CNOR Study questions & Answers, Graded A. rated A. latest Versions

CNOR Study questions & Answers, Graded A. rated A. latest Versions Arrhythmias, muscle weakness, cramps are all symptoms of hyperkalemia - Your patient is experiencing arrhythmias, muscle weakness and cramps. Which lab values would you assess Decreased reflexes muscle weakness and CNS depression are all symptoms of hypokalemia - Your patient is experiencing decreased reflexes, muscle weakness, and CNS depression which lab value which you assess A long arm cast is applied from above the elbow to the knuckles for fractures of the elbow or the forearm - You have orders to apply a long arm cast for a forearm fracture what is the location of this cast Hydrogen gas plasma sterilization produced free radicals interacting with microorganisms disrupting their function which assists in sterilizing heat sensitive instruments and other medical devices - You need to sterilize a heat sensitive instrument which type of sterilization would you use If the patient has a pacemaker the nurse must communicate with the anesthesiologist and the surgeon about having the defibrillator or pacemaker turned off prior to use of the electrosurgical device. If the pacemaker is not turned off a defibrillator and magnet should be ready available. - You are assessing your patient preoperatively for surgery. The patient states that she has a pacemaker. What is the operating room nurses responsibility to ensure patient safety? 1. air removal with the vacuum pump ng to the returns temperature usually 45-50 5°C 3. Steam humidification of the load to remove humidity of 60% 4. exposure to the ETO for the prescribed period 5psi for 12 hrs or 10psi for 6 hrs 5. Gas removal by 70 psi vacuum 6. Air flash by filtered air repeated 3 to 4 times to re-establish atmospheric pressure 7. Aeration to elude residual ETO - The circulating nurse understands the ETO sterilization cycle steps that take place after labeling each article with the date, time and indicator include Succinylcholine is the drug of choice for short term muscle relaxation during intubation. - As an operating room nurse you understand the depolarizing blocking drug, that is the drug of choice for short-term muscle relaxation during intubation is Succinylcholine is potentiated by many anesthetics and antibiotics. Adverse reactions include apnea and hypotension. - Prior to administering succinylcholine it is important for the nurse to understand that this drug is potentiated by what ______ and some adverse reactions include ________ The peri operative nurse is training a new graduate nurse how to prep the patient for an abdominal hysterectomy. The patient is in lithotomy position. she should prep the _____________first because _______________________________. - The graduate nurse should prep the vagina first because of the potential splatter into the abdomen. (Dirty to clean in the case of abdominal hysterectomy) What program recognizes health care organizations for quality patient care, nursing excellence and innovations in professional nursing programs. - The Magnet Recognition Program recognizes health care organizations for quality patient care nursing excellence and innovations in professional nursing practice. What is it called when there is professional negligence by act or omission below the accepted standard of practice, which causes injury or death to the patient - Malpractice Failure to act as a reasonable, prudent care giver and a failure to meet the standard of care is considered - Negligent The practice of doing good is termed as - Beneficence An intentional, unconsented, physical assault is termed as - Battery A verbal threat to Harm someone with no physical contact - Assault The "norm" for practice standards come from employee policies, professional organizations, state and federal laws is called - Standard of care The second most common type of nerve injury that can be related to the patient being in a supine or prone position with the head rotated laterally flexed to the same side and/or the arm is extended - Brachial plexus nerve injury The plexus is stretched or compressed between the clavicle and first rib what type of injury occurs - Brachial plexus nerve injury Post operatively the patient is demonstrating signs of wrist drop, weakness of abduction of thumb, and loss of sensation in the web spaces between the thumb and index finger you recognize the patient might have what type of injruy - Radial Nerve injury It's important to provide padding to the lateral aspect of the knee to prevent compress against the stirrup to prevent what type of injury - Peroneal nerve injury A post operative patient is complaining of numbness on the right shin and top of the right foot. Further assessment identifies, right leg pain and weakness and the patient is unable to point toes toward the body (dorsal flexion). As a peri operative nurse you understand these are symptoms of - Peroneal nerve injury The most common nerve injury in an anesthetized patient that most likely occurs with incorrect elbow flexion and/or forearm pronated causing compression between the posterior aspect of medial epicondylitis of the elbow. - Ulnar Nerve injury Post operatively the patient is complaining of numbness and tingling along the fourth and fifth finger along with hand weakness and pain. As a peri operative nurse you understand the patient should be further assessed for - Ulnar Nerve injury When teaching the peri operative student how to prevent ulnar nerve injury the preceptor is sure to include which three preventitive measures - Supination of the arm is thought to be less damaging along with the use of padded arm boards. Secure the arm preventing it from slipping off the edge of the bed and avoid compression of the condylar groove. Limit the flexion of the arm at the elbow to less than 110 degrees. Which nerve may become kinked under the inguinal ligament from extreme flexion and/or abduction of thighs. - Femoral Nerve injury Exaggerated hip flexion can cause stretching and damage to which nerve - Sciatic nerve A peri operative nurse understands that when an item needs to be manually cleaned that the instrument must be rinsed in what temperature of water and why - When manually cleaning instruments it's important to to rinse with cold water to remove debris The peri operative nurse has instruments that have been used on a patient diagnosed Creutzfeld-Jakob Disease (the human form of Mad Cow disease) which contains prions, therefore the nurse knows three important facts about the care for these instruments include: - Prions are resistant to disinfectant procedures and to most routine sterilization procedures. Instruments used on the prion contaminated tissue must be separated from other instruments. Prions must be cleaned utilizing specific protocols. Options for the denomination process for instruments utilize one a patient with Creutzfeld-Jakob disease would include what - Utilizing a steam sterilization. Then soaking for an hour in sodium hydrochloride then followed up with cleaning