CNOR

How do you do self-gowning and gloving relief members for a surgical team? Correct Answer Open sterile gown and gloves on a separate surface using aseptic technique Most effective way to reduce possibility of contamination of sterile field during induction, positioning and prep of patient Correct Answer Surgical field should be covered during high activity in the OR Sign to observe for patient being treated for cardiac tamponade Correct Answer jugular vein distention A standarlized approach to hand-off communication is a requirement of the JC to ______ Correct Answer reduce the risk of error Most common type of necrotizing fascitis Correct Answertype 2 In relation to transcultural needs of the patient, it is important to include___needs in the nursing assessment Correct Answer spiritual Best option for a patient to use needing long term dialysis Correct Answer arteriovenous shunt What does it mean if there is elevated white blood counts Correct Answer acute infection A preoperative nursing assessment should be conducted by RN at what point? Correct Answer before the surgery Have the greatest risk for developing intraoperative hypothermia Correct Answer Older patients and those undergoing or major regional anaesthesia for longer than 1 hour Causes patient to experience a phenomenon known as “tourniquet pain” Correct Answer tourniquet inflation times between 30-60 minutes Procedures of the head and neck area carry an increased risk of fire due to this. Correct Answer presence of an oxygen-enriched environment A combination of LR, lidocaine, and epinephrine is routinely injected in fatty areas prior to liposuction in order to achieve this. Correct Answer decrease fluid volume shift Blood type that is appropriate for emergency untyped/uncross matched transfusions Correct Answer O negative Tissue that will not undergo a sterilization process should be... Correct Answer Aseptically prepared and transferred to a sterile storage container Metal instruments stored with rubber protective tips need to be sterilized with this method Correct Answer Remove the rubber tips and sterilize the instruments for 3 min @ 270F Four laparoscopic tubal ligations have been scheduled for the same day. One of the four available laparoscopes is contaminated during the preparation for the 2nd tubal ligation. The laparoscopes will not withstand steam sterilization. In this situation, what would be the most appropriate course of action? Correct Answer Inform the surgeon of the potential compromise in the 4th patient’s care and explore alternate solutions. The bowie-dick test is used to determine the steam sterilizer for their______ Correct Answer This is to check if the vacuum is working properly A prosthesis is contaminated during an orthopedic case and a suitable replacement is not immediately available. How should this prosthesis be decontaminated? Correct Answer Flash sterilize @ 270 F for 10 min with both chemical and biological indicators. A chemical indicator included in the instruments processed in a gravity displacement steam sterilizer indicates that the instruments are -------- Correct Answer Exposed to the sterilizing conditions Solution to flush before sterilization Correct Answer Distilled water Type of sterilizer that must be tested with a Bowie-Dick chemical indicator daily Correct Answer Dynamic air removal