AORN
Final Exam AORN Periop 101 () Expected
Questions with Revised Rationalized Answers, (A+
Guarantee).
What are the four elements of malpractice? - ANS • Duty
• Breach of duty
• The breach of duty caused an injury
• The injury was harmful to the patient
Elements of Informed Consent - ANS • Must be obtained by the licensed
professional who is performing the procedure
• The patient must give consent voluntarily with the full understanding
of all implications
• Must include
o Diagnosis
AORN
, 2
AORN
o Proposed treatment
o Treatment alternatives
o Consequences of accepting or declining the proposed treatment
Five Rights of Delegation - ANS Right task
Right circumstance
Right person
Right communication and direction
Right supervision and evaluation
Four types of patient privacy health care providers and personnel have
an ethical and legal responsibility to always maintain - ANS •
Medical information
• Physical exposure
• Personal privacy
• Electronic privacy
AORN
, 3
AORN
Eight factors to consider before determining what anesthetic to use for a
particular patient - ANS • Patient's age
• Length & type of surgery
• Patient & surgeon preferences
• Patient's co-existing diseases
• Patient's mental & psychological status
• Patient's previous experiences with anesthesia
• Plans & protocols for postoperative pain management
• Position of the patient during surgery
The American Society of Anesthesiologist's NPO Guidelines - ANS •
Clear liquids - stop 2 hours before surgery
• Breast milk - stop 4 hours before surgery
• Infant formula - stop 6 hours before surgery
• Light meal (toast & a clear liquid) - stop 6 hours before surgery
• Fried foods, fatty foods, meat - stop 8 hours before surgery
AORN
, 4
AORN
Circulator RN duties during Induction of anesthesia and assisting
anesthesia professional with Cricoid Pressure - ANS • Cricoid
pressure application is not released until the endotracheal (ET) tube
cuff is inflated, tube placement is confirmed, and anesthesia
provider has given a verbal confirmation to the nurse that the cricoid
pressure can be released.
• If intubation or ventilation of the patient becomes difficult, the
perioperative nurse should retrieve additional airway equipment and
supplies.
General anesthesia - ANS • A drug-induced reversible state of
unconsciousness
• Results in amnesia, analgesia, and loss of responsiveness, decreased
stress response, and loss of skeletal muscle reflexes to a varying
degree
AORN