j j j j j j j
E SOLUTIONS| 43 PAGES
j j j
Whatjisjthejleadingjandjmostjcostlyjoccupationaljhealthjproblemjinjthejunitedjstates?
-jheadache
-jneedlesticksjandjsharpsjinjuryjresultingjinjexposuresjtojtransmissiblejdiseases
-joverexertionjleadingjtojbackjstrainsjsandjsprain
-joverworkjleadingjtojfatiguejjCORRECTjANSWERS:joverexertionjleadingjtojbackjstrainsjsandjsprain
whenjshouldjleakjtestingjofjajflexiblejendoscopejbejperformed?
-jafterjmanualjcleaningjandjbeforejitjisjplacedjintojcleaningjsolution
-jafterjmanualjcleaningjandjbeingjplacedjintojcleaningjsolutionjandjbeforejdrying
-jatjthejpointjofjusejduringjprecleaning
-
jbeforejmanualjcleaningjandjbeforejitjisjplacedjintojcleaningjjCORRECTjANSWERS:jbeforejmanualjcle
aningjandjbeforejitjisjplacedjintojcleaning.
anjrnjcirculatorjhearsjanjanesthesiajprofessionaljaskjanjunlicensedjassistivejpersonj(UAP)jtojpushjIV.
jWhatjshouldjthejperioperativejrnjimmediatelyjdo?
-jhelpjthejUAPjadministerjthejIVjpushjmedication
-jnotifyjthejchargejrnjthatjthejUAPjisjperformingjajtaskjthatjisjnotjwithinjhisjjobjdescription
-
jofferjassistancejtojthejanesthesiajprofessionaljsojthatjthejanesthesiajprofessionaljcanjadministerjth
ejmedicationjhimself
-
jtelljthejUAPjtojstopjandjthejperioperativejrnjshouldjadministerjthejmedicationjforjthejanesthesiajpr
ofessional.jjCORRECTjANSWERS:jofferjassistancejtojthejanesthesiajprofessionaljsojthatjthejanesthe
siajprofessionaljcanjadministerjthejmedicationjhimself
Afterjajvaginaljhysterectomy,jajhealthyj47-yr-
oldjwomanjisjinjthejpostanesthesiajcarejunit.jHerjbodyjmassjindexjisj22.jherjarterialjbloodjgasjtestjre
sultsjarejpHj7.52,jPaCO2j28,jHCO3j24.jthejpatient'sjconditionjisj
metabolicjacidosis
metabolicjalkalosis
respiratoryjacidosis
respiratoryjalkalosisjjCORRECTjANSWERS:jrespiratoryjalkalosis
,anjambulatoryjsurgeryjcenterj(ASC)jdoesjnotjhavejajradiologyjdepartmentjatjthejfacility.jWhenjsurgi
caljcountjdiscrepanciesjoccur,jwhatjactionsjshouldjbejtakenj1stjbyjthejperioperativejrn?
-jarrangejforjthejptjtojbejx-rayedjforjthejmissingjitemjatjthejclosestjhospital
-jdocumentjthejresultsjofjthejsurgicaljcount
-jfollowjthejASC'sjstandardizedjprocessjtojlocatejthejmissingjitem
-
jinformjthejpt'sjfamilyjorjcaregiverjthatjthejprocedurejisjtakingjlongerjthanjexpectedjduejtojthejmissi
ngjitemjjCORRECTjANSWERS:jfollowjthejASC'sjstandardizedjprocessjtojlocatejthejmissingjitem
thejperioperativejrnjshouldjbejrecognizedjthatjthejmostjcommonjcomplicationjforjajptjwithjmultipl
ejtraumaticjinjuriesjis
fluidjandjelectrolytejimbalance
hemorrhage
infection
shockjjCORRECTjANSWERS:jshock
injadditionjtojthejpt'sjidentity,jwhichjofjthejfollowingjshouldjbejconfirmedjtojhelpjdecreasejthejriskjf
orjwongjsitejsurgery?
allergies
medicationjhistory
previousjresponsesjtojgeneraljanesthesia
procedurejandjsitejjCORRECTjANSWERS:jprocedurejandjsite
whatjstatementjrelatedjtojmedicationjmanagementjinjanjASCjisjTRUE?
