ADMINISTRATION AND PATIENT CARE
SUMMARY 2026
◉ Betadine paint-
Answer: used for final betadine prep of the surgical area, can be
used on mucous membranes
◉ ChloraPrep-
Answer: chlorhexidine based, avoid contact with ears and eyes
◉ If they are allergic to iodine or seafood don't use?
Answer: betadine
◉ Light amplification by stimulated emission of electromagnetic
radiation (LASER)
Answer: only certified people can use. Make sure there is no
reflective things around
◉ Electro-surgery-electrical method to cut and cauterize tissue
Answer: make sure they have grounding equipment under the pt so
they don't get an electrical shock
,◉ Pneumatic Tourniquet:
Answer: cuts off blood circulation to the area
◉ Chemicals can cause?
Answer: burn, irritation, explosion
◉ Immobilizing units used to?
Answer: keep pt in the position that you want them to be in
◉ An intraoperative nurse is applying interventions that will
address surgical patients' risks for perioperative positioning injury.
Which of the following factors contribute to this increased risk for
injury in the intraoperative phase of the surgical experience? Select
all that apply.
A. Absence of reflexes
B. Diminished ability to communicate
C. Loss of pain sensation
D. Nausea resulting from anesthetic
Answer: A B C
◉ COMMON SURGICAL POSITIONS
Answer: Supine on back
,Semi-fowler's position (sitting) 30-45 degrees
Trendelenberg (head down feet up) or reverse Trendelenburg (head
up feet down
Jacknife
Prone
Lateral to the side
Surgical bed placement (e.g Lithotomy or GYN position)
◉ Which of the following should not be allowed with regards to the
wearing of masks in the operating room?
A. Cover the nose and mouth completely
B. Let masks hang around the neck
C. Change masks between treating patients
D. The mask should be tight fitting
Answer: B
◉ Wound Classification
Answer: -Class-I = clean (no infection, no break in sterile technique,
or GI/GU/Resp not affected) no wound beforehand. Wound caused
from surgery
-Class II=clean contaminated (no infection but minor break in sterile
technique and/or GI/GU/Resp tracts are affected) e.g.
appendectomy
, -Class III=contaminated (infection present, gross spillage from GI
tract, major break in sterile technique, and/or entry into GU or
biliary tract when urine or bile is infected) e.g. traumatic wounds
-Class IV= dirty, infected (necrotic and infected) e.g. traumatic
wounds with delayed repair, acute inflammation and purulent
drainage noted during procedure lots of inflammation
◉ When should wound classification be done?
Answer: It needs to be determined at the beginning and end of the
procedure to capture any events that may have occurred that would
affect the wound classification
◉ Anesthesia-
Answer: is an induced state of partial or total loss of sensation,
occurring with or without loss of consciousness
◉ SURGICAL CLASSIFICATIONS
Answer: -ASA P (physical) I: healthy client
-ASA P II: client has mild problems
-ASA P III: client has severe illness
-ASA P IV: life-threatening severe illness
-ASA P V: client is not expected to survive unless surgery occurs
-ASA P VI: client is brain dead; may be an organ donor