TEST BANK FOR ALEXANDERS CARE OF THE
PATIENT IN SURGERY 16TH EDITION BY
ROTHROCK ISBN10: 0323479146 ISBN13:
9780323479141
This79study79source79was79downloaded79by7910000081883722079from79CourseHero.com79on7903-14-
20237920:36:4479GMT79-05:00
https://www.coursehero.com/file/169354146/Test-Bank-for-Alexanders-Care-of-the-Patient-in-Surgery-16th-Edition-Rothrockpdf/
, Table79of79Contents
Unit791:79Foundations79for79Practice
1. Concepts79Basic79to79Perioperative79Nursing
2. Patient79Safety79and79Risk79Management
3. Workplace79Issues79and79Staff79Safety
4. Infection79Prevention79and79Control
5. Anesthesia
6. Positioning79the79Patient79for79Surgery
7. Sutures,79Sharps,79and79Instruments
8. Surgical79Modalities
9. Wound79Healing,79Dressings,79and79Drains
10. Postoperative79Patient79Care79and79Pain79Management
Unit792:79Surgical79Interventions
11. Gastrointestinal79Surgery
12. Surgery79of79the79Liver,79Biliary79Tract,79Pancreas,79and79Spleen
13. Hernia79Repair
14. Gynecologic79and79Obstetric79Surgery
15. Genitourinary79Surgery
16. Thyroid79and79Parathyroid79Surgery
17. Breast79Surgery
18. Ophthalmic79Surgery
19. Otorhinolarygologic79Surgery
20. Orthopedic79Surgery
21. Neurosurgery
22. Reconstructive79and79Aesthetic79Plastic79Surgery
22. Thoracic79Surgery
23. Vascular79Surgery
24. Cardiac79Surgery
Unit793:79Special79Considerations
26. Pediatric79Surgery
27. Geriatric79Surgery7928.79Trauma79Surgery
29. Interventional79and79Image-Guided79Procedures
30. Integrative79Health79Practices:79Complementary79and79Alternative79Therapies
This79study79source79was79downloaded79by7910000081883722079from79CourseHero.com79on7903-14-
20237920:36:4479GMT79-05:00
https://www.coursehero.com/file/169354146/Test-Bank-for-Alexanders-Care-of-the-Patient-in-Surgery-16th-Edition-Rothrockpdf/
,Chapter7901:79Concepts79Basic79to79Perioperative79Nursing
Rothrock:79Alexander’s79Care79of79the79Patient79in79Surgery,7916th79Edition
MULTIPLE79CHOICE
1. The79Perioperative79Patient79Focused79Model79presents79key79components79of79nursing79influence79tha
are.79Select79the79statement79that79best79describes79the79dynamic79relationship79within79the79model.
a. The79patient79experience79and79the79nursing79presence79are79in79continuous79interaction.
b. Structure,79process,79and79outcome79are79the79foundation79domains79of79the79model.
c. The79perioperative79nurse79is79the79central79dynamic79core79of79the79model.
d. The79interrelated79nursing79process79rings79bind79the79patient79to79the79model.
ANS:7 9 A
The79Perioperative79Patient79Focused79Model79consists79of79domains79or79areas79of79nursing79concern
ing79interventions,79and79patient79outcomes.79These79domains79are79in79continuous79interaction79with79t
circles79the79focus79of79perioperative79nursing79practice—the79patient.
2. The79Association79of79PeriOperative79Registered79Nurses’79(AORN)79Standards79of79Perioperative79Nu
9interactions,79interventions,79and79activities79with79patients.79This79is79based79on79which79standards79c
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS:7 9 B
Process79standards79relate79to79nursing79activities,79interventions,79and79interactions.79They79are79used7
essional,79and79quality79objectives79in79perioperative79nursing.
3. Which79order79best79describes79the79process79used79to79implement79evidence-based79professional79nurs
a. Literature79search,79theory79review,79data79analysis,79policy79development
b. Regional79survey,79literature79search,79meta-analysis,79practice79change
c. Identify79problem,79scientific79evidence,79develop79policy,79evaluate79outcome
d. Identify79issue,79analyze79scientific79evidence,79implement79change,79evaluate79process
ANS:7 9 D
Evidence-
based79practice79is79a79systematic,79thorough79process79by79which79to79identify79an79issue,79to79collect79
dence79to79design79and79implement79a79practice79change,79and79to79evaluate79the79process.
