AORN Periop 101 Final Exam 2022 with complete solution
number of ventilation exchanges for an individual or
20 per hour with 4 exchanges from outdoor air
humidity range for an individual or
20-60%
tempurature range for an individual or
68-75 degrees fahrenheit
20-24 degrees celsius
this loses pliability if dried out
open over small basin
surgical gut (plain or chromic) and collagen
natural absorbable suture
maxon
monocryl
vicryl
dexon
pds & pds ii
do not soak or dip in water (this causes hydrolysis and reduction of tensile strength)
synthetic absorbable suture
silk
surgical cotton (weakest; gains strength when wet)
linen
stainless steel (used for closure of sternum, retention suture, secondary repair, resp
tract, ortho, neurosurgery)
natural nonabsorbable suture
nylon suture
-monofilament (ethilon & dermalon)
-coated (surgilon)
-uncoated (neurolon)
polyester fiber suture
-coated (ticron, ethibond, teflon)
-uncoated (mersilene & dacron)
polypropylene (prolene & surgilene)
polybutester (novafil)
poly ethylene (dermalene)
synthetic nonabsorbable suture
-no inflammation
-resp, ailmentary, and gu tracts not entered
-ex. eye surgery, hernia repairs, breast surgery, nontraumatic neuro & ortho surgery,
cardiac, or peripheral vascular surgery
class i-clean wounds
, -resp, ailmentary, or gu wounds entered under controlled conditions and without
contamination of surrounding tissue
-no evidence of infection or major break in aseptic technique
-ex. d&c, total hysterectomy, gastrectomy, chole without spillage, elective appy,
cystoscopy, turp on pt w/ negative urine cultures, sigmoid colon resection
class ii-clean contaminated
-open, fresh, traumatic wounds
-major break in sterile technique
-gross spillage from gi tract
-incisions with acute nonpurulent inflammation
-ex. laparotomy w/ significant spillage, traumatic wounds, acute appendicitis or
cholecystitis, compound fractures
class iii-contaminated wounds
-old, traumatic wounds with devitalized tissue, perforated viscera, delayed primary
wound closure
-ex. incision and drainage, total evisceration, perforated viscera
class iv-dirty wounds
purpose of standardized nursing language such as pnds
maintain pt safety, infection control, and management of supply cost
plan of care
helps to
-plan nursing interventions
-assess and develop nursing diagnoses
-assess and evaluate pt status
-evaluate responses to positioning
requirements of storage and movement of dirty, clean and sterile supplies within the
operating room
keep covered in enclosed carts
labeled, keep apart clean, dirty and sterile
elements of professionalism
-governed by practice acts that outline legal scope of practice
-maintain current knowledge
-seek out colleagues to assess their practice
-activate participants in professional organizations
-engage in ongoing professional development
-maintain competence activities througout career
pico
population, patient, problem
intervention
comparison
outcome
3 main categories of direct costs
number of ventilation exchanges for an individual or
20 per hour with 4 exchanges from outdoor air
humidity range for an individual or
20-60%
tempurature range for an individual or
68-75 degrees fahrenheit
20-24 degrees celsius
this loses pliability if dried out
open over small basin
surgical gut (plain or chromic) and collagen
natural absorbable suture
maxon
monocryl
vicryl
dexon
pds & pds ii
do not soak or dip in water (this causes hydrolysis and reduction of tensile strength)
synthetic absorbable suture
silk
surgical cotton (weakest; gains strength when wet)
linen
stainless steel (used for closure of sternum, retention suture, secondary repair, resp
tract, ortho, neurosurgery)
natural nonabsorbable suture
nylon suture
-monofilament (ethilon & dermalon)
-coated (surgilon)
-uncoated (neurolon)
polyester fiber suture
-coated (ticron, ethibond, teflon)
-uncoated (mersilene & dacron)
polypropylene (prolene & surgilene)
polybutester (novafil)
poly ethylene (dermalene)
synthetic nonabsorbable suture
-no inflammation
-resp, ailmentary, and gu tracts not entered
-ex. eye surgery, hernia repairs, breast surgery, nontraumatic neuro & ortho surgery,
cardiac, or peripheral vascular surgery
class i-clean wounds
, -resp, ailmentary, or gu wounds entered under controlled conditions and without
contamination of surrounding tissue
-no evidence of infection or major break in aseptic technique
-ex. d&c, total hysterectomy, gastrectomy, chole without spillage, elective appy,
cystoscopy, turp on pt w/ negative urine cultures, sigmoid colon resection
class ii-clean contaminated
-open, fresh, traumatic wounds
-major break in sterile technique
-gross spillage from gi tract
-incisions with acute nonpurulent inflammation
-ex. laparotomy w/ significant spillage, traumatic wounds, acute appendicitis or
cholecystitis, compound fractures
class iii-contaminated wounds
-old, traumatic wounds with devitalized tissue, perforated viscera, delayed primary
wound closure
-ex. incision and drainage, total evisceration, perforated viscera
class iv-dirty wounds
purpose of standardized nursing language such as pnds
maintain pt safety, infection control, and management of supply cost
plan of care
helps to
-plan nursing interventions
-assess and develop nursing diagnoses
-assess and evaluate pt status
-evaluate responses to positioning
requirements of storage and movement of dirty, clean and sterile supplies within the
operating room
keep covered in enclosed carts
labeled, keep apart clean, dirty and sterile
elements of professionalism
-governed by practice acts that outline legal scope of practice
-maintain current knowledge
-seek out colleagues to assess their practice
-activate participants in professional organizations
-engage in ongoing professional development
-maintain competence activities througout career
pico
population, patient, problem
intervention
comparison
outcome
3 main categories of direct costs
