Berry & Kohn’s Operating Room Technique 14th Edition Phillips Test Bank 2

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d d d d d d d d d d d d

n Phillips d

Chapter 02: Foundations of Perioperative Patient Care Standards Phillips
d d d d d d d d

: Berry & Kohn’s Operating Room Technique, 14th Edition
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MULTIPLEdCHOICE

1. Whodisdresponsibledforddocumentingdthedfinaldcountsdatdthedenddofdthedcasedasdcorrectdordi
ncorrect?
a. Scrubdperson
b. Surgeon
c. Anesthesiologist
d. Circulatingdnurse
ANS:d D
Thedcirculatingdnursedisdresponsibledfordfinalddocumentation.

REF:d d p.d22d|dp.d23

2. Optimaldpatientdcaredrequiresdwhichdelement?
a. Deterringdandadmissiondofdfaultdindsteriledtechnique
b. Anatomicdseparation
c. Dynamicdtensiondofdsurgicaldteamdmembers
d. Applicationdofdasepsisdanddsteriledtechniquedprinciples
ANS:d D
AsepsisdanddsteriledtechniquedaredexpecteddanddnecessarydpracticesdindthedORdsettingdfordfavorabl
edpatientdoutcomes.

REF:d d p.d22

3. ThedcirculatingdnursedshoulddassessdadpatientdfordwhichdtypedofdinjurydbeforedenteringdthedOR?
a. Medicationderror
b. WrongdIVdsite
c. Skindinjury
d. Sharpdobject
ANS:d C
SkindinjuriesdcandbedcauseddbydmanydthingsdindthedOR.dThednursedshoulddassessdthedskindbeforedan
ddafterdthedproceduredtodmakedsurednoddamagedhasdbeenddone.

REF:d d p.d23

4. Caregiversdshoulddalwaysdknowdwhydtheydareddoingdadparticulardaction.dActionsdshoulddbedb
aseddond .
a. self-taughtdmethods
b. preceptordactions
c. nursingdprocess
d. evidence-baseddpractice
ANS:d D




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d d d d d d d d d d d d

n Phillips d

Evidence-
baseddpracticedisdadsystematicdprocessdthatdisdbaseddondresearch.dThedresearchdisdthedbasedfordbestd
practices.dPracticesdaredconstantlydevaluateddfordthedbestdmethodsdfordperformingdpatientdcare.

REF:d d p.d25d|dp.d26

5. Whenddoesdthedintraoperativedphasedbegin?
a. PlacementdofdthedpatientdondthedORdbed
b. WhendthedpatientdentersdthedOR
c. Whendwaitingdindthedholdingdarea
d. WhendtakendtodthedrecoverydareadordPACU
ANS:d A
ThedintraoperativedphasedbeginsdwithdthedpatientdondthedORdbeddanddcontinuesduntildthedpatientdis
dtransporteddtodthedPACU.




REF:d d p.d28

6. Whatddocumentationdgoesdintodthedpatient’sdchartdanddbecomesdpartdofdthedpermanentdrecord?
a. Specimendresults
b. Intraoperativednotesdonly
c. Alldroutinedanddindividualizeddcare
d. Physicaldchanges

ANS:d C
Alldpatientdcaredinterventionsdanddobservationsdareddocumented.dStandardizeddlanguagedprovide
sdlegaldevidencedfordthedplansdofdcaredanddrevisionsdofdthosedplans.

REF:d d p.d31

7. WhichdidentifiesdonedaspectdofdsafedpatientdmovementdfromdthedORdtabledtodthedstretcher?
a. Thedcirculatingdnursedcountsdtodsynchronizedthedpatient’sdmovement.
b. Thedpersondguidingdthedheaddcountsdtodsynchronizedthedmovement.
c. Thedpersondatdthedleftdsidedofdthedpatientdalsodguidesdthedheaddanddcountsdtodstartdthed
movement.
d. Twodpeopledaredneededdtodmovedandanesthetizeddpatientdfromdthedtabledtodtheds
tretcher.
ANS:d B
Theredshoulddbedatdleastdonedpersondondeitherdsidedofdthedpatient,donedatdthedfoot,danddonedatdthedhe
addtodmonitordthedairway.dThedpersondguidingdthedpatient’sdheaddshoulddbedthedonedwhodcountsd“
one,dtwo,dthree”dtodpacedthedsynchronizeddmovementdfromdonedsurfacedtodanother.

REF:d d p.d22

8. Whichdisdonedofdthed“sevendrights”dofdmedicationdadministrationdfordeachdpatient?
a. Rightdpharmacy
b. Rightdcolor
c. Rightdroute
d. Rightdanswer
ANS:d C




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d d d d d d d d d d d d

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Thedsevendrightsdofdmedicationdadministrationdincludedrightdpatient,drightddrug,drightddose,dright
dreason,drightdtime,drightdroute,danddrightddocumentation.



REF:d d p.d24

9. Alldaredincludeddindtheddefinitiondofdprofessionalismdexcept
a. self-centereddfordprofitdgroup.
b. requiresdspecialdskillsdanddknowledge.
c. hasditsdowndstandardsdanddcodedofdethics.
d. actsdresponsiblydtodgaindpublicdtrust.
ANS:d A
Professionalismdisdthedcombinationdofdknowledge,dskills,dethics,danddideasdthatdregulatedadprofessi
on.dItdalsodusesdcriticaldthinkingdanddjudgement.

REF:d d p.d25

10. WhichdeventdisdincludeddondMedicare’sd“NodPaydList”danddwilldnotdbedreimbursed?
a. Myocardialdinfarction
b. Wrongdsitedsurgery
c. DocumenteddAlzheimer’s
d. Incisiondandddrainagedofdadchronicdhipdabscess

ANS:d B
WrongdsitedsurgerydisdandeasilydpreventabledoccurrencedanddisdnotdreimburseddfordbydMedicare.

REF:d d p.d18


TRUE/FALSE

1. SurgicaldconsciencedisdconsidereddthedGoldendRule:dDoduntodthedpatientdasdyoudwoulddhavedo
thersddoduntodyou.

ANS:d T
Surgicaldconscienceddevelopsdoverdtime.dThedcaregiverdshoulddconsiderdeachdpatientdasdhimselfdor
dherselfdordasdadloveddone.dItdisdjustdonedelementdfordoptimaldpatientdcare.




REF:d d p.d16

2. Adpatientdadvocatedisdthedpersondwhodaccompaniesdthedpatientdtodthedfacility.

ANS:d F
Adpatientdadvocatedisdadcaregiver,dwhodrecognizesdthedpatientdanddfamily’sdneeddfordinformationd
anddassistance.dTheydactdasdthedpatient’sdrepresentativedtodhelpdmakedinformedddecisions.dTheydi
dentifydspecificdcaredneedsdanddassistdindcoping.

REF:d d p.d16

3. Accessdtodhealthdcaredisdadprivilegedofdeverydhumandbeing.

ANS:d F




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