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CNOR test bank Questions and answers already passed

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CNOR test bank Questions and answers already passedWhen should assistive technology be used when transfering a patient? When one team member is required to lift more than 35lbs of patient Time for surgeon to authenticate verbal orders (federal mandate, not hospital policy) 48 hours Examples of clinical alarms alarms on cardiac monitors anesthesia machines, ventilators (visual, auditory or both) Universal Protocol prevent wrong site, wrong procedure, and wrong surgery 1. Preop/ procedure verification process 2. marking site 3. time out * part of assessment phase of Nursing Process National Patient Safety Goals Examples of full body patient transfer devices air-assisted transfer mattresses (hovermats), full body slides, mechanical lifting equipment Examples of safety-engineered devices to prevent sharps injuries blunt suture needles, safety scalpels, needless systems, alternate wound closures Contact time specific length of time disinfectants can remain in contact w/ microorganisms to achieve disinfection For every time of equipment of supply used on or for patient, what document should always be followed? IFU- manufacturer's instructions for use Adverse reactions to polymethymethacrylate (bone cement) hypotension, cardiac arrest, CVA, pulmonary embolism, fat embolism, hypersensitivity, thrombophlebitis, death RN's action after hearing a verbal order from Dr read back the order Symptoms of local anesthetic systemic toxicity metallic taste, confusion, dizziness, numbness (initial phase) Indication for use of BSS (Endosol) (balanced salt solution) keep eye moist during surgery Effective meds to reduce postop N/V Droperidol, Ondansetron, Promethazine Maximum number of meds prep RN should compound in periop suite Three What type of muscle cell is affected during MH? Skeletal Examples of research evidence RCTs, systematic reviews, quasi-experimental studies Standardized language that reflects period nursing practices? Perioperative Nursing Data Set (PNDS) Examples of non-absorbable suture materials cotton, milk, nylon sutures implant that reduces tremors, involuntary movements, gait problems for Parkinson's Deep brain stimulator What is Unique Device Identification? FDA requirement; every device has a number (also on package); for implantable life-supporting, sustaining devices Risk assessment for pressure injuries Braden Scale, Munro Scale, Scott Triggers Tool Using prophylactic dressings applied to healthy skin that is at risk for pressure injury may reduce effects of pressure, shear, friction Scatter radiation reflected off patient, table, shielding, material (secondary radiation) risk to personnel in room Leakage Radiation emanates from X-ray tube housing (secondary radiation) Remnant Radiation exits patient & imparts image on film poses little threat to personnel The timing of the administration of a preoperative prophylactic antibiotic, when ordered for a patient whose plan of care includes the use of a pneumatic tourniquet, should be based on the goal of achieving optimal tissue concentration & policy/ procedures of hospital Limb occlusion pressure is the pneumatic tourniquet pressure required to occlude ___________ blood flow in the limb. arterial Before the pneumatic tourniquet is inflated, guidelines include the extremity may be exsanguinated by using an elastic wrap elevating the limb The orthopedic surgeon and the anesthesia professional should determine the initial tourniquet inflation pressure by measuringthe patient's limb occlusion pressure During application of a pneumatic tourniquet to an extremity, the perioperative RN should position the cuff tubing on or near the ___________ aspect of the extremity. lateral A perioperative RN develops a plan of care for a patient whose surgery includes the use of a pneumatic tourniquet placed on her right lower extremity. Monitoring the patient's temperature throughout the perioperative period is considered what part of the nursing process for this patient? intervention Maximum tourniquet cuff pressure for the thigh should not exceed 350mmHg When the use of monopolar electrosurgery is anticipated, after the application of a pneumatic tourniquet, the perioperative RN should place a single-use dispersive electrode _____________ to the cuff. proximal The employer must maintain the employee'sexposure record (ie, sharp incidents) for the duration of employment plus ___ years? 30 years

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Subido en
5 de febrero de 2023
Número de páginas
61
Escrito en
2022/2023
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Examen
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CNOR test bank Questions and answers
already passed
When should assistive technology be used when transferring a patient? - correct
answer When one team member is required to lift more than 35lbs of patient

Time for surgeon to authenticate verbal orders (federal mandate, not hospital policy) -
correct answer 48 hours

Examples of clinical alarms - correct answer alarms on cardiac monitors anesthesia
machines, ventilators (visual, auditory or both)

Universal Protocol - correct answer prevent wrong site, wrong procedure, and wrong
surgery

1. Preop/ procedure verification process
2. marking site
3. time out

* part of assessment phase of Nursing Process

National Patient Safety Goals

Examples of full body patient transfer devices - correct answer air-assisted transfer
mattresses (hovermats), full body slides, mechanical lifting equipment

Examples of safety-engineered devices to prevent sharps injuries - correct answer blunt
suture needles, safety scalpels, needless systems, alternate wound closures

Contact time - correct answer specific length of time disinfectants can remain in contact
w/ microorganisms to achieve disinfection

For every time of equipment of supply used on or for patient, what document should
always be followed? - correct answer IFU- manufacturer's instructions for use

Adverse reactions to polymethymethacrylate (bone cement) - correct answer
hypotension, cardiac arrest, CVA, pulmonary embolism, fat embolism, hypersensitivity,
thrombophlebitis, death

