j
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https://www.coursehero.com/file/169354146/Test-Bank-for-Alexanders-Care-of-the-Patient-in-Surgery-16th-Edition-Rothrockpdf/
, Table of Contents
j j
Unit 1: Foundations for Practice
j j j j
1. Concepts Basic to Perioperative Nursing j j j j
2. Patient Safety and Risk Management
j j j j
3. Workplace Issues and Staff Safety j j j j
4. Infection Prevention and Control j j j
5. Anesthesia
6. Positioning the Patient for Surgery j j j j
7. Sutures, Sharps, and Instrumentsj j j
8. Surgical Modalities j
9. Wound Healing, Dressings, and Drains
j j j j
10. Postoperative Patient Care and Pain Management j j j j j
Unit 2: Surgical Interventions
j j j
11. Gastrointestinal Surgery j
12. Surgery of the Liver, Biliary Tract, Pancreas, and Spleen
j j j j j j j j
13. Hernia Repair j
14. Gynecologic and Obstetric Surgery j j j
15. Genitourinary Surgery j
16. Thyroid and Parathyroid Surgery j j j
17. Breast Surgery j
18. Ophthalmic Surgery j
19. Otorhinolarygologic Surgery j
20. Orthopedic Surgery j
21. Neurosurgery
22. Reconstructive and Aesthetic Plastic Surgery j j j j
22. Thoracic Surgery j
23. Vascular Surgery j
24. Cardiac Surgery j
Unit 3: Special Considerations
j j j
26. Pediatric Surgery j
27. Geriatric Surgery 28. Trauma Surgery j j j j
29. Interventional and Image-Guided Procedures j j j
30. Integrative Health Practices: Complementary and Alternative Therapies
j j j j j j
This jstudy jsource jwas jdownloaded jby j100000818837220 jfrom jCourseHero.com jon j03-14-2023 j20:36:44 jGMT j-05:00
https://www.coursehero.com/file/169354146/Test-Bank-for-Alexanders-Care-of-the-Patient-in-Surgery-16th-Edition-Rothrockpdf/
,Chapter 01: Concepts Basic to Perioperative Nursing
j j j j j j
Rothrock: Alexander’s Care of the Patient in Surgery, 17th Edition
j j j j j j j j j
MULTIPLE CHOICE j
1. The Perioperative Patient Focused Model presents key components of nursing influence that guide p
qj q j q j q j q j q j q j q j q j q j q j q j q j
statement that best describes the dynamic relationship within the model.
q j q j q j q j q j q j q j q j q j
a. The patient experience and the nursing presence are in continuous interaction.
qj q j q j q j q j q j q j q j q j q j
b. Structure, process, and outcome are the foundation domains of the model. q j q j q j q j q j q j q j q j q j q j
c. The perioperative nurse is the central dynamic core of the model.
qj q j q j q j q j q j q j q j q j q j
d. The interrelated nursing process rings bind the patient to the model.
q q j q j q j q j q j q j q j q j q j
ANS: A jq j
The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursin
q j q j q j q j q j q j q j q j q j q j q j q j q j
interventions, and patient outcomes. These domains are in continuous interaction with the health syst
j q j qj q j q j qj q j qj q j q j q j q j qj q j
of perioperative nursing practice—the patient.
j q j qj q j qj
2. The Association of PeriOperative Registered Nurses‘ (AORN) Standards of Perioperative Nursing d
qj q j q j q j q j q j q j q j q j q j q j
interactions,
j q
interventions, and activities with patients. This is based on which standards category? q j q j q j q j q j q j q j q j q j q j q j
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS: B jq j
Process standards relate to nursing activities, interventions, and interactions. They are used to explic
q j q j q j q j q j q j q j q j q j q j qj q j q j
and
j q
quality objectives in perioperative nursing.
q j q j q j q j
3. Which order best describes the process used to implement evidence-based professional nursing?
q j q j q j q j q j q j q j q j q j q j q j
a. Literature search, theory review, data analysis, policy development qj q j q j q j q j q j q j
b. Regional survey, literature search, meta-analysis, practice change qj q j q j q j q j q j
c. Identify problem, scientific evidence, develop policy, evaluate outcome q j q j q j q j q j q j q j
d. Identify issue, analyze scientific evidence, implement change, evaluate process
qj q j q j q j q j q j q j q j
ANS: D jq j
Evidence-based practice is a systematic, thorough process by which to identify an issue, to collect q j q j q j q j q j q j q j q j q j q j q j q j q j q j q j
evidence to
j q j q
design and implement a practice change, and to evaluate the process.
