Test bank for alexander s care of the patient in surgery 17th edition rothrock

,ACCESS Test Bank for Alexander's Care of the Patient in Surgery 17thEdition
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Rothrock M


Chapter 01: Concepts Basic to Perioperative Nursing
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Rothrock: Alexander’s Care of the Patient in Surgery, 17th Edition
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MULTIPLEMCHOICE

1. TheMPerioperativeMPatientMFocusedMModelMpresentsMkeyMcomponentsMofMnursingMinfluenceMt
hatMguideMpatientMcare.MSelectMtheMstatementMthatMbestMdescribesMtheMdynamicMrelationshipMw
ithinMtheMmodel.
a. TheMpatientMexperienceMandMtheMnursingMpresenceMareMinMcontinuousMinteraction.
b. Structure,Mprocess,MandMoutcomeMareMtheMfoundationMdomainsMofMtheMmodel.
c. TheMperioperativeMnurseMisMtheMcentralMdynamicMcoreMofMtheMmodel.
d. TheMinterrelatedMnursingMprocessMringsMbindMtheMpatientMtoMtheMmodel.
ANS:M A
TheMPerioperativeMPatientMFocusedMModelMconsistsMofMdomainsMorMareasMofMnursingMconcer
n:MnursingMdiagnoses,MnursingMinterventions,MandMpatientMoutcomes.MTheseMdomainsMareMinMc
ontinuousMinteractionMwithMtheMhealthMsystemMthatMencirclesMtheMfocusMofMperioperativeMnursi
ngMpractice—theMpatient.

2. TheMAssociationMofMPeriOperativeMRegisteredMNurses’M(AORN)MStandardsMofMPerioperat
iveMNursingMdescribesMnursingMinteractions,Minterventions,MandMactivitiesMwithMpatients.MT
hisMisMbasedMonMwhichMstandardsMcategory?
a. Evidence-basedMpractice
b. Process
c. Outcome
d. Structural
ANS:M B
ProcessMstandardsMrelateMtoMnursingMactivities,Minterventions,MandMinteractions.MTheyMareMuse
dMtoMexplicateMclinical,Mprofessional,MandMqualityMobjectivesMinMperioperativeMnursing.

3. WhichMorderMbestMdescribesMtheMprocessMusedMtoMimplementMevidence-
basedMprofessionalMnursing?
a. LiteratureMsearch,MtheoryMreview,MdataManalysis,MpolicyMdevelopment
b. RegionalMsurvey,MliteratureMsearch,Mmeta-analysis,MpracticeMchange
c. IdentifyMaMproblem,MreviewMscientificMevidence,MdevelopMpolicy,MevaluateM
theMoutcome
d. IdentifyManMissue,ManalyzeMscientificMevidence,MimplementMchange,MevaluateMprocess
ANS:M D
Evidence-
basedMpracticeMisMaMsystematic,MthoroughMprocessMbyMwhichMtoMidentifyManMissue,MtoMcollec
tMandMevaluateMtheMbestMevidenceMtoMdesignMandMimplementMaMpracticeMchange,MandMtoMev
aluateMtheMprocess.

4. TheMambulatoryMsurgeryMunitMisMplanningMtoMdevelopMaMstandardizedMskinMpreparationMprac
ticeMforMtheirMunit.MTheMbestMprocessMtoMgatherMscientificMinformationMisMto
a. conductMaMsurveyMofMskinMprepMpoliciesMatMtheMnextMAORNMchapterMmeeting.
b. reviewMtheirMsurgicalMsiteMinfectionMdataMfromMtheMlastM6Mmonths.
c. conductMaMliteratureMsearchMonMantimicrobialMagentsMandMinfectionMprevention.
d. reviewMtheMscientificMliteratureMfromMtheMleadingMmanufacturersMofMprepMsolutions.



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,ACCESS Test Bank for Alexander's Care of the Patient in Surgery 17thEdition
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ANS:M C
PerioperativeMnursesMhaveManMethicalMresponsibilityMtoMreviewMpracticesMandMtoMmodifyMt
hemMbasedMonMtheMbestMavailableMscientificMevidence.MUsingMresearchMtoMguideMpracticeMi
sMcalledMevidence-basedMpracticeM(EBP).

5. TheMcardiacMteamMisMdevelopingMaMstandardizedMsterileMbackMtableMsetup.MWhereMmightMtheyM
lookMforMinformationMonMbestMpractices?
a. SurveyMregionalMsurgicalMtechnologyMprogramsMforMtheirMbackMtableMmodels
b. ReviewMcaseMstudiesMandMexpertMopinionsMonMsterileMbackMtableMsetups
c. ReviewMAORN’sMGuidelinesMforMPerioperativeMPracticeMonMsterilizationMa
ndMdisinfection
d. ConsultMwithMfacilityMinstrumentMvendorMrepresentativesMforMtheirMadvice
ANS:M B
AORN’sMGuidelinesMforMPerioperativeMPracticeMareMaMcollectionMofMevidence-
basedMrecommendationsMtoMpromoteMpatientMsafetyMduringMoperativeMandMinvasiveMproced
ures.MTheMguidelinesMareMmeantMtoMserveMasMfoundationalMdocumentsMinMtheMdevelopmentM
ofMpolicies,Mprocedures,MandMcompetencyMvalidationMtools.