RN's action after hearing a verbal order from Dr - correct answer read back the order

Symptoms of local anesthetic systemic toxicity - correct answer metallic taste,
confusion, dizziness, numbness (initial phase)

,Indication for use of BSS (Endosol) (balanced salt solution) - correct answer keep eye
moist during surgery

Effective meds to reduce postop N/V - correct answer Droperidol, Ondansetron,
Promethazine

Maximum number of meds prep RN should compound in periop suite - correct answer
Three

What type of muscle cell is affected during MH? - correct answer Skeletal

Examples of research evidence - correct answer RCTs, systematic reviews, quasi-
experimental studies

Standardized language that reflects period nursing practices? - correct answer
Perioperative Nursing Data Set (PNDS)

Examples of non-absorbable suture materials - correct answer cotton, milk, nylon
sutures

implant that reduces tremors, involuntary movements, gait problems for Parkinson's -
correct answer Deep brain stimulator

What is Unique Device Identification? - correct answer FDA requirement; every device
has a number (also on package); for implantable life-supporting, sustaining devices

Risk assessment for pressure injuries - correct answer Braden Scale, Munro Scale,
Scott Triggers Tool

Using prophylactic dressings applied to healthy skin that is at risk for pressure injury
may reduce effects of - correct answer pressure, shear, friction

Scatter radiation - correct answer reflected off patient, table, shielding, material
(secondary radiation)
risk to personnel in room

Leakage Radiation - correct answer emanates from X-ray tube housing (secondary
radiation)

Remnant Radiation - correct answer exits patient & imparts image on film
poses little threat to personnel

The timing of the administration of a preoperative prophylactic antibiotic, when ordered
for a patient whose plan of care includes the use of a pneumatic tourniquet, should be
based on the - correct answer goal of achieving optimal tissue concentration

,& policy/ procedures of hospital

Limb occlusion pressure is the pneumatic
tourniquet pressure required to occlude
___________ blood flow in the limb. - correct answer arterial

Before the pneumatic tourniquet is inflated, guidelines include the extremity may be
exsanguinated by - correct answer using an elastic wrap

elevating the limb

The orthopedic surgeon and the anesthesia professional should determine the initial
tourniquet inflation pressure by measuringthe patient's - correct answer limb occlusion
pressure

During application of a pneumatic tourniquet to an extremity, the perioperative RN
should position the cuff tubing on or near the ___________ aspect of the extremity. -
correct answer lateral

A perioperative RN develops a plan of care for a patient whose surgery includes the use
of a pneumatic tourniquet placed on her right lower extremity. Monitoring the patient's
temperature throughout the perioperative period is considered what part of the nursing
process for this patient? - correct answer intervention

Maximum tourniquet cuff pressure for the
thigh should not exceed - correct answer 350mmHg

When the use of monopolar electrosurgery is anticipated, after the application of a
pneumatic tourniquet, the perioperative RN should place a single-use dispersive
electrode _____________ to the cuff. - correct answer proximal

The employer must maintain the employee'sexposure record (ie, sharp incidents) for the
duration of employment plus ___ years? - correct answer 30 years

Using the Gown Liquid Barrier Performance Class rating, a surgical gown classified as a
Barrier Level 4 should be worn when the anticipated level of exposure to fluids,
splashes, or pressure on the gown is - correct answer high

The perioperative RN should anticipate classifying a surgical wound when there is a
controlled entry into the GI tract without spillage of gastric or bowel content as - correct
answer Class II (Clean-contaminated)

Bonewax is made of - correct answer beeswax, paraffin, and isopropyl palmitate.

Which of the following is NOT a type of skeletal traction? - correct answer Cervical halo

, Gardner-Wells tongs
***Hip Spica cast***
Thomas splint balance suspension

Key points related to the use of methyl methacrylate include the following EXCEPT

A. It is a respiratory, eye, and skin irritant.
B. It is a vasoconstrictor.
C. It is used to secure prostheses in bone.
D. Patients and staff can be allergic to it. - correct answer B- vasoconstrictor

It is a vasodilator that causes hypotension

Osteotomes, gouges, and chisels are what type of surgical instrument? - correct answer
dissecting

What injectable medication used in urologic surgery colorizes tissue and vessels? -
correct answer indigo carmine

Medications administered to decrease intracranial pressure may include all EXCEPT
a. cefazolin.
b. mannitol.
c. propofol (Diprivan).
d. thiopental (Pentothal). - correct answer cefazolin

To control bleeding on the dura of the brain and spinal cord, the perioperative RN
should anticipate the surgeon using - correct answer bipolar

The standard means of vascular access for long-term renal dialysis is - correct answer
AV fistula

Which modification of the supine position should be made for the OB patient? - correct
answer Insert a wedge under the patient's right pelvis orlumbar region

Which of the following medications is used in ophthalmologic surgery to topically inhibit
scar formation in glaucoma filtering procedures?
a. Dexamethasone
b. Mannitol
c. Mitomycin
d. Tobramycin - correct answer Mitomycin

After a pneumoretinopexy to repair a tear in the retina near the macula, the patient
should be positioned in the ____________ position. - correct answer prone (for several
weeks)
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