• Thezpatientzmustzgivezconsentzvoluntarilyzwithzthezfullzunderstandingzofzallzimplications
• Mustzincludez
ozDiagnosis
o Proposedztreatment
o Treatmentzalternatives
o Consequenceszofzacceptingzorzdecliningzthezproposedztreatment
FivezRightszofzDelegationz-
answerRightztaskzRightzcircumstance
z
Rightzperson
Rightzcommunicationzandzdirectionz
Rightzsupervisionzandzevaluation
Fourztypeszofzpatientzprivacyzhealthzcarezproviderszandzpersonnelzhavezanzethicalzandzlegalzr
esponsibilityztozalwayszmaintainz-zanswer•zMedicalzinformation
• Physicalzexposure
• Personalzprivacy
• Electroniczprivacy
Eightzfactorsztozconsiderzbeforezdeterminingzwhatzanestheticztozusezforzazparticularzpatientz-
zanswer•zPatient'szage
• Lengthz&ztypezofzsurgery
• Patientz&zsurgeonzpreferences
• Patient'szco-existingzdiseases
• Patient'szmentalz&zpsychologicalzstatus
• Patient'szpreviouszexperienceszwithzanesthesia
• Plansz&zprotocolszforzpostoperativezpainzmanagement
, • Positionzofzthezpatientzduringzsurgery
ThezAmericanzSocietyzofzAnesthesiologist'szNPOzGuidelinesz-zanswer•zClearzliquidsz-
zstopz2zhourszbeforezsurgery
• Breastzmilkz-zstopz4zhourszbeforezsurgery
• Infantzformulaz-zstopz6zhourszbeforezsurgery
• Lightzmealz(toastz&zazclearzliquid)z-zstopz6zhourszbeforezsurgery
• Friedzfoods,zfattyzfoods,zmeatz-zstopz8zhourszbeforezsurgery
CirculatorzRNzdutieszduringzInductionzofzanesthesiazandzassistingzanesthesiazprofessionalzwithzCric
oidzPressurez-
zanswer•zCricoidzpressurezapplicationzisznotzreleasedzuntilzthezendotrachealz(ET)ztubezcuffziszinflate
d,ztubezplacementziszconfirmed,zandzanesthesiazproviderzhaszgivenzazverbalzconfirmationztoztheznur
sezthatzthezcricoidzpressurezcanzbezreleased.
• Ifzintubationzorzventilationzofzthezpatientzbecomeszdifficult,zthezperioperativeznursezshouldzr
etrievezadditionalzairwayzequipmentzandzsupplies.
Generalzanesthesiaz-zanswer•zAzdrug-inducedzreversiblezstatezofzunconsciousness
• Resultszinzamnesia,zanalgesia,zandzlosszofzresponsiveness,zdecreasedzstresszresponse,zandzlosszofzs
keletalzmusclezreflexesztozazvaryingzdegree
Regionalzanesthesiaz-
zanswer•zAnzinjectionzofzlocalzanestheticsznearznervezfiberszthatzcauseszreversiblezlosszofzsens
ationzoverzanzareazofzthezbody
• Exampleszincludezspinal,zepidural,zandzperipheralznervezblocks.
Monitoredzanesthesiazcarez(MAC)z-
zanswerAnzanesthesiazproviderzmonitorszthezpatient,zadministerszsedativeszandzotherzagentsza
szneeded,zandzprovideszmedicalzserviceszaszrequired.
Moderatezsedationz-
zanswer•zThezadministrationzofzsedative,zanalgesic,zand/orzanxiolyticzagentszbyzazphysicianzorzbyzaznu
rsezunderzphysicianzsupervision
z z
FinalExam 2022
z z
, AORN Periop 101 Final Exam
z z z z z
IndemnityzPaymentz-zanswerPaymentzmadezonzbehalfzofzthezpolicyzholder
Liabilityz-zanswerAzlegalzresponsibility
Negligencez-zanswerAnzactzorzfailureztozactzthatzdeviateszfromzthezstandardzofzcare
NursingzMalpracticez-
zanswerAznurse'sznegligencezorzanyzintentionalzactzthatzcauseszphysical,zfinancial,zemotional,zp
sychosocial,zand/orzcognitivezdamageztozthezpersonzinztheznurse'szcare
RespondeatzSuperiorz-
zanswerAnzemployerziszlegallyzresponsiblezforztheznursezemployeezonlyzwhen:
o Theznursezactszwithinzthezscopezofzpractice
o Anyzallegationszbroughtzagainstztheznursezoccurredzduringztheznurse'szemployment
o Theznurse'szactionszwerezwithinzthezemployer'szbestzinterests.