q j q j q j q j q j q j q j q j q j q j
4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for thei
q j q j q j q j q j q j q j q j q j q j q j q j q j qj
gather scientific information is to:
q j q j q j q j
a. conduct a survey of skin prep policies at the next AORN chapter meeting. q j q j q j q j q j q j q j q j q j q j q j q j
b. review their surgical site infection data from the last 6 months.
q j q j q j q j q j q j q j q j q j q j
c. conduct a literature search on antimicrobial agents and infection prevention.
q j q j q j q j q j q j q j q j q j
d. review the scientific literature from the leading manufacturers of prep solutions.
qj q j q j q j q j q j q j q j q j q j
ANS: C jq j
Perioperative nurses have an ethical responsibility to review practices and to modify them based on
qj q j qj q j q j q j q j q j q j q j qj q j q j q j q
evidence. Using research to guide practice is called evidence-based practice (EBP).
q j q j q j q j q j q j q j q j q j q j
5. The cardiac team is developing a standardized sterile back table setup and is unable to find sufficie
q j q j q j q j q j q j q j q j q j q j q j q j q j q j q j q j
their
j q
project. Where might they look for information on best practices?
q j q j q j q j q j q j q j q j q j
a. Survey regional surgical technology programs for their back table models
q j q j q j q j q j q j q j q j q j
b. Review case studies and expert opinions on sterile back table setups q j q j q j q j q j q j q j q j q j q j
c. Review AORN‘s Guidelines for Perioperative Practice on sterilization and
q qj q qj q q j qj q j q
disinfection
, 7. Which of the following actions best describes an element of the perioperative nursing assessment?
qj q j q j q j q j q j q j q j q j q j q j q j q j
a. Scanning the surgical schedule for the day before morning report. q j q j q j q j q j q j q j q j q j
b. Reading the pick/preference list attached to the case cart. q j q j q j q j q j q j q j q j
c. Reviewing the patient medical record. q j q j q j q j
d. Studying an on-line tutorial about the intended surgical procedure. q j q j q j q j q j q j q j q j
ANS: C jq j
Assessment is the collection and analysis of relevant health data about the patient. Sources of data m
q j qj q j qj q j q j qj q j q j q j q j qj q j q j qj q j
interview with the patient and the patient‘s family; review of the planned surgical or invasive pro
j q j q j q j q j q j q j q j q j q j q j q j q j q j q j q j
patient‘s medical record; examination of the results of diagnostic tests; and consultation with the
j q j q j q j q j q j q j q j q j q j q j q j q j q j q
provider, unit nurses, or other personnel.
j q j q j q j q j qj
8. A frail 76-year-old diabetic woman is scheduled for major surgery. She is vulnerable and at high
q j q j q j q j q j q j q j q j q j q j q j q j q j q j q j
several factors related to her preexisting conditions and overall health status. As part of developing
j q j q j q j q j q j q j q j q j q j q j q j q j q j q j
the nurse uses standardized descriptive terms. This step of the nursing process is called:
j qj q j q j q j q j q j q j q j qj qj q j q j qj
a. nursing diagnosis. q j
b. nursing assessment. q j
c. nursing outcome. q j
d. nursing intervention. q j
ANS: A jq j
Nursing diagnosis is the process of identifying and classifying data collected in the assessment in a
q j q j q j q j q j q j q j q j q j q j q j qj q j q j q j q
to plan
j q j
qnursing care. Nursing diagnosis components include a definition of the diagnostic term, defining
j q j q j q j q j q j q j q j q j q j q j q j q j q
factors.
j
9. During the admission interview, the nurse initiated the discharge teaching and demonstrated crutch-
q j q j q j q j q j qj q j q j q j q j q j q j
teaching
j q
activities are what stage of the nursing process? q j q j q j q j q j q j q j
a. Assessment
b. Implementation
c. Outcome identification qj
d. Evaluation
ANS: B jq j
Implementation is performing the nursing care activities and interventions that were planned and q j q j q j q j q j q j q j q j q j q j q j q j q j
thinking
j q
and orderly action to changes in the surgical procedure, patient condition, or emergencies. Impleme
q j q j q j q j q j q j q j q j q j q j q j q j q j
nursing.
