PeriOp 101 AORN test, Questions and answers. 100% Accurate. Graded A+

PeriOp 101 AORN test, Questions and answers. 100% Accurate. Graded A+ what is an appropriate action for a nurse assisting anesthesia? - Apply cricoid pressure if needed during intubation What is not considered a basic monitor for anesthesia? - Arterial line What drug is used to reverse valium and midazolam (Versed) ? - Flumazenil What method is used to prevent aspiration during endotracheal intubation? - How can the perioperative nurse assist eh provider with placement of a spinal or epidural block? - Calm the patient During intravenous regional anesthesia (Bier Block), the tourniquet should be deflated slowly to prevent which of the following from the entering circulation? - Bolus of anesthetic What is the most consistent indicator of malignant hyperthermia during a surgical intervention? - unexplained increase in end title CO2 Which of the following can be provided without an anesthesia provider? - Which assessment factor is important to include when screening patients for potential risk of malignant hyperthermia? - Family history of problems with anesthesia What are complications associated with laparoscopic surgery? - CO2 embolism, Umbilical hernia Identify some methods used to maintain a sterile camera head - which pieces of equipment are used in laparoscopic surgery? - Which options can the scrub person take to help prevent accidental thermal burns? - inspect laparoscopic instrumentation for excessive wear replace instruments that have damaged insulation clean all instruments with sterile water identify one characteristic difference between laparoscopic surgery instruments and those used in open procedures - Laparoscopic instruments have long thin shafts to accommodate trochar cannulas What region of the patients abdomen is traditionally used to establish pneumoperitoneum for laparoscopic surgery? - What is an important safety consideration when using a light source? - Place the light in standby mode when not in use Carbon Dioxide is the gas used for abdominal insufflation because it - is inexpensive suppresses combustion is rapidly eliminated from the body The single most Important factor in preventing the spread of infection is - Hand hygiene Damp dusting of the OR as part of the preliminary room preparation should be done - in the morning before bringing in surgical supplies Which methods are most effective for terminal cleaning the floors in the OR? - damp mop with two mop system Which of the following is correct regarding the disposal of contents from reusable suction systems? - Done by federal state and local regulations What is true regarding spray bottles? - spray bottles can aerosolize potentially infectious materials spray bottles are occasionally used to apply disinfectant The proper device for the disposal of blades, needles and stapling devices should be - sharps disposal container The goals of preforming post-procedure cleaning of the OR include - it renders the environment safe for the patient following in that room to prevent cross contamination it is the patients right to a clean and safe environment it breaks the cycle of contamination from the patient to the environment to the OR personnel and subsequent patients Terminal cleaning must be done - Once during each 24 hour period During post procedure cleaning what must be done - all kick buckets, hampers, and similar receptacles must be emptied and disinfected as needed OR bed should be moved to clean floor transport vehicles are considered dirty after patient contact all horizontal surfaces of tables, and equipment should be wiped down with a lint-free cloth moistened with a hospital approved disinfectant Identify pathogens that can be commonly found in the OR environment - Sponge counts are not done for - state law requirements What should the periop nurse ensure when positioning a patient? - use additional precautions as appropriate based on unique patient considerations what physiological effects are most likely to result from positioning a patient in lithotomy? - Circulatory and respiratory compromise due to compression on the abdomen What are safety measures to take into consideration when placing the patient in a lateral position? - Upper leg is straight and supported with pillows between the legs Lower arm on same plane as OR mattress; forearm and wrist in neutral positions; palm up The patients dependent ear should be assessed to ensure that it is not folded Documentation should include but is not limited to - type of positioning devices used names of persons positioning the patient what are factors that should be considered in the periop assessment - age nutritional status pre-existing conditions The use of PNDS helps a nurse to: - Plan the nursing interventions assess and develop nursing diagnosis' assess and evaluate the patients status Evaluate responses to positioning A table flexed 90 degress for the _______ position is a variation of the _____ position - jack-knife (kraske), prone What response is the result of tissue layers moving on each other - Shearing What surgical positions adversely affect diaphragmatic movement? - Trendelenberg, prone and lateral The purpose of National patient safety goals is to - Promote specific improvements in safety highlight problematic areas in healthcare describe evidence and expert-based system wide solutions to the problems What is a practice that implements Joint commissions universal protocol for preventing, wrong site, wrong person, wrong procedure - using a timeout procedure before beginning case The elements require to create a culture of safety include - a sense of trust among team members a sincere commitment to affirming safety as the first priority development and support of a proactive approach rather than a reactive approach dissemination of receipt of information to all levels The IOM report describes the importance of setting standards and expectations for patient safety the report states that setting standards can .... - Set expectations for the health professionals Establish consistency when it comes individuals and organizations Help set expectations of consumers and purchasers Individual staff members play the biggest role in marinating a safe OR environment they are required to: - monitor identify and report safety hazards Understand and comply with the emergency power outage plan Practice sound, basic and OR specific electrical and fire safety What is true regarding AORN position statement on correct site surgery? - The staff member should verbally verify the correct site with each member of the surgical team Professional organizations and societies as well as individual organizations can proactively create a culture that supports patient safety through - Convene and communicate with members about safety Incorporate attention to patient safety into training programs collaborate across disciplines when a count discrepancy occurs, what should be the FIRST action by the RN circulator? - inform the surgical team of the discrepancy sponge and instrument counts are performed according to facility policy and procedure. Generally, the times during sx procedure that sponges are counted are: - at skin closure before procedure begins when new items are added to the field when wound closure begins Which of the following actions should be included in the perioperative nursing care of a patient with a suspected latex allergy? - assess the patients cross-sensitivities and previous latex reactions indicate latex precautions on door signs for every room that patient occupies use latex-free supplies for IV's, hair coverings and dressing materials Verify that surgeon is aware of allergy when using chemical products the perioperative nurse should - use skin prep solutions according to manufacturers recommendations ensure the prep solution does not pool on drapes apply blotting towels before performing a skin prep allow skin prep to dry before draping which of the following factors increase the patients risk for skin injury? - unusual positions or positioning devices use of electrical equipment use of chemical agents prolonged length of surgery AORN guidelines for the time out recommend that all team members verbally verify the agreement on: - the name of the patient the site of the procedure including side