-
jajpharmacistjmayjbejcontractedjbyjthejhealthjcarejorganizationjtojprovidejconsultativejservicesjonj
sitejorjbyjtelepharmacy.
-
jAnjrnjorjpharmacistjmayjbejcontractedjbyjthejhealthjcarejorganizationjtojprovidejpharmaceuticaljs
ervices.
-jPharmaceuticaljservicesjmustjbejprovidedjbyjajpharmacistjwhojisjonjsitejatjthejASC.
-
jPhysiciansjandjpharmacistsjarejthejonlyjlicensedjprofessionaljwhojmayjprovidejpharmaceuticaljser
vicesjatjanjASCjjCORRECTjANSWERS:jajpharmacistjmayjbejcontractedjbyjthejhealthjcarejorganizatio
njtojprovidejconsultativejservicesjonjsitejorjbyjtelepharmacy.
Mr.jwjisjaj52-yr-
oldjmanjinjthejemergencyjdepartmentjcomplainingjofjshortnessjofjbreathjandjtinglingjfingers.jHisjb
reathingjisjshallowjandjrapid.jHejdeniesjthatjhejhasjdiabetes,jandjhisjbloodjsugarjisjwithinjnormaljlim
its.jTherejarejnojelectrocardiogramjchanges.jHejhasjnojsignificantjrespiratoryjorjcardiacjhistory.jHejt
,akesjseveraljanti-
anxietyjmedications.jHejsaysjhejhasjhadjanxietyjattacksjinjthejpast.jWhilejMr.jwjisjbeingjworkedjupjf
orjchestjpain,jajbloodjspecimenjisjdrawnjforjtestingjarterialjbloodjgassesj(ABG).jWhatjdojmr.jw'sjAB
Gjvaluesjindicate?
pHj7.48,jPaCO2j28,jHCO3j22
metabolicjacidosis
metabolicjalkalosis
respiratoryjacidosis
respiratoryjalkalosisjjCORRECTjANSWERS:jrespiratoryjalkalosis
thejperioperativejrnjshouldjselectjajpneumaticjtourniquetjcuff
-jbasedjonjthejpt'sjagejandjbloodjpressure
-jbyjconsideringjthejaveragejlengthjofjthejplannedjsurgicaljprocedure
-jafterjthejptjisjunderjanesthesiajandjpositionedjonjthejORjbedjandjthejsurgeonjisjinjthejOR
-
jthatjisjlongjenoughjsojthatjbladderjofjthejtourniquetjoverlapsjsufficientlyjonjthejlimb.jjCORRECTjAN
SWERS:jthatjisjlongjenoughjsojthatjbladderjofjthejtourniquetjoverlapsjsufficientlyjonjthejlimb.
Ajptjisjonjajstretcherjinjthejperioperativejreadyjarea.jWhenjhejarrivedjatjthejfacility'sjsurgeryjadmissi
onjdeskjthatjmorning,jhejappearedjdisheveledjandjincoherent.jLaboratoryjbloodjtestsjindicatedjajhi
ghjleveljofjcocainejinjhisjsystem.jThejanesthesiajprofessionaljwasjatjthejpt'sjsidejdiscussingjthejneedj
tojpostponejthejsurgeryjwithjthejsurgeonjwhenjthejptjbecamejbelligerentjandjforcefullyjgrabbedjth
ejanesthesiajprofessional'sjneck.jThejptjwasjplacedjintojrestraints.jInjthisjsituation,jwhyjwerejrestrai
ntsjnecessary?