j
10. While conducting the preoperative interview with a patient scheduled for a septoplasty, the periop
q j q j q j q j q j q j q j q j q j q j q j q j q j
the patient was latex sensitive. Based on this knowledge, the nurse reviewed the pick/preference list
j q j qj q j q j q j q j qj q j q j q j q j q j qj qj q
surgical case cart setup to reflect this new information and change in care delivery. Which two p
j q j q j q j q j q j q j q j q j q j q j q j q j q j q j q j q j
process are represented in the nurse‘s actions?
j q j q j q j q j qj qj
a. Assessment and planning q j q j
b. Assessment and implementation q j q j
c. Planning and implementation q j q j
d. Nursing diagnosis and intervention q j q j q j
ANS: j q j j C
Planning is preparing in advance for what will or may happen and determining the priorities for care
q j qj q j q j q j q j q j q j q j q j q j qj q j q j q j q j
patient assessment results in knowing the patient and the patient‘s unique needs. Implementation is
j q j q j q j qj q j q j qj qj q j q j q j q j q j qj
care activities and interventions that were planned and responding with critical thinking and order
j q j q j q j q j q j q j q j q j q j q j q j q j q j
is the ―work‖ of nursing.
j q j q j q j q j
11. The perioperative nurse implements protective measures to prevent skin or tissue injury caused by t
qj q j q j q j q j q j q j q j q j q j q j q j q j q j
accomplishment of this intervention would meet which of the following desired nursing outcomes q j q j q j q j q j q j q j q j q j q j q j q j
a. The patient is free from signs and symptoms of injury from anxiety.
q j q j q j q j q j q j q j q j q j q j q j
b. The patient is free from signs and symptoms of impaired skin integrity.
qj q j q j q j q j q j q j q j q j q j q j
c. The patient is free from signs and symptoms of surgical site infection.
q j q j q j q j q j q j q j q j q j q j q j
This jstudy jsource jwas jdownloaded jby j100000818837220 jfrom jCourseHero.com jon j03-14-2023 j20:36:44 jGMT j-05:00
https://www.coursehero.com/file/169354146/Test-Bank-for-Alexanders-Care-of-the-Patient-in-Surgery-16th-Edition-Rothrockpdf/
, Table of Contents
j j
Unit 1: Foundations for Practice
j j j j
1. Concepts Basic to Perioperative Nursing j j j j
2. Patient Safety and Risk Management
j j j j
3. Workplace Issues and Staff Safety j j j j
4. Infection Prevention and Control j j j
5. Anesthesia
6. Positioning the Patient for Surgery j j j j
7. Sutures, Sharps, and Instrumentsj j j
8. Surgical Modalities j
9. Wound Healing, Dressings, and Drains
j j j j
10. Postoperative Patient Care and Pain Management j j j j j
Unit 2: Surgical Interventions
j j j
11. Gastrointestinal Surgery j
12. Surgery of the Liver, Biliary Tract, Pancreas, and Spleen
j j j j j j j j
13. Hernia Repair j
14. Gynecologic and Obstetric Surgery j j j
15. Genitourinary Surgery j
16. Thyroid and Parathyroid Surgery j j j
17. Breast Surgery j
18. Ophthalmic Surgery j
19. Otorhinolarygologic Surgery j
20. Orthopedic Surgery j
21. Neurosurgery
22. Reconstructive and Aesthetic Plastic Surgery j j j j
22. Thoracic Surgery j
23. Vascular Surgery j
24. Cardiac Surgery j
Unit 3: Special Considerations
j j j
26. Pediatric Surgery j
27. Geriatric Surgery 28. Trauma Surgery j j j j
29. Interventional and Image-Guided Procedures j j j
30. Integrative Health Practices: Complementary and Alternative Therapies
j j j j j j
This jstudy jsource jwas jdownloaded jby j100000818837220 jfrom jCourseHero.com jon j03-14-2023 j20:36:44 jGMT j-05:00
https://www.coursehero.com/file/169354146/Test-Bank-for-Alexanders-Care-of-the-Patient-in-Surgery-16th-Edition-Rothrockpdf/
,Chapter 01: Concepts Basic to Perioperative Nursing
j j j j j j
Rothrock: Alexander’s Care of the Patient in Surgery, 17th Edition
j j j j j j j j j
MULTIPLE CHOICE j
1. The Perioperative Patient Focused Model presents key components of nursing influence that guide p
qj q j q j q j q j q j q j q j q j q j q j q j q j
statement that best describes the dynamic relationship within the model.
