OR STUDY GUIDE

OR STUDY GUIDE An important difference between minimally invasive (MIS) and open-surgical procedures is that MIS: - Can be performed through smaller incisions Which of the following environmental sanitation practices is used to limit the transmission of microorganisms? - Use PPE when handling body fluid spills. The perioperative RN who is circulating for a breast lumpectomy should anticipate the need to add which suction drain to the sterile set-up? - Jackson Pratt Which of the following procedures reflects the best method for transferring medication from a medication vial to the sterile field? - Use a sterile transfer device Which of the following statements is true concerning use of the AORN guidelines for Perioperative Practice? - Work setting and situation variations may determine the extent to which the AORN guidelines can be applied. Which of the following is NOT an example of an ethical dilemma? - Family disagreement about a below knee amputation on an 18 year old who has already given consent. Which type of human factor is responsible for an error that occurs when a perioperative nurse is trying to attend to several tasks at once? - Situational Potential sources of fuel for surgical fires include: - draping materials Which of the following statements about biological monitoring of the sterilization process is true? - Indicate that the intended physical conditions in the sterilizer were met Which of the following practices is recommended for the handling of natural absorbable sutures? - Open the package carefully over a small basin to prevent splashing of the packaging solution. During which phase of wound healing dose contraction occur? - Proliferation In which type of healing does the wound remain open and allowed to heal on its own without additional surgery? - Granulation In addition to giving Dantrolene, which of the following treatment options for malignant hyperthermia should the nurse anticipate and prepare for? - Provide 100% oxygen, use iced saline to cool patient Intraoperative responsibilities of the nurse caring for a patient undergoing a procedure with general anesthesia may include which of the following? - •Applying cricoid pressure during intubation if necessary. •Double checking blood if administered. •Obtaining warming blankets and emergency equipment as necessary. •Setting up monitoring equipment such as arterial lines. Which of the following statements reflect the concept of critical thinking? - •Informed practice •Holistic thinking •Unbiased thinking •Reasoned application of a step by step process Which of the following statements concerning mentors and preceptors are correct? - •Both model professional nursing behaviors. •Mentors guide nurses through global professional activities •Preceptors guide nurses through defined clinical activities During your preoperative assessment of a patient undergoing a laparoscopic cholecystectomy, which of the following considerations should be important to you as the perioperative nurse? - •Patient's previous abdominal surgery. •History of DVT. •Voiding in the pre-op area prior to going to the OR. Which process should be performed before construction begins, after demolition occurs, and at the end of an OR construction project? - Air sampling Which of the following are strategies for effective between-procedure cleaning of floors in the surgical environment? - •Extend the perimeter of the area being mopped, if needed, to include all areas that are visibly soiled. •When mopping the floor, move the OR bed to check for any items or soiled areas that might be under it. Which of the following statements about counts is correct? - •All perioperative personnel involved in a surgical procedure are responsible for the accuracy of sponge counts. •All perioperative personnel involved in a surgical procedure have a duty to remain aware of the location of sponges on the sterile field and in the wound. •All sponges must remain in the OR room until the sponge count is complete. •Two people, one of whom is the RN circulator, must perform the surgical count. In preparing for a regulatory survey, your quality consultant questions you about the restricted zone in your OR suite. The following statements are true: - •Air flow in the OR rooms should be cleaned by HEPA filters. •Masks are required when open sterile supplies are present. •Temperature is maintained between 68 and 75 degrees Fahrenheit.