QUESTIONS AND ANSWERS GRADED A+
✔✔examples of mechanical hemostasis (8) - ✔✔1. Manual pressure (sponges)
2. Clamps
3. Sutures
4. Staples
5. Clips
6. Ligatures
7. Pledgets
8. Bone wax
✔✔What type of hemostasis is achieved by occluding severed vessels until platelet
formation occurs - ✔✔Mechanical
✔✔Strand of material tied around blood vessel to occlude lumen and prevent bleeding -
✔✔Ligature
✔✔non-absorbable suture support used when there is possibility of sutures tearing
through tissue - ✔✔Pledget
✔✔What type of hemostasis uses pharmacological or topical products? - ✔✔Chemical
✔✔Ex of thermal hemostasis (3) - ✔✔Laser
Argon beam
electrosurgery
✔✔Ex of chemical hemostasis methods - ✔✔1. Microfibrillar collagen
2. Oxidized cellulose
3. Collagen sponge
4. Gelatin sponge
5. Fibrin sealant
6. Phenol solution
7. Thrombin
8. Styptics
✔✔Who is involved in sponge counts? - ✔✔ALL periop personnel
✔✔What types of surgery are JP suction drains frequently used in? - ✔✔Abdominal or
breast
✔✔What should be labeled on a medication on or off sterile field (5) - ✔✔1. Med name
2. Concentration
3. Initials of RN preparing
, 4. Expiration
5. Date prepared
✔✔S&S of systemic toxicity from medications - ✔✔Metallic taste
Tinnitus
Lightheaded
Vision disturbances
Numb tongue/lips
Confusion
Tremors
Shivering
Siezures
Tachy/HTN
Brady/HypoTN
Ventricular arrhymias
Resp arrest
✔✔Goals of pt and family education - ✔✔Increase knowledge and satisfaction
✔✔Patient's right to make informed choices based on truthful information - ✔✔Self
determination
✔✔What is the first thing the RN should pay attention to in post anesthesia care? -
✔✔Airway
✔✔What is monitored with the Aldrete scale in PACU? (5) - ✔✔1. Mobility
2. Resp
3. Circulation
4. LOC
5. O2
✔✔What things should be documented when taking pt hx before surgery? (5) - ✔✔1.
Allergies/implants/prostheses/piercings
2. D/c plans
3. Med profile (& herbals)
4. Nutritional status
5. Cultural considerations
✔✔Documentation of pt positioning in OR (5) - ✔✔1. Pt position & devices
2. Person who positioned
3. Safety belt
4. Arms placement
5. Postop eval
✔✔What should be documented when giving meds in OR (5) - ✔✔1. Drug