CNOR Test Back Questions with All Correct Answers

CNOR Test Back Questions with All Correct Answers 6 steps of OR nursing process - ANSWER 1. assess the pt 2. identify nursing diagnosis 3. Identify ideal outcomes 4. plan for appropriate pt care 5. implement required care 6. evaluate for effectiveness of necessary changes in care the universal protocol consists of what 3 steps - ANSWER 1. a preop verification process 2. marking the operative site 3. time out verification focus of preop assessment is on... - ANSWER - obtaining the pts current diagnosis and physical/psychosocial status - obtaining the pts medical history, to include previous illnesses and surgical procedure - validating pts understanding of the procedure PSDA - ANSWER The Patient Self-Determination Act -- a federal law that requires most health care institutions to provide information on advanced directives at the time of administration medication reconciliation - ANSWER the process of comparing the medications that a pt is using at home currently, with the medication that are ordered by practitioner potential contraindications for tourniquet use include: - ANSWER Venous thromboembolism, impaired circulation or peripheral vascular compromise, previous revascularization of the extremity, extremities with dialysis access, acidosis, hemoglobinopathy (eg, sickle cell) and extremity infection Potential complications of pt taking ginger before surgery - ANSWER - bradycardia - bleeding - hypotension How long prior to surgery are patients usually asked to stop taking aspirin (Acetylsalicylic acid)? - ANSWER 2 weeks When should forced air warming begin to precent hypothermia? - ANSWER in the holding area the purpose of a plan of care is to.... - ANSWER identify nursing interventions that will help the pt meet desired outcomes Negative effects of hypothermia - ANSWER - increses the risk of surgical site infection - increases risk for pressure ulcer development - increases risk for bleeding (adversely effects coagulation cascade) - delayed wound healing Required personal protective equipment for contact precaution - ANSWER Glove and gown, mask with eye shield Required personal protective equipment for droplet precautions - ANSWER Glove and gown, mask with eye shield Required personal protective equipment for airborn precautions - ANSWER MIOSH N-95 respirator Glove and gown, mask with eye shield examples of diseases requiring contact precautions - ANSWER HIV, Hep B, Bep C, Staph, C-Diff examples of diseases requiring droplet precautions - ANSWER meningitis, pneumonia, mumps rubella, pertussis examples of diseases requiring airborn precautions - ANSWER tuberculosis, varicella, rubeola herbal supplements that may increase bleeding - ANSWER feverfew, garlic, ginger, ginko biloba, ginseng, vitamin E ** if pt takes these have hemostatic supplies on hand herbal supplements that may cause liver inflammation - ANSWER Echinacea, kava - anticipate increased bleeding - have hemostatic supplies on hand - anticipate delayed induction and/or prolonged emergence herbal supplements that may elevate blood pressure - ANSWER Goldenseal, licorice - anticipate increased bleeding - have hemostatic supplies on hand herbal supplements that may prolong the effects of anesthesia - ANSWER Kava, St John's Wort, valerian - anticipate delayed emergence 3 tenets of radiation safety - ANSWER time, distance and shielding 3 elements of fire triangle - ANSWER 1. ignition source (Electrosurgical unit, laste) 2. oxygen 3. fuel (drapes, sponges...) when should intermittent pneumatic compression devices be applied/functioning? - ANSWER before the administration of regional or general anesthesia Durring Head, face, neck and upper chest surgery, when should you stop supplimental oxygen? - ANSWER stop supplemental oxygen at least one minute before and durig the use of electrocautery, electrosurgery or laser use if possible. Durring Head, face, neck and upper chest surgery, what should you do to reduce risk of fire? - ANSWER - water-mist or carbon dioxide fire extinguishers are immediately available in the OR or procedure room - How should patients weighing more than 157lbs be transferred? - ANSWER Laterally transferred to the OR bed using a mechanical lifting device by three caregivers plus the anesthesia professional Shearing