Periop 101 Final Exam questions and answers 100% verified.

Periop 101 Final Exam questions and answers 100% verified. Major components of medical video imaging include: - correct answers.Fiber optic light cable, Camera Control Unit (CCU) Special considerations when using a endoscopic light source are: - correct answers.Place in "standby" mode, do not turn on until light cable is connected to the telescope, set according to manufacturer's parameters Special considerations when using insufflation (establishing a pneumoperitoneum) - correct answers.Always have a backup tank available, position at the level of the patients heart or higher to prevent gases from contaminating the device, make sure alarm is on and audible, maintain pressure under 12 mm/Hg Advantage of endoscopic surgery versus open surgery - correct answers.Smaller incisions Special considerations when using laparoscopic instruments - correct answers.Scrub should inspect more closely because of unapparent defects that may not be apparent with casual observation, focus on insulation because of risk for thermal burns if not intact Special considerations for patient undergoing MIS/Endoscopic Surgery - correct answers.Previous incisions (Hasson minilap) that may require additional sterile supplies, hx of DVT, consent for possibility of open procedure, voiding to empty bladder and prevent puncture during trocar placement/unnecessary catheterization Correct fluid management procedures in MIS - correct answers.Monitor overload of IV/irrigation fluids dispensed and returned during procedure (prevent hypervolemia/fluid overload) Mechanical Methods of Hemostasis - correct answers.Manual pressure (sponges), hemostatic clamps, sutures, staples, clips, ligatures, and/or pledgets What is a ligature? - correct answers.Also known as a tie, strand tied around a blood vessel to occlude bleeding; large vessels may require transfixion suture (crosscriss stitch) What is a pledget? - correct answers.Non-absorbable suture support used when possibility of sutures tearing through tissue Where is a pledget most commonly used? - correct answers.Vascular closure, septal repair, heart repair and hepatic repair What is bone wax? - correct answers.A mixture of beeswax, isopropyl, and a softening agent Where is bone wax used? - correct answers.Ortho, neuro, and the sternum during heart procedures Chemical Methods of Hemostasis - correct answers.Pharmocological methods (meds such as epi, vit K, protamine, lysine, tranexamic acid) Topical methods (thrombins, collagen gelatins, phenol sealants) Thermal Methods of Hemostasis - correct answers.ECU via coagulation, bipolar sealing devices, lasers, ultrasonic energy, Argon gas Types of Surgical Sponges - correct answers.Laps, tonsils, neuro-patties, dissector sponges, raytecs (4x4) Counting of Sponges - correct answers.Before, during and after surgical procedures Separate as you count Two people, one of whom is RN should count Participation in Sponge Counts - correct answers.All personnel in case are responsible for counts including remaining aware of location of sponges RN responsibilities in Sponge Counts - correct answers.Initiate count (any team member can initiate count??), perform count, document count activities, reporting count deficiency Drainage is achieved by ________ or ___________ means - correct ve (gravity) or active (suction) Types of Drains - correct answers.Penrose, nasogastric, T-tube, suction drains, chest tubes What are Suction Drains and their purpose? - correct answers.Remove blood, pus, necrotic material from wounds via suctions (Jackson-Pratt for abdominal/breast, Hemovac for ortho) What is a Neutral Zone? - correct answers.Designated area on surgical field where scrub and surgeon place all sharp instruments What is a Crile? - correct answers.A hemostat used to control bleeders in SQ tissue What is a Mosquito? - correct answers.A hemostat used to control superficial bleeders in delicate surgery (hand/plastic) What is a Kelly? - correct answers.A hemostat used to control bleeders in muscle tissues What are the Surgical Powered Cutting Instruments? - correct answers.Bone reamers, variable speed saws, tissue shavers Care and handling of powered cutting instruments? - correct answers.Always hand to surgeon with safety on, always use with drill guard in place, always have irrigation ready because of heat generation What are the Critical Concepts to the Periop Environment - correct answers.Geographic isolation Bacteriologic isolation through specific practices (attire, delivery/disposal systems) Centralize equipment and supplies What is Individualized Care? - correct answers.Reflects art of nursing, meets individual needs of pt, provide comfort measures What is Standardized Care? - correct answers.Derived from body of scientific knowledge developed through research and clinical practice such as counting sponges What is the Restricted Zone? - correct answers.Located in the semi-restricted area and only accessible via semi-restricted area; includes actual OR How should air be cleaned in OR rooms? - correct answers.Via HEPA filter, under POSITIVE pressure and by 20 air exchanges per hour (minimum of 4 exchanges from outdoor air) What is the Semi-Restricted Zone? - correct answers.Equipment and sterile supply storage, SPD What is the Unrestricted Zone? - correct answers.Pre-Op Holding Area, Waiting Rooms, Blood/Specimen processing Important points about the 2 Piece Scrub Suit - correct answers.Lint free, minimize bacterial shedding; secure at waist, tuck into pants and fit closely to the body to prevent skin cells from shedding Important points about Sterile Gowns - correct answers.Can be re-usable or disposable, required by sterile team and resistant to strike-through by fluids Important points about perioperative personnel's hair - correct answers.Cover BEFORE surgical attire is donned, no skull caps unless covered by bouffant, wear in areas where equipment is processed and stored Circulating RN responsibilities include? - correct answers.Emotional support during induction Ongoing patient assessment Accurate and complete prep of supplies, instruments, and equipment preop for each pt Implementing/enforcing policies and procedures Preparing specimens Coordinating nursing care from other health care team members Communicating info to family and other health care team members Documenting Activities that are made possible with periop nursing documentation - correct answers.Billing for finance and accounting Supply and equipment inventory Communication of patient care by caregivers Planning perioperative care Evaluation of care rendered Documentation provides a basis for future reference for things like? - correct answers.Ensure quality of patient care Reconstruct a personal experience record Evidence in a court of law Commonly accepted nursing tools: - correct answers.Nursing process PNDS (Perioperative Nursing Data Set) WHO (World Health Organization)/Joint Commission/AORN surgical safety checklists What statements reflect the concept of critical thinking? - correct answers.Informed practice Holistic thinking Unbiased thinking Reasoned application of a step by step process Clinical setting culture is affected by? - correct answers.Beliefs (about the patient and periop setting) Attitudes (desire to provide effective care, engage in critical thinking) Values (fairness, equitable care Skills (demonstrate critical thinking/clinical reasoning by problem-solving, situational awareness, collaboration, conflict resolution, decision-making, leadership) What is a mentor? - correct answers.Provides encouragement and acts as a guide and facilitator while modeling professional nursing behaviors (guide through wide range of professional activities) What is a preceptor? - correct answers.Teaches, counsels, inspires, serves as a role model, and supports growth and development for FIXED period of time (guide through defined clinical activities) Questions a competent nurse might ask? - correct answers.How does the conduction system work? Question a advanced beginner might ask? - correct answers.What does this patient need to support his cardiac function? Question a novice nurse might ask? - correct answers.Whats the anatomy and physiology of the heart? Expected outcome of primary importance when draping a patient? - correct answers.Pt is free from s/s of infection What are the characteristics of disposable drapes? - correct answers.Soft, lint-free, static-free, compact, lightweight, and moisture repellency and resistance to strike through of fluids