Answers.
When should assistive technology be used when transfering a patient? - Correct Answer
When one team member is required to lift more than 35lbs of patient
Time for surgeon to authenticate verbal orders (federal mandate, not hospital policy) -
Correct Answer 48 hours
Examples of clinical alarms - Correct Answer alarms on cardiac monitors anesthesia
machines, ventilators (visual, auditory or both)
Universal Protocol - Correct Answer prevent wrong site, wrong procedure, and wrong
surgery
1. Preop/ procedure verification process
2. marking site
3. time out
* part of assessment phase of Nursing Process
National Patient Safety Goals
Examples of full body patient transfer devices - Correct Answer air-assisted transfer
mattresses (hovermats), full body slides, mechanical lifting equipment
Examples of safety-engineered devices to prevent sharps injuries - Correct Answer blunt
suture needles, safety scalpels, needless systems, alternate wound closures
Contact time - Correct Answer specific length of time disinfectants can remain in contact
w/ microorganisms to achieve disinfection
For every time of equipment of supply used on or for patient, what document should
always be followed? - Correct Answer IFU- manufacturer's instructions for use
,Adverse reactions to polymethymethacrylate (bone cement) - Correct Answer
hypotension, cardiac arrest, CVA, pulmonary embolism, fat embolism, hypersensitivity,
thrombophlebitis, death
RN's action after hearing a verbal order from Dr - Correct Answer read back the order
Symptoms of local anesthetic systemic toxicity - Correct Answer metallic taste,
confusion, dizziness, numbness (initial phase)
Indication for use of BSS (Endosol) (balanced salt solution) - Correct Answer keep eye
moist during surgery
Effective meds to reduce postop N/V - Correct Answer Droperidol, Ondansetron,
Promethazine
Maximum number of meds prep RN should compound in periop suite - Correct Answer
Three
What type of muscle cell is affected during MH? - Correct Answer Skeletal
Examples of research evidence - Correct Answer RCTs, systematic reviews, quasi-
experimental studies
Standardized language that reflects period nursing practices? - Correct Answer
Perioperative Nursing Data Set (PNDS)
Examples of non-absorbable suture materials - Correct Answer cotton, milk, nylon
sutures
implant that reduces tremors, involuntary movements, gait problems for Parkinson's -
Correct Answer Deep brain stimulator
What is Unique Device Identification? - Correct Answer FDA requirement; every device
has a number (also on package); for implantable life-supporting, sustaining devices
Risk assessment for pressure injuries - Correct Answer Braden Scale, Munro Scale,
Scott Triggers Tool
,Using prophylactic dressings applied to healthy skin that is at risk for pressure injury may
reduce effects of - Correct Answer pressure, shear, friction
Scatter radiation - Correct Answer reflected off patient, table, shielding, material
(secondary radiation)
risk to personnel in room
Leakage Radiation - Correct Answer emanates from X-ray tube housing (secondary
radiation)
Remnant Radiation - Correct Answer exits patient & imparts image on film
poses little threat to personnel
The timing of the administration of a preoperative prophylactic antibiotic, when ordered
for a patient whose plan of care includes the use of a pneumatic tourniquet, should be
based on the - Correct Answer goal of achieving optimal tissue concentration
& policy/ procedures of hospital
Limb occlusion pressure is the pneumatic
tourniquet pressure required to occlude
___________ blood flow in the limb. - Correct Answer arterial
Before the pneumatic tourniquet is inflated, guidelines include the extremity may be
exsanguinated by - Correct Answer using an elastic wrap
elevating the limb
The orthopedic surgeon and the anesthesia professional should determine the initial
tourniquet inflation pressure by measuringthe patient's - Correct Answer limb occlusion
pressure
During application of a pneumatic tourniquet to an extremity, the perioperative RN should
position the cuff tubing on or near the ___________ aspect of the extremity. - Correct
Answer lateral
, A perioperative RN develops a plan of care for a patient whose surgery includes the use
of a pneumatic tourniquet placed on her right lower extremity. Monitoring the patient's
temperature throughout the perioperative period is considered what part of the nursing
process for this patient? - Correct Answer intervention
Maximum tourniquet cuff pressure for the
thigh should not exceed - Correct Answer 350mmHg
When the use of monopolar electrosurgery is anticipated, after the application of a
pneumatic tourniquet, the perioperative RN should place a single-use dispersive
electrode _____________ to the cuff. - Correct Answer proximal
The employer must maintain the employee'sexposure record (ie, sharp incidents) for the
duration of employment plus ___ years? - Correct Answer 30 years
Using the Gown Liquid Barrier Performance Class rating, a surgical gown classified as a
Barrier Level 4 should be worn when the anticipated level of exposure to fluids, splashes,
or pressure on the gown is - Correct Answer high
The perioperative RN should anticipate classifying a surgical wound when there is a
controlled entry into the GI tract without spillage of gastric or bowel content as - Correct
Answer Class II (Clean-contaminated)
Bonewax is made of - Correct Answer beeswax, paraffin, and isopropyl palmitate.
Which of the following is NOT a type of skeletal traction? - Correct Answer Cervical halo
Gardner-Wells tongs
***Hip Spica cast***
Thomas splint balance suspension
Key points related to the use of methyl methacrylate include the following EXCEPT
A. It is a respiratory, eye, and skin irritant.
B. It is a vasoconstrictor.
C. It is used to secure prostheses in bone.