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CNOR Exam Preparation Study Guide.
Cholecystectomy incision needed - answer✔Krocher's incision
Gallbladder, Liver incision name - answer✔Midline incision
Appendicitis incsion - answer✔Mc Burney's Pont incision
Incision for GYN Pelvic Surgery and Prostatic Surgery - answer✔Pfannenstiel incision
Normal Hemoglobin levels for men - answer✔13.5-17.5
Normal Hemoglobin for women - answer✔12-16
Na+ normal level - answer✔135-145
Normal Potassium Level - answer✔3.5-5.0
Normal Ph level - answer✔7.35-7.45
PaCO2 normal level - answer✔35-45
PaO2 normal level - answer✔80-100
HCO3 normal level - answer✔22-28
Ammonia normal level - answer✔9.5-49mcg/dl
ALT liver function normal level - answer✔0-35
Albumin normal level - answer✔4-6
Hct normal level for male - answer✔39-49
Hct normal level for female - answer✔35-45
What piece of equipment do you need for a vasvagotomy? - answer✔microscope
During a procedure under local anesthesia, the patient complains of circumoral numbness, blurred
vision and dizziness. What should be the immediate action of the preoperative nurse monitoring this
patient? - answer✔Ensure an airway
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The circulating nurse reports that the needle count is incorrect. The surgeon continues to close the
wound stating "I know it is not in the wound and I am not going to stop to look for it". The best plan of
action is to : - answer✔inform the surgeon of the hospital policy and document subsequent actions
A new employee unknowingly dispensed an unsterile solution to the sterile field. The following day the
supervisor learns of the incident. The supervisors first action would be to: - answer✔Notify surgeon of
the break in technique
Where does decontamination begin? - answer✔Starts at the field, with wiping the instruments to keep
the bioburden down
How many air exchanges does Decontamination area have? - answer✔6 air exchanges per hour
What temperature does decontamination area need to be set at? - answer✔68-73 degrees
What is the humidity setting for decontamination area? - answer✔30%-60%
What is TASS? - answer✔Toxic Anterior Segment Syndrome-from contaminates left on eye instruments
What is the temperature kept at in the packaging area? - answer✔64-73 degrees
What is the humidity settings kept at in the packaging area? - answer✔35-70%
How do you reverse the effects of FFP? - answer✔Coumadin (Warfin)
Assault is defined as? - answer✔Threat to do harm
Which sterilizer forces air from the sterilizer chamber? - answer✔Gravity displacement
What must you have before putting in an A-Line? - answer✔Allen's Test
Which facial lines would a surgeon use to remove a lesion? - answer✔Langer Lines
Kraske Position is also known as? - answer✔Jack Knife
What is hematopoiesis? - answer✔The body making new blood cells
Causes of metabolic
Alkalosis? - answer✔-Anything that causes loss of acid loss in GI Tract-N/V
-Self induced by TUMS
What is FFP made up of? - answer✔-Clotting factors
-Plasma
What is Cryo used for? - answer✔To control bleeding
Where is a Swan Ganz catheter placed? - answer✔Internal Jugular
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What 5 risks are pediatric patients in the OR at risk for? - answer✔-Displacing ET tube (short trachea)
-Hypothermia
-Hypovolemia (weigh sponges)
-Peter Panning off table (moving around during induction)
-(+) Resp Rate causes (+) Heart Rate
Voluntary reporting that encourages self reporting without fear of retaliation? - answer✔Culture of
Safety from the
Patient Saftey and Quality Improvement Act 2005
S/S of Hypontremia (below 135) - answer✔-N/V
-Irritability
-Muscle cramping
-Muscle twitching
-HA
What time frame must I use FFP after being thawed? - answer✔24 hours
Pudendal Block is used in what type of surgery? - answer✔GYN
Avoid an Epidural, Spinal, and General anesthesia with these type of patients? - answer✔Sickle cell
Pneumatic Tourniquet must have how much re-profussion time, before re-inflating it again? -
answer✔15 minutes
Pneumatic Tourniquet time limit for upper extremity in adults? - answer✔60 minutes
Pneumatic Tourniquet time limit for a lower extremity in adults? - answer✔90 minutes
Replace clotting factors after how many units of blood? - answer✔4 units
Where does a Supra Ventricular Tachycardia originate from? - answer✔Atrial area (SA node)
How do you treat SVT? - answer✔1-Vagal Stem-(unconscious ice carotids)
2-Adenosine
When is Esmarck not necessary with a pneumatic tourniquet? - answer✔-DVT
-Infection
-Dislocation/Fraction