4. The79ambulatory79surgery79unit79is79planning79to79develop79a79standardized79skin79preparation79practic
e79best79process79to79gather79scientific79information79is79to:
a. conduct79a79survey79of79skin79prep79policies79at79the79next79AORN79chapter79meeting.
b. review79their79surgical79site79infection79data79from79the79last79679months.
c. conduct79a79literature79search79on79antimicrobial79agents79and79infection79prevention.
d. review79the79scientific79literature79from79the79leading79manufacturers79of79prep79solutions.
ANS:7 9 C
Perioperative79nurses79have79an79ethical79responsibility79to79review79practices79and79to79modify79them7
ble79scientific79evidence.79Using79research79to79guide79practice79is79called79evidence-based79practice79
5. The79cardiac79team79is79developing79a79standardized79sterile79back79table79setup79and79is79unable79to79f
9evidence79for79their79project.79Where79might79they79look79for79information79on79best79practices?
a. Survey79regional79surgical79technology79programs79for79their79back79table79models
b. Review79case79studies79and79expert79opinions79on79sterile79back79table79setups
c. Review79AORN’s79Guidelines79for79Perioperative79Practice79on79sterilizati
on79and79disinfection
d. Consult79with79facility79instrument79vendor79representatives79for79their79advice
ANS:7 9 B
, 7. Which79of79the79following79actions79best79describes79an79element79of79the79perioperative79nursing79ass
a. Scanning79the79surgical79schedule79for79the79day79before79morning79report.
b. Reading79the79pick/preference79list79attached79to79the79case79cart.
c. Reviewing79the79patient79medical79record.
d. Studying79an79on-line79tutorial79about79the79intended79surgical79procedure.
ANS:7 9 C
Assessment79is79the79collection79and79analysis79of79relevant79health79data79about79the79patient.79Sources
operative79interview79with79the79patient79and79the79patient’s79family;79review79of79the79planned79surgic
79review79of79the79patient’s79medical79record;79examination79of79the79results79of79diagnostic79tests;79an
surgeon79and79anesthesia79provider,79unit79nurses,79or79other79personnel.
8. A79frail7976-year-
old79diabetic79woman79is79scheduled79for79major79surgery.79She79is79vulnerable79and79at79high79risk79fo
eral79factors79related79to79her79preexisting79conditions79and79overall79health79status.79As79part79of79deve
her79care,79the79nurse79uses79standardized79descriptive79terms.79This79step79of79the79nursing79process79i
a. nursing79diagnosis.
b. nursing79assessment.
c. nursing79outcome.
d. nursing79intervention.
ANS:7 9 A
Nursing79diagnosis79is79the79process79of79identifying79and79classifying79data79collected79in79the79assess
ides79a79focus79to79plan79nursing79care.79Nursing79diagnosis79components79include79a79definition79of79t
ing79characteristics79and79risk79factors.
9. During79the79admission79interview,79the79nurse79initiated79the79discharge79teaching79and79demonstrated
walking79activities.79The79teaching79activities79are79what79stage79of79the79nursing79process?
a. Assessment
b. Implementation
c. Outcome79identification
d. Evaluation
ANS:7 9 B
Implementation79is79performing79the79nursing79care79activities79and79interventions79that79were79planne
itical79thinking79and79orderly79action79to79changes79in79the79surgical79procedure,79patient79condition,79o
tion79is79the79“work”79of79nursing.
10. While79conducting79the79preoperative79interview79with79a79patient79scheduled79for79a79septoplasty,79the
rned79that79the79patient79was79latex79sensitive.79Based79on79this79knowledge,79the79nurse79reviewed79the
79reassembled79the79surgical79case79cart79setup79to79reflect79this79new79information79and79change79in79c
79phases79of79the79nursing79process79are79represented79in79the79nurse’s79actions?
a. Assessment79and79planning
b. Assessment79and79implementation
c. Planning79and79implementation
d. Nursing79diagnosis79and79intervention
ANS:7 9 C
Planning79is79preparing79in79advance79for79what79will79or79may79happen79and79determining79the79priori
9based79on79patient79assessment79results79in79knowing79the79patient79and79the79patient’s79unique79needs
ming79the79nursing79care79activities79and79interventions79that79were79planned79and79responding79with79
ly79action.79Implementation79is79the79“work”79of79nursing.
11. The79perioperative79nurse79implements79protective79measures79to79prevent79skin79or79tissue79injury79ca
ces.79Successful79accomplishment79of79this79intervention79would79meet79which79of79the79following79de
es?
a. The79patient79is79free79from79signs79and79symptoms79of79injury79from79anxiety.
b. The79patient79is79free79from79signs79and79symptoms79of79impaired79skin79integrity.
c. The79patient79is79free79from79signs79and79symptoms79of79surgical79site79infection.
d. The79patient79is79free79from79signs79and79symptoms79of79hyperthermia.
