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 oo
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 oo
16. Thyroid and Parathyroid Surgery
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17. Breast Surgery
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18. Ophthalmic Surgery oo
19. Otorhinolaryngologic Surgery oo
20. Orthopedic Surgery oo
21. Neurosurgery
22. Reconstructive and Aesthetic Plastic Surgery
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23. Vascular Surgery oo
24. Cardiac Surgery
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Unit 3: Special Considerations
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26. Pediatric Surgeryoo
2|P a g
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,27. Geriatric Surgery oo
28. Trauma Surgery oo
29. Interventional and Image-Guided Procedures oo oo oo
30. Integrative Health Practices: Complementary and Alternative Therapies
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Chapter 01: Concepts Basic to Perioperative Nursing
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oo MULTIPLE CHOICE oo
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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3|P a g oo oo oo oo
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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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4|P a g
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e
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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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1|P a g
oo oo oo oo
e
, Table of Contents
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Unit 1: Foundations for Practice
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1. Concepts Basic to Perioperative Nursing
oo oo oo oo
2. Patient Safety and Risk Management
oo oo oo oo
3. Workplace Issues and Staff Safety
oo oo oo oo
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 oo
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 oo
16. Thyroid and Parathyroid Surgery
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17. Breast Surgery
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18. Ophthalmic Surgery oo
19. Otorhinolaryngologic Surgery oo
20. Orthopedic Surgery oo
21. Neurosurgery
22. Reconstructive and Aesthetic Plastic Surgery
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23. Vascular Surgery oo
24. Cardiac Surgery
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Unit 3: Special Considerations
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26. Pediatric Surgeryoo
2|P a g
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e
,27. Geriatric Surgery oo
28. Trauma Surgery oo
29. Interventional and Image-Guided Procedures oo oo oo
30. Integrative Health Practices: Complementary and Alternative Therapies
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Chapter 01: Concepts Basic to Perioperative Nursing
oo oo oo oo oo oo
oo MULTIPLE CHOICE oo
1. The Perioperative Patient Focused Model presents key components of nursing influence that
oo oo oo oo oo oo oo oo oo oo oo
guide patient care. Select the statement that best describes the dynamic relationship within
oo oo oo oo oo oo oo oo oo oo oo oo oo
the model.
oo oo
a. The patient experience and the nursing presence are in continuous interaction.
oo oo oo oo oo oo oo oo oo oo
b. Structure, process, and outcome are the foundation domains of the model.
oo oo oo oo oo oo oo oo oo oo
c. The perioperative nurse is the central dynamic core of the model.
oo oo oo oo oo oo oo oo oo oo
d. The interrelated nursing process rings bind the patient to the
oo oo oo oo oo oo oo oo oo
model. ANS: A
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The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursing
oo oo oo oo oo oo oo oo oo oo oo oo oo
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.
oo oo oo oo oo oo oo oo oo oo oo oo oo
2. The Association of PeriOperative Registered Nurses‘ (AORN) Standards of Perioperative Nursing
oo oo oo oo oo oo oo oo oo oo
describes nursing interactions, interventions, and activities with patients. This is based on which
oo oo oo oo oo oo oo oo oo oo oo oo oo
standards category?
oo oo
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS: B
oo oo
Process standards relate to nursing activities, interventions, and interactions. They are used to explicate
oo oo oo oo oo oo oo oo oo oo oo oo oo
clinical, professional, and quality objectives in perioperative nursing.
oo oo oo oo oo oo oo oo
3. Which order best describes the process used to implement evidence-based professional nursing?
oo oo oo oo oo oo oo oo oo oo oo
a. Literature search, theory review, data analysis, policy development
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3|P a g oo oo oo oo
e
, 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
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
and evaluate the best evidence to design and implement a practice change, and to evaluate the
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
process.
oo
4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for
oo oo oo oo oo oo oo oo oo oo oo oo oo
their unit. The best process to gather scientific information is to:
oo oo oo oo oo oo oo oo oo oo oo
a. conduct a survey of skin prep policies at the next AORN chapter meeting.
oo oo oo oo oo oo oo oo oo oo oo oo
b. review their surgical site infection data from the last 6 months.
oo oo oo oo oo oo oo oo oo oo
c. conduct a literature search on antimicrobial agents and infection prevention.
oo oo oo oo oo oo oo oo oo
d. review the scientific literature from the leading manufacturers of prep
oo oo oo oo oo oo oo oo oo
solutions. ANS: C
oo oo oo
Perioperative nurses have an ethical responsibility to review practices and to modify them based on
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
the best available scientific evidence. Using research to guide practice is called evidence-based
oo oo oo oo oo oo oo oo oo oo oo oo oo
practice (EBP).
oo oo
5. The cardiac team is developing a standardized sterile back table setup and is unable to find
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
sufficient research evidence for their project. Where might they look for information on best
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
practices?
oo
a. Survey regional surgical technology programs for their back table models
oo oo oo oo oo oo oo oo oo
b. Review case studies and expert opinions on sterile back table setups
oo oo oo oo oo oo oo oo oo oo
c. Review AORN‘s Guidelines for Perioperative Practice on sterilization and disinfection
oo oo oo oo oo oo oo oo oo
d. Consult with facility instrument vendor representatives for their
oo oo oo oo oo oo oo
advice ANS: B
oo oo oo
When there is not enough evidence to guide practice, perioperative nurses should consider gathering
oo oo oo oo oo oo oo oo oo oo oo oo oo
information from varied trusted sources that reflect best practices.
oo oo oo oo oo oo oo oo oo
6. How do institutional standards of care, such as policies and procedures, differ from national standards,
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
such as AORN‘s Standards of Perioperative Nursing?
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4|P a g
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e