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atient in Surgery 16th Edition Rothrock Quest
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ions & Answers with rationales (Chapter 1-
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Table of Contents
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Unit 1: Foundations for Practice
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1. Concepts Basic to Perioperative Nursing
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2. Patient Safety and Risk Management
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3. Workplace Issues and Staff Safety ss ss ss ss
4. Infection Prevention and Control
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5. Anesthesia
6. Positioning the Patient for Surgery ss ss ss ss
7. Sutures, Sharps, and Instruments
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8. Surgical Modalities ss
9. Wound Healing, Dressings, and Drains
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10. Postoperative Patient Care and Pain Management ss ss ss ss ss
Unit 2: Surgical Interventions
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11. Gastrointestinal Surgery ss
12. Surgery of the Liver, Biliary Tract, Pancreas, and Spleen
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13. Hernia Repair ss
14. Gynecologic and Obstetric Surgery ss ss ss
15. Genitourinary Surgery ss
16. Thyroid and Parathyroid Surgery
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17. Breast Surgery ss
18. Ophthalmic Surgery ss
19. Otorhinolarygologic Surgery ss
20. Orthopedic Surgery ss
21. Neurosurgery
22. Reconstructive and Aesthetic Plastic Surgery ss ss ss ss
22. Thoracic Surgery ss
23. Vascular Surgery ss
24. Cardiac Surgery ss
Unit 3: Special Considerations
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26. Pediatric Surgery ss
27. Geriatric Surgery 28. Trauma Surgery
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29. Interventional and Image-Guided Procedures ss s s ss
30. Integrative Health Practices: Complementary and Alternative Therapies
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Chapter 01: Conceptss s s s s s Basic to Perioperative Nursing s s s s s s
Rothrock: Alexander’s s s s s Care of the Patient in Surgery, 16th Edition
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MULTIPLE s s CHOICE
1. The Perioperative Patient Focused Model presents key components of nursing influence that guide
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p he statement that best describes the dynamic relationship within the model.
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a. The patient experience and the nursing presence are in continuous interaction.
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b. Structure, process, and outcome are the foundation domains of the model.
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c. The perioperative nurse is the central dynamic core of the model.
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d. The interrelated nursing process rings bind the patient to the model.
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ANS: A s s
The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursing
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d ions, and patient outcomes. These domains are in continuous interaction with the health system
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that perative nursing practice—the patient.
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2. The Association of PeriOperative Registered Nurses‘ (AORN) Standards of Perioperative Nursing
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d ns, interventions, and activities with patients. This is based on which standards category?
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a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS: B s s
Process standards relate to nursing activities, interventions, and interactions. They are used to
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explic quality objectives in perioperative nursing.
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3. Which order best describes the process used to implement evidence-based professional nursing?
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a. Literature search, theory review, data analysis, policy development ss ss ss ss ss ss ss
b. Regional survey, literature search, meta-analysis, practice changess ss ss ss ss ss
c. Identify problem, scientific evidence, develop policy, evaluate outcome
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d. Identify issue, analyze scientific evidence, implement change, evaluate process
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ANS: D s s
Evidence-
based practice is a systematic, thorough process by which to identify an issue, to collect and
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evaluat and implement a practice change, and to evaluate the process.
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4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for
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their s to gather scientific information is to:
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a. conduct a survey of skin prep policies at the next AORN chapter meeting.
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b. review their surgical site infection data from the last 6 months.
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c. conduct a literature search on antimicrobial agents and infection prevention.
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d. review the scientific literature from the leading manufacturers of prep solutions.
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ANS: C s s
Perioperative nurses have an ethical responsibility to review practices and to modify them based
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on vidence. Using research to guide practice is called evidence-based practice (EBP).
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5. The cardiac team is developing a standardized sterile back table setup and is unable to find
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sssufficien heir project. Where might they look for information on best practices?
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a. Survey regional surgical technology programs for their back table models
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b. Review case studies and expert opinions on sterile back table setups
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c. Review AORN‘s Guidelines for Perioperative Practice on sterilization
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an d disinfection
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d. Consult with facility instrument vendor representatives for their advice
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ANS: B s s
When there is not enough evidence to guide practice, perioperative nurses should consider
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