q j q j q j q j q j q j q j q j q j
a. The patient experience and the nursing presence are in continuous interaction.
qj q j q j q j q j q j q j q j q j q j
b. Structure, process, and outcome are the foundation domains of the model. q j q j q j q j q j q j q j q j q j q j
c. The perioperative nurse is the central dynamic core of the model.
qj q j q j q j q j q j q j q j q j q j
d. The interrelated nursing process rings bind the patient to the model.
q q j q j q j q j q j q j q j q j q j
ANS: A jq j
The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursin
q j q j q j q j q j q j q j q j q j q j q j q j q j
interventions, and patient outcomes. These domains are in continuous interaction with the health syst
j q j qj q j q j qj q j qj q j q j q j q j qj q j
of perioperative nursing practice—the patient.
j q j qj q j qj
2. The Association of PeriOperative Registered Nurses‘ (AORN) Standards of Perioperative Nursing d
qj q j q j q j q j q j q j q j q j q j q j
interactions,
j q
interventions, and activities with patients. This is based on which standards category? q j q j q j q j q j q j q j q j q j q j q j
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS: B jq j
Process standards relate to nursing activities, interventions, and interactions. They are used to explic
q j q j q j q j q j q j q j q j q j q j qj q j q j
and
j q
quality objectives in perioperative nursing.
q j q j q j q j
3. Which order best describes the process used to implement evidence-based professional nursing?
q j q j q j q j q j q j q j q j q j q j q j
a. Literature search, theory review, data analysis, policy development qj q j q j q j q j q j q j
b. Regional survey, literature search, meta-analysis, practice change qj q j q j q j q j q j
c. Identify problem, scientific evidence, develop policy, evaluate outcome q j q j q j q j q j q j q j
d. Identify issue, analyze scientific evidence, implement change, evaluate process
qj q j q j q j q j q j q j q j
ANS: D jq j
Evidence-based practice is a systematic, thorough process by which to identify an issue, to collect q j q j q j q j q j q j q j q j q j q j q j q j q j q j q j
evidence to
j q j q
design and implement a practice change, and to evaluate the process.
q j q j q j q j q j q j q j q j q j q j
4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for thei
q j q j q j q j q j q j q j q j q j q j q j q j q j qj
gather scientific information is to:
q j q j q j q j
a. conduct a survey of skin prep policies at the next AORN chapter meeting. q j q j q j q j q j q j q j q j q j q j q j q j
b. review their surgical site infection data from the last 6 months.
q j q j q j q j q j q j q j q j q j q j
c. conduct a literature search on antimicrobial agents and infection prevention.
q j q j q j q j q j q j q j q j q j
d. review the scientific literature from the leading manufacturers of prep solutions.
qj q j q j q j q j q j q j q j q j q j
ANS: C jq j
Perioperative nurses have an ethical responsibility to review practices and to modify them based on
qj q j qj q j q j q j q j q j q j q j qj q j q j q j q
evidence. Using research to guide practice is called evidence-based practice (EBP).
q j q j q j q j q j q j q j q j q j q j
5. The cardiac team is developing a standardized sterile back table setup and is unable to find sufficie
q j q j q j q j q j q j q j q j q j q j q j q j q j q j q j q j
their
j q
project. Where might they look for information on best practices?
q j q j q j q j q j q j q j q j q j
a. Survey regional surgical technology programs for their back table models
q j q j q j q j q j q j q j q j q j
b. Review case studies and expert opinions on sterile back table setups q j q j q j q j q j q j q j q j q j q j
c. Review AORN‘s Guidelines for Perioperative Practice on sterilization and
q qj q qj q q j qj q j q
disinfection
, 7. Which of the following actions best describes an element of the perioperative nursing assessment?