PATIENT IN SURGERY 16TH EDITION BY
ROTHROCK ISBN10: 0323479146 ISBN13:
9780323479141
This79study79source79was79downloaded79by7910000081883722079from79CourseHero.com79on7903-14-
20237920:36:4479GMT79-05:00
https://www.coursehero.com/file/169354146/Test-Bank-for-Alexanders-Care-of-the-Patient-in-Surgery-16th-Edition-Rothrockpdf/
, Table79of79Contents
Unit791:79Foundations79for79Practice
1. Concepts79Basic79to79Perioperative79Nursing
2. Patient79Safety79and79Risk79Management
3. Workplace79Issues79and79Staff79Safety
4. Infection79Prevention79and79Control
5. Anesthesia
6. Positioning79the79Patient79for79Surgery
7. Sutures,79Sharps,79and79Instruments
8. Surgical79Modalities
9. Wound79Healing,79Dressings,79and79Drains
10. Postoperative79Patient79Care79and79Pain79Management
Unit792:79Surgical79Interventions
11. Gastrointestinal79Surgery
12. Surgery79of79the79Liver,79Biliary79Tract,79Pancreas,79and79Spleen
13. Hernia79Repair
14. Gynecologic79and79Obstetric79Surgery
15. Genitourinary79Surgery
16. Thyroid79and79Parathyroid79Surgery
17. Breast79Surgery
18. Ophthalmic79Surgery
19. Otorhinolarygologic79Surgery
20. Orthopedic79Surgery
21. Neurosurgery
22. Reconstructive79and79Aesthetic79Plastic79Surgery
22. Thoracic79Surgery
23. Vascular79Surgery
24. Cardiac79Surgery
Unit793:79Special79Considerations
26. Pediatric79Surgery
27. Geriatric79Surgery7928.79Trauma79Surgery
29. Interventional79and79Image-Guided79Procedures
30. Integrative79Health79Practices:79Complementary79and79Alternative79Therapies
This79study79source79was79downloaded79by7910000081883722079from79CourseHero.com79on7903-14-
20237920:36:4479GMT79-05:00
https://www.coursehero.com/file/169354146/Test-Bank-for-Alexanders-Care-of-the-Patient-in-Surgery-16th-Edition-Rothrockpdf/
,Chapter7901:79Concepts79Basic79to79Perioperative79Nursing
Rothrock:79Alexander’s79Care79of79the79Patient79in79Surgery,7916th79Edition
MULTIPLE79CHOICE
1. The79Perioperative79Patient79Focused79Model79presents79key79components79of79nursing79influence79tha
are.79Select79the79statement79that79best79describes79the79dynamic79relationship79within79the79model.
a. The79patient79experience79and79the79nursing79presence79are79in79continuous79interaction.
b. Structure,79process,79and79outcome79are79the79foundation79domains79of79the79model.
c. The79perioperative79nurse79is79the79central79dynamic79core79of79the79model.
d. The79interrelated79nursing79process79rings79bind79the79patient79to79the79model.
ANS:7 9 A
The79Perioperative79Patient79Focused79Model79consists79of79domains79or79areas79of79nursing79concern
ing79interventions,79and79patient79outcomes.79These79domains79are79in79continuous79interaction79with79t
circles79the79focus79of79perioperative79nursing79practice—the79patient.
2. The79Association79of79PeriOperative79Registered79Nurses’79(AORN)79Standards79of79Perioperative79Nu
9interactions,79interventions,79and79activities79with79patients.79This79is79based79on79which79standards79c
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS:7 9 B
Process79standards79relate79to79nursing79activities,79interventions,79and79interactions.79They79are79used7
essional,79and79quality79objectives79in79perioperative79nursing.
3. Which79order79best79describes79the79process79used79to79implement79evidence-based79professional79nurs
a. Literature79search,79theory79review,79data79analysis,79policy79development
b. Regional79survey,79literature79search,79meta-analysis,79practice79change
c. Identify79problem,79scientific79evidence,79develop79policy,79evaluate79outcome
d. Identify79issue,79analyze79scientific79evidence,79implement79change,79evaluate79process
ANS:7 9 D
Evidence-
based79practice79is79a79systematic,79thorough79process79by79which79to79identify79an79issue,79to79collect79
dence79to79design79and79implement79a79practice79change,79and79to79evaluate79the79process.
