CNOR

QUESTION The superior thyroid artery supplies the thyroid gland and originates from which vessel? A. Internal carotid artery B. External carotid artery C. Inferior thyroid artery D. Subclavian artery Correct Answer B. External carotid artery Blood supply to the thyroid is from the superior thyroid artery which originates from the external carotid artery and from the inferior thyroid artery which originates from the thyrocervical trunk of the subclavian artery QUESTION Moving a patient who weighs less than 73 pounds from supine to lateral requires A. 2 to 3 caregivers to assist with transfer B. 3 to 4 caregivers to assist with transfer. C. use of a mechanical lift device . D. an air-assisted lateral transfer device. Correct Answer A. 2-3 caregivers to assisst w/transfer 2 to 3 caregivers are needed to assist with transfer a patient in this weight category which is to address worker safety and patient transfer QUESTION Which of the following skin antiseptics are safe to use on the genitals? A. lodine/lodophors B. Alcohol C. 4 % chlorhexidine gluconate ( CHG ) D. Alcoholic iodine/iodophors Correct Answer A. Iodine/Iodophors For those patients that do not have an iodine allergy non-alcoholic Iodine is the skin antiseptic of choice for the genitals QUESTION The purpose of an incident (occurrence) report is to Identify the person responsible for the adverse event that corrective or punitive action may be taken. Provide an opportunity for the persons involved to document their opinion of what led to the event. Serve as an internal document for risk management. Be used as evidence in a court of law as part of the patient’s permanent record Correct Answer C. Serve as an internal document for risk management. Incident report should objectively, completely and accurately describe the event without interpretation or opinion by the person or persons completing the form they are considered facility work documents used to improve processes not attach blame to an individual an incident report should never be documented to the patient’s record QUESTION An intraoperative autologous blood salvage device may be used For a patient undergoing an emergency C-section for abruptio placentae During resection of intact malignant tumors. In conjunction with the of microfibrillar collagen (Avitene). In patients with sepsis. Correct AnswerB. During resection of intact malignant tumors. If a malignant tumor can be resected intact, patients with cancer may benefit from autotransfusion intraoperative blood salvage should not be used in conjunction with collagen hemostatic agents which may not wash out of the salvage blood blood contaminated with amniotic fluid or nonsystemic infection should not be reinfused QUESTION When receiving a verbal pathology report, the perioperative nurse should Relay the message to the surgical assistant. Document it in the patient record using a write-down, read-back format. Summarize the report to the surgeon. Request the pathologist to email the report. Correct AnswerB. Document it in the patient record using a write-down, read-back format. Direct communication between the pathologist and surgeon is the best method to minimize risk of communication errors, if direct communication is not possible, the perioperative nurse may receive the information but, it should be documented in the write down, read back format including date and time