Tortz-zanswerAzbreachzofzdutyztozanotherzpersonzaszoutlinedzbyzlaw
Whatzarezthezfourzelementszofzmalpractice?z-zanswer•zDuty
• Breachzofzduty
• Thezbreachzofzdutyzcausedzanzinjury
• Thezinjuryzwaszharmfulztozthezpatient
ElementszofzInformedzConsentz-
zanswer•zMustzbezobtainedzbyzthezlicensedzprofessionalzwhoziszperformingzthezprocedure
,• Thezpatientzmustzgivezconsentzvoluntarilyzwithzthezfullzunderstandingzofzallzimplications
• Mustzincludez
ozDiagnosis
o Proposedztreatment
o Treatmentzalternatives
o Consequenceszofzacceptingzorzdecliningzthezproposedztreatment
FivezRightszofzDelegationz-
answerRightztaskzRightzcircumstance
z
Rightzperson
Rightzcommunicationzandzdirectionz
Rightzsupervisionzandzevaluation
Fourztypeszofzpatientzprivacyzhealthzcarezproviderszandzpersonnelzhavezanzethicalzandzlegalzr
esponsibilityztozalwayszmaintainz-zanswer•zMedicalzinformation
• Physicalzexposure
• Personalzprivacy
• Electroniczprivacy
Eightzfactorsztozconsiderzbeforezdeterminingzwhatzanestheticztozusezforzazparticularzpatientz-
zanswer•zPatient'szage
• Lengthz&ztypezofzsurgery
• Patientz&zsurgeonzpreferences
• Patient'szco-existingzdiseases
• Patient'szmentalz&zpsychologicalzstatus
• Patient'szpreviouszexperienceszwithzanesthesia
• Plansz&zprotocolszforzpostoperativezpainzmanagement
, • Positionzofzthezpatientzduringzsurgery
ThezAmericanzSocietyzofzAnesthesiologist'szNPOzGuidelinesz-zanswer•zClearzliquidsz-
zstopz2zhourszbeforezsurgery
• Breastzmilkz-zstopz4zhourszbeforezsurgery
• Infantzformulaz-zstopz6zhourszbeforezsurgery
• Lightzmealz(toastz&zazclearzliquid)z-zstopz6zhourszbeforezsurgery
• Friedzfoods,zfattyzfoods,zmeatz-zstopz8zhourszbeforezsurgery
CirculatorzRNzdutieszduringzInductionzofzanesthesiazandzassistingzanesthesiazprofessionalzwithzCric
oidzPressurez-
zanswer•zCricoidzpressurezapplicationzisznotzreleasedzuntilzthezendotrachealz(ET)ztubezcuffziszinflate
d,ztubezplacementziszconfirmed,zandzanesthesiazproviderzhaszgivenzazverbalzconfirmationztoztheznur
sezthatzthezcricoidzpressurezcanzbezreleased.
• Ifzintubationzorzventilationzofzthezpatientzbecomeszdifficult,zthezperioperativeznursezshouldzr
etrievezadditionalzairwayzequipmentzandzsupplies.
Generalzanesthesiaz-zanswer•zAzdrug-inducedzreversiblezstatezofzunconsciousness
• Resultszinzamnesia,zanalgesia,zandzlosszofzresponsiveness,zdecreasedzstresszresponse,zandzlosszofzs
keletalzmusclezreflexesztozazvaryingzdegree
Regionalzanesthesiaz-
zanswer•zAnzinjectionzofzlocalzanestheticsznearznervezfiberszthatzcauseszreversiblezlosszofzsens
ationzoverzanzareazofzthezbody
• Exampleszincludezspinal,zepidural,zandzperipheralznervezblocks.
Monitoredzanesthesiazcarez(MAC)z-
zanswerAnzanesthesiazproviderzmonitorszthezpatient,zadministerszsedativeszandzotherzagentsza
szneeded,zandzprovideszmedicalzserviceszaszrequired.
Moderatezsedationz-
zanswer•zThezadministrationzofzsedative,zanalgesic,zand/orzanxiolyticzagentszbyzazphysicianzorzbyzaznu
rsezunderzphysicianzsupervision