6. HowMdoMinstitutionalMstandardsMofMcare,MsuchMasMpoliciesMandMprocedures,MdifferMfromMnati
onalMstandards,MsuchMasMAORN’sMStandardsMofMPerioperativeMNursing?
a. TheyMareMwrittenMbyMnurses.
b. TheyMareMwrittenMspecificallyMtoMaddressMresponsibilitiesMunderMspeci
ficMcircumstances.
c. TheyMareMcollaborativeMandMcollectiveMagreementMstatements.
d. TheyMareMrarelyMbasedMonMresearch.
ANS:M B
InstitutionalMstandardsMapplyMtoMtheMsystemMorMfacilityMthatMdevelopsMthemMandMcanMbeMdire
ctiveMaboutMspecificMactionsMinMspecificMcircumstances;MnationalMstandardsMprovideMgeneraliz
edMauthoritativeMstatementsMthatMcanMbeMimplementedMinMallMsettings.

7. WhichMofMtheMfollowingMactionsMbestMdescribesManMelementMofMtheMperioperativeMnur
singMassessment?
a. ScanningMtheMsurgicalMscheduleMforMtheMdayMbeforeMmorningMreport
b. ReadingMtheMpick/preferenceMlistMattachedMtoMtheMcaseMcart
c. ReviewingMtheMpatientMmedicalMrecord
d. StudyingManMonlineMtutorialMaboutMtheMintendedMsurgicalMprocedure
ANS:M C
AssessmentMisMtheMcollectionMandManalysisMofMrelevantMhealthMdataMaboutMtheMpatient.MSources
MofMdataMmayMbeMaMpreoperativeMinterviewMwithMtheMpatientMandMtheMpatient’sMfamily;MreviewM

ofMtheMplannedMsurgicalMorMinvasiveMprocedure;MreviewMofMtheMpatient’sMmedicalMrecord;Mexa
minationMofMtheMresultsMofMdiagnosticMtests;MandMconsultationMwithMtheMsurgeonMandManesthesia
Mprovider,MunitMnurses,MorMotherMpersonnel.




8. AMfrailM76-year-
oldMdiabeticMwomanMisMscheduledMforMmajorMsurgery.MSheMisMvulnerableMandMatMhighMriskMfo
rMharmMbecauseMofMseveralMfactorsMrelatedMtoMherMpreexistingMconditionsMandMoverallMhealthM
status.MAsMpartMofMdevelopingMaMplanMtoMguideMherMcare,MtheMnurseMusesMstandardizedMdescri
ptiveMterms.MThisMstepMofMtheMnursingMprocessMisMcalled



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, ACCESS Test Bank for Alexander's Care of the Patient in Surgery 17thEdition
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Rothrock M

a. nursingMdiagnosis.
b. nursingMassessment.
c. nursingMoutcome.
d. nursingMintervention.
ANS:M A
NursingMdiagnosisMisMtheMprocessMofMidentifyingMandMclassifyingMdataMcollectedMinMtheMassess
mentMinMaMwayMthatMprovidesMaMfocusMtoMplanMnursingMcare.MNursingMdiagnosisMcomponentsMi
ncludeMaMdefinitionMofMtheMdiagnosticMterm,MdefiningMcharacteristics,MandMriskMfactors.

9. DuringMtheMadmissionMinterview,MtheMnurseMinitiatedMtheMdischargeMteachingMandMdemonstr
atedMcrutch-
walkingMactivities.MTheMteachingMactivitiesMareMatMwhatMstageMofMtheMnursingMprocess?
a. Assessment
b. Implementation
c. OutcomeMidentification
d. Evaluation
ANS:M B
ImplementationMisMperformingMtheMnursingMcareMactivitiesMandMinterventionsMthatMwereMplan
nedMandMrespondingMwithMcriticalMthinkingMandMorderlyMactionMtoMchangesMinMtheMsurgicalMpr
ocedure,MpatientMcondition,MorMemergencies.MImplementationMisMtheM“work”MofMnursing.

10. WhileMconductingMtheMpreoperativeMinterviewMwithMaMpatientMscheduledMforMaMseptoplasty,Mt
heMperioperativeMnurseMlearnedMthatMtheMpatientMwasMlatexMsensitive.MBasedMonMthisMknowle
dge,MtheMnurseMreviewedMtheMpick/preferenceMlistMandMreassembledMtheMsurgicalMcaseMcartMset
upMtoMreflectMthisMnewMinformationMandMchangeMinMcareMdelivery.MWhichMtwoMphasesMofMtheM
nursingMprocessMareMrepresentedMinMtheMnurse’sMactions?
a. AssessmentMandMplanning
b. AssessmentMandMimplementation
c. PlanningMandMimplementation
d. NursingMdiagnosisMandMintervention
ANS:M C
PlanningMisMpreparingMinMadvanceMforMwhatMwillMorMmayMhappenMandMdeterminingMtheMprior
itiesMforMcare.MPlanningMisMbasedMonMpatientMassessmentMresultsMinMknowingMtheMpatientMand
Mthe

patient’sMuniqueMneeds.MImplementationMisMperformingMtheMnursingMcareMactivitiesMandM
interventionsMthatMwereMplannedMandMrespondingMwithMcriticalMthinkingMandMorderlyMacti
on.MImplementationMisMtheM“work”MofMnursing.

11. TheMperioperativeMnurseMimplementsMprotectiveMmeasuresMtoMpreventMskinMorMtissueMinjuryMc
ausedMbyMthermalMsources.MSuccessfulMaccomplishmentMofMthisMinterventionMwouldMmeetMwhi
chMofMtheMfollowingMdesiredMnursingMoutcomes?
a. TheMpatientMisMfreeMfromMsignsMandMsymptomsMofMinjuryMfromManxiety.
b. TheMpatientMisMfreeMfromMsignsMandMsymptomsMofMimpairedMskinMintegrity.
c. TheMpatientMisMfreeMfromMsignsMandMsymptomsMofMsurgicalMsiteMinfection.
d. TheMpatientMisMfreeMfromMsignsMandMsymptomsMofMhyperthermia.
ANS:M B




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