Test Bank For Alexander's Care of the Patient in Surgery, 17th Edition (Rothrock), Chapter 1-29 | All Chapters Isbn No: 9780323776806 ||Complete A+ Guide

Test Bank for Alexander's Care of the
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Patient in Surgery 17th Edition
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by Jane C. Rothrock
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Chapter Guide 1-17|A+ PASS
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, Table of Contents
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Unit 1: Foundations for Practice
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1. Concepts Basic to Perioperative Nursing
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2. Patient Safety and Risk Management
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3. Workplace Issues and Staff Safety
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4. Infection Prevention and Control
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5. Anesthesia

6. Positioning the Patient for Surgery
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7. Sutures, Sharps, and Instruments
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8. Surgical Modalities
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9. Wound Healing, Dressings, and Drains
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10. Postoperative Patient Care and Pain Management
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Unit 2: Surgical Interventions
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11. Gastrointestinal Surgery gg




12. Surgery of the Liver, Biliary Tract, Pancreas, and Spleen
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13. Hernia Repair
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14. Gynecologic and Obstetric Surgery
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15. Genitourinary Surgery gg




16. Thyroid and Parathyroid Surgery
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17. Breast Surgery
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18. Ophthalmic Surgery gg




19. Otorhinolaryngologic Surgery gg




20. Orthopedic Surgery gg




21. Neurosurgery

22. Reconstructive and Aesthetic Plastic Surgery
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23. Vascular Surgery gg




24. Cardiac Surgery
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Unit 3: Special Considerations
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26. Pediatric Surgerygg




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,27. Geriatric Surgery gg




28. Trauma Surgery gg




29. Interventional and Image-Guided Procedures gg gg gg




30. Integrative Health Practices: Complementary and Alternative Therapies
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Chapter 01: Concepts Basic to Perioperative Nursing
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1. The Perioperative Patient Focused Model presents key components of nursing influence that
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guide patient care. Select the statement that best describes the dynamic relationship within
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the model.
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a. The patient experience and the nursing presence are in continuous interaction.
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b. Structure, process, and outcome are the foundation domains of the model.
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c. The perioperative nurse is the central dynamic core of the model.
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d. The interrelated nursing process rings bind the patient to the
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model. ANS: A
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The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursing
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diagnoses, nursing interventions, and patient outcomes. These domains are in continuous interaction
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with the health system that encircles the focus of perioperative nursing practice—the patient.
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2. The Association of PeriOperative Registered Nurses‘ (AORN) Standards of Perioperative Nursing
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describes nursing interactions, interventions, and activities with patients. This is based on which
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standards category?
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a. Evidence-based

b. Process

c. Outcome

d. Structural

ANS: B
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Process standards relate to nursing activities, interventions, and interactions. They are used to explicate
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clinical, professional, and quality objectives in perioperative nursing.
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3. Which order best describes the process used to implement evidence-based professional nursing?
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a. Literature search, theory review, data analysis, policy development
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, b. Regional survey, literature search, meta-analysis, practice change
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c. Identify problem, scientific evidence, develop policy, evaluate outcome
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d. Identify issue, analyze scientific evidence, implement change, evaluate
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process ANS: D
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Evidence-based practice is a systematic, thorough process by which to identify an issue, to collect
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and evaluate the best evidence to design and implement a practice change, and to evaluate the
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process.
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4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for
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their unit. The best process to gather scientific information is to:
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a. conduct a survey of skin prep policies at the next AORN chapter meeting.
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b. review their surgical site infection data from the last 6 months.
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c. conduct a literature search on antimicrobial agents and infection prevention.
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d. review the scientific literature from the leading manufacturers of prep
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solutions. ANS: C
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Perioperative nurses have an ethical responsibility to review practices and to modify them based on
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the best available scientific evidence. Using research to guide practice is called evidence-based
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practice (EBP).
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5. The cardiac team is developing a standardized sterile back table setup and is unable to find
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sufficient research evidence for their project. Where might they look for information on best
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practices?
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a. Survey regional surgical technology programs for their back table models
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b. Review case studies and expert opinions on sterile back table setups
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c. Review AORN‘s Guidelines for Perioperative Practice on sterilization and disinfection
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d. Consult with facility instrument vendor representatives for their
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advice ANS: B
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When there is not enough evidence to guide practice, perioperative nurses should consider gathering
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information from varied trusted sources that reflect best practices.
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6. How do institutional standards of care, such as policies and procedures, differ from national standards,
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such as AORN‘s Standards of Perioperative Nursing?
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