AORN Periop 101 Final exam questions and correct answers 2023/2024

AORN Periop 101 Final exam questions and correct answers 2023/2024 Who can provide anesthesia care? (4) - ANSWERS 1. Anesthesiologists 2. CRNA's 3. Anesthesia assistants 4. Periop nurses 4 types anesthesia - ANSWERS General - loss of consciousness Regional - loss of sensation Local - small area loss of sensation MAC - IV Whose responsibility during MAC to monitor pt? - ANSWERS RN What should RN monitor during MAC? (3) - ANSWERS 1. Extravasation of IV 2. Reduction of arterial O2 sat 3. Difficulty breathing 4 Stages of anesthesia - ANSWERS 1. Initial administration 2. Excitement - unconscious to loss of eyelid reflex 3. Intrasurgery 4. Possibility of resp failure 3 Phases of Anesthesia - ANSWERS 1. Induction - admin until 1st incision 2. Maintenance - incision to completion 3. Emergence - from when pt awakens until pt exits OR What is often used for upper extremity nerve blocks? - ANSWERS IV regional anesthetic/Bier block Where is epidural anesthetic injected? - ANSWERS between ligamentum flavum and dura (NOT spinal canal) What helps ensure proper needle placement during peripheral nerve block with regional anesthesia? - ANSWERS continuous nerve stimulation First sign of Malignant Hyperthermia - ANSWERS increased end-tidal CO2 What should be done for pt with MH crisis? - ANSWERS 1. Stop surgery & stop triggering agents 2. Give dantrolene 3. Give 100% O2 4. Cool pt with iced saline Mentor or preceptor? "One who provides encouragement and acts as a guide and facilitator while modeling professional nursing behaviors" - ANSWERS Mentor Mentor or preceptor? "One who teaches, counsels, inspires, serves as a role model, and supports the growth and development of the novice for a fixed and limited period" - ANSWERS Preceptor Mentor or preceptor? Guides nurse through a wide range of professional activities - ANSWERS Mentor Mentor or preceptor? Guides nurse through defined clinical activities - ANSWERS Preceptor What should intra-abd pressure be maintained under in an adult pt during CO2 insufflation for endoscopic surgery? - ANSWERS 12 mm Hg Single most important factor in minimizing microorganism transfer - ANSWERS Hand hygiene The most effective method for floor care in surgical suite - ANSWERS Wet vacuuming When should air sampling be done in OR? (3) - ANSWERS 1. Before construction begins 2. After demolition 3. At end of project examples of mechanical hemostasis (8) - ANSWERS 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 - ANSWERS Mechanical Strand of material tied around blood vessel to occlude lumen and prevent bleeding - ANSWERS Ligature non-absorbable suture support used when there is possibility of sutures tearing through tissue - ANSWERS Pledget What type of hemostasis uses pharmacological or topical products? - ANSWERS Chemical Ex of thermal hemostasis (3) - ANSWERS Laser Argon beam electrosurgery Ex of chemical hemostasis methods - ANSWERS 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? - ANSWERS ALL