qj q j q j q j q j q j q j q j q j q j q j q j q j
a. Scanning the surgical schedule for the day before morning report. q j q j q j q j q j q j q j q j q j
b. Reading the pick/preference list attached to the case cart. q j q j q j q j q j q j q j q j
c. Reviewing the patient medical record. q j q j q j q j
d. Studying an on-line tutorial about the intended surgical procedure. q j q j q j q j q j q j q j q j
ANS: C jq j
Assessment is the collection and analysis of relevant health data about the patient. Sources of data m
q j qj q j qj q j q j qj q j q j q j q j qj q j q j qj q j
interview with the patient and the patient‘s family; review of the planned surgical or invasive pro
j q j q j q j q j q j q j q j q j q j q j q j q j q j q j q j
patient‘s medical record; examination of the results of diagnostic tests; and consultation with the
j q j q j q j q j q j q j q j q j q j q j q j q j q j q
provider, unit nurses, or other personnel.
j q j q j q j q j qj
8. A frail 76-year-old diabetic woman is scheduled for major surgery. She is vulnerable and at high
q j q j q j q j q j q j q j q j q j q j q j q j q j q j q j
several factors related to her preexisting conditions and overall health status. As part of developing
j q j q j q j q j q j q j q j q j q j q j q j q j q j q j
the nurse uses standardized descriptive terms. This step of the nursing process is called:
j qj q j q j q j q j q j q j q j qj qj q j q j qj
a. nursing diagnosis. q j
b. nursing assessment. q j
c. nursing outcome. q j
d. nursing intervention. q j
ANS: A jq j
Nursing diagnosis is the process of identifying and classifying data collected in the assessment in a
q j q j q j q j q j q j q j q j q j q j q j qj q j q j q j q
to plan
j q j
qnursing care. Nursing diagnosis components include a definition of the diagnostic term, defining
j q j q j q j q j q j q j q j q j q j q j q j q j q
factors.
j
9. During the admission interview, the nurse initiated the discharge teaching and demonstrated crutch-
q j q j q j q j q j qj q j q j q j q j q j q j
teaching
j q
activities are what stage of the nursing process? q j q j q j q j q j q j q j
a. Assessment
b. Implementation
c. Outcome identification qj
d. Evaluation
ANS: B jq j
Implementation is performing the nursing care activities and interventions that were planned and q j q j q j q j q j q j q j q j q j q j q j q j q j
thinking
j q
and orderly action to changes in the surgical procedure, patient condition, or emergencies. Impleme
q j q j q j q j q j q j q j q j q j q j q j q j q j
nursing.
j
10. While conducting the preoperative interview with a patient scheduled for a septoplasty, the periop
q j q j q j q j q j q j q j q j q j q j q j q j q j
the patient was latex sensitive. Based on this knowledge, the nurse reviewed the pick/preference list
j q j qj q j q j q j q j qj q j q j q j q j q j qj qj q
surgical case cart setup to reflect this new information and change in care delivery. Which two p
j q j q j q j q j q j q j q j q j q j q j q j q j q j q j q j q j
process are represented in the nurse‘s actions?
j q j q j q j q j qj qj
a. Assessment and planning q j q j
b. Assessment and implementation q j q j
c. Planning and implementation q j q j
d. Nursing diagnosis and intervention q j q j q j
ANS: j q j j C
Planning is preparing in advance for what will or may happen and determining the priorities for care
q j qj q j q j q j q j q j q j q j q j q j qj q j q j q j q j
patient assessment results in knowing the patient and the patient‘s unique needs. Implementation is
j q j q j q j qj q j q j qj qj q j q j q j q j q j qj
care activities and interventions that were planned and responding with critical thinking and order
j q j q j q j q j q j q j q j q j q j q j q j q j q j
is the ―work‖ of nursing.
j q j q j q j q j
11. The perioperative nurse implements protective measures to prevent skin or tissue injury caused by t
qj q j q j q j q j q j q j q j q j q j q j q j q j q j
accomplishment of this intervention would meet which of the following desired nursing outcomes q j q j q j q j q j q j q j q j q j q j q j q j
a. The patient is free from signs and symptoms of injury from anxiety.
q j q j q j q j q j q j q j q j q j q j q j
b. The patient is free from signs and symptoms of impaired skin integrity.
qj q j q j q j q j q j q j q j q j q j q j
c. The patient is free from signs and symptoms of surgical site infection.
q j q j q j q j q j q j q j q j q j q j q j