-jthejptjwasjincoherent
-jthejptjposedjajthreatjtojhimself
-jthejptjposedjajthreatjtojthejanesthesiajprofessional
-
jthejptjwasjusingjillegaljdrugsjbeforejhisjsurgeryjjCORRECTjANSWERS:jthejptjposedjajthreatjtojthejane
sthesiajprofessional
ajrootjcausejanalysisjisjconductedjafterjitjisjdiscoveredjthatjajlaparotomyjspongejwasjleftjinjajpatient
'sjabdomenjafterjajsurgicaljprocedure.jInjresponsejtojthisjevent,jwhichjofjthejfollowingjactionsjwoul
djbejconsistentjwithjconductingjajrootjcausejanalysis?
-japologizejandjdisclosejthejerrorjtojthejpatient
-jidentifyjandjanalyzejeachjstepjofjthejsurgicaljcountjprocessjthatjisjinjplacejatjthejfacility.
-jIdentifyjthejinvolvedjperioperativejlearnjmembersjandjinitiatejdisciplinaryjactions
-
jreportjthejeventjtojthejdesignatedjhospitaljaccreditationjorganizationjjCORRECTjANSWERS:jidentif
yjandjanalyzejeachjstepjofjthejsurgicaljcountjprocessjthatjisjinjplacejatjthejfacility.
, whenjthejretractablejmagneticjresonancejimagingj(MRI)jscannerjisjinjusejinjajhybridjOR,jthejORjisjco
nsideredjtojbejMRIjzone
I
II
III
IVjjCORRECTjANSWERS:jIV
ifjajptjexperiencesjajcardiacjarrestjinjajhybridjORjwhenjthejmagneticjresonancejimagingj(MRI)jscann
erjisjinjuse,jthejfirstjactionjthejperioperativejrnjshouldjdojtojassistjthejteamjis
j
-jbeginjbasicjcardiopulmonaryjresuscitationjandjretractjthejMRIjscannerjbackjintojthejholdingjbay
-jcalljforjhelp,jbringjinjthejcodejcartjandjresuscitatejthejpt.
-jRemindjthejteamjthatjthejMRIjscannerjisjinjusejandjfollowjthejfacilityjprotocol
-
jturnjoffjthejMRIjscannerjbyjpushingjthejquenchjbuttonjjCORRECTjANSWERS:jbeginjbasicjcardiopul
monaryjresuscitationjandjretractjthejMRIjscannerjbackjintojthejholdingjbay
thejrolejofjthejhealthjcarejindustryjrepresentativejincludesjalljofjthejfollowingjexcept
-
jopeningjsterilejimplantsjandjinstructingjthejsurgeonjandjthejassistantsjhowjtojimplantjthejmedicalj
devices
-jprovidingjone-on-onejinstructionjforjthejperioperativejteamjrelatedjtojthejmedicaljdevice.
-
jProvidingjtechnicaljsupportjaccordingjtojthejhealthjcarejorganization'sjpoliciesjandjlocal,jstate,jandj
federaljregulations
-jteachingjin-
servicejprogramsjtojthejperioperativejteamjrelatedjtojthejmedicaljdevicejjCORRECTjANSWERS:jope
ningjsterilejimplantsjandjinstructingjthejsurgeonjandjthejassistantsjhowjtojimplantjthejmedicaljdevi
ces
whatjshouldjthejwaterjtemperaturejbejforjhandjhygiene?
-j60jFj(15.6C)jorjlower
-jbetweenj60jFjandj100jFj(15.6cjtoj37.8C)
-jbetweenj70jFjandj80Fj(21.1Cjandj26.7C)
-j80Fj(26.7C)jorjhigherjjCORRECTjANSWERS:jbetweenj70jFjandj80Fj(21.1Cjandj26.7C)
17.jwhatjnursingjactivityjcanjajperioperativejRNjdelegatejtojanjunlicensedjassistivejperson?
-jassessmentjofjthejpt'sjskin
-jevaluationjofjnursingjcare