4. The79ambulatory79surgery79unit79is79planning79to79develop79a79standardized79skin79preparation79practic
e79best79process79to79gather79scientific79information79is79to:
a. conduct79a79survey79of79skin79prep79policies79at79the79next79AORN79chapter79meeting.
b. review79their79surgical79site79infection79data79from79the79last79679months.
c. conduct79a79literature79search79on79antimicrobial79agents79and79infection79prevention.
d. review79the79scientific79literature79from79the79leading79manufacturers79of79prep79solutions.
ANS:7 9 C
Perioperative79nurses79have79an79ethical79responsibility79to79review79practices79and79to79modify79them7
ble79scientific79evidence.79Using79research79to79guide79practice79is79called79evidence-based79practice79
5. The79cardiac79team79is79developing79a79standardized79sterile79back79table79setup79and79is79unable79to79f
9evidence79for79their79project.79Where79might79they79look79for79information79on79best79practices?
a. Survey79regional79surgical79technology79programs79for79their79back79table79models
b. Review79case79studies79and79expert79opinions79on79sterile79back79table79setups
c. Review79AORN’s79Guidelines79for79Perioperative79Practice79on79sterilizati
on79and79disinfection
d. Consult79with79facility79instrument79vendor79representatives79for79their79advice
ANS:7 9 B
, 7. Which79of79the79following79actions79best79describes79an79element79of79the79perioperative79nursing79ass
a. Scanning79the79surgical79schedule79for79the79day79before79morning79report.
b. Reading79the79pick/preference79list79attached79to79the79case79cart.
c. Reviewing79the79patient79medical79record.
d. Studying79an79on-line79tutorial79about79the79intended79surgical79procedure.
ANS:7 9 C
Assessment79is79the79collection79and79analysis79of79relevant79health79data79about79the79patient.79Sources
operative79interview79with79the79patient79and79the79patient’s79family;79review79of79the79planned79surgic
79review79of79the79patient’s79medical79record;79examination79of79the79results79of79diagnostic79tests;79an
surgeon79and79anesthesia79provider,79unit79nurses,79or79other79personnel.
8. A79frail7976-year-
old79diabetic79woman79is79scheduled79for79major79surgery.79She79is79vulnerable79and79at79high79risk79fo
eral79factors79related79to79her79preexisting79conditions79and79overall79health79status.79As79part79of79deve
her79care,79the79nurse79uses79standardized79descriptive79terms.79This79step79of79the79nursing79process79i
a. nursing79diagnosis.
b. nursing79assessment.
c. nursing79outcome.
d. nursing79intervention.
ANS:7 9 A
Nursing79diagnosis79is79the79process79of79identifying79and79classifying79data79collected79in79the79assess
ides79a79focus79to79plan79nursing79care.79Nursing79diagnosis79components79include79a79definition79of79t
ing79characteristics79and79risk79factors.
9. During79the79admission79interview,79the79nurse79initiated79the79discharge79teaching79and79demonstrated
walking79activities.79The79teaching79activities79are79what79stage79of79the79nursing79process?
a. Assessment
b. Implementation
c. Outcome79identification
d. Evaluation
ANS:7 9 B
Implementation79is79performing79the79nursing79care79activities79and79interventions79that79were79planne
itical79thinking79and79orderly79action79to79changes79in79the79surgical79procedure,79patient79condition,79o
tion79is79the79“work”79of79nursing.
10. While79conducting79the79preoperative79interview79with79a79patient79scheduled79for79a79septoplasty,79the
rned79that79the79patient79was79latex79sensitive.79Based79on79this79knowledge,79the79nurse79reviewed79the
79reassembled79the79surgical79case79cart79setup79to79reflect79this79new79information79and79change79in79c
79phases79of79the79nursing79process79are79represented79in79the79nurse’s79actions?
a. Assessment79and79planning
b. Assessment79and79implementation
c. Planning79and79implementation
d. Nursing79diagnosis79and79intervention
ANS:7 9 C
Planning79is79preparing79in79advance79for79what79will79or79may79happen79and79determining79the79priori
9based79on79patient79assessment79results79in79knowing79the79patient79and79the79patient’s79unique79needs
ming79the79nursing79care79activities79and79interventions79that79were79planned79and79responding79with79
ly79action.79Implementation79is79the79“work”79of79nursing.
11. The79perioperative79nurse79implements79protective79measures79to79prevent79skin79or79tissue79injury79ca
ces.79Successful79accomplishment79of79this79intervention79would79meet79which79of79the79following79de
es?
a. The79patient79is79free79from79signs79and79symptoms79of79injury79from79anxiety.
b. The79patient79is79free79from79signs79and79symptoms79of79impaired79skin79integrity.
c. The79patient79is79free79from79signs79and79symptoms79of79surgical79site79infection.
d. The79patient79is79free79from79signs79and79symptoms79of79hyperthermia.
