TEST BANK FOR ALEXANDERS’ CARE OF THE PATIENT IN SURGERY 16TH EDITION BY ROTHROCK, ALL CHAPTERS 1-30, LATEST GUIDE 2024.

TEST BANK FOR ALEXANDERS’ CARE OF THE PATIENT IN SURGERY 16TH EDITION BY ROTHROCK, ALL CHAPTERS 1-30, LATEST GUIDE 2024. Table of Contents Unit 1: Foundations for Practice 1. Concepts Basic to Perioperative Nursing 2. Patient Safety and Risk Management 3. Workplace Issues and Staff Safety 4. Infection Prevention and Control 5. Anesthesia 6. Positioning the Patient for Surgery 7. Sutures, Sharps, and Instruments 8. Surgical Modalities 9. Wound Healing, Dressings, and Drains 10. Postoperative Patient Care and Pain Management Unit 2: Surgical Interventions 11. Gastrointestinal Surgery 12. Surgery of the Liver, Biliary Tract, Pancreas, and Spleen 13. Hernia Repair 14. Gynecologic and Obstetric Surgery 15. Genitourinary Surgery 16. Thyroid and Parathyroid Surgery 17. Breast Surgery 18. Ophthalmic Surgery 19. Otorhinolarygologic Surgery 20. Orthopedic Surgery 21. Neurosurgery 22. Reconstructive and Aesthetic Plastic Surgery 22. Thoracic Surgery 23. Vascular Surgery 24. Cardiac Surgery Unit 3: Special Considerations 26. Pediatric Surgery 27. Geriatric Surgery 28. Trauma Surgery 29. Interventional and Image-Guided Procedures 30. Integrative Health Practices: Complementary and Alternative Therapies Chapter 01: Concepts Basic to Perioperative Nursing Rothrock: Alexander’s Care of the Patient in Surgery, 16th Edition MULTIPLE CHOICE 1. The Perioperative Patient Focused Model presents key components of nursing influence that guide patientstatement that best describes the dynamic relationship within the model. a. The patient experience and the nursing presence are in continuous interaction. b. Structure, process, and outcome are the foundation domains of the model. c. The perioperative nurse is the central dynamic core of the model. d. The interrelated nursing process rings bind the patient to the model. ANS: A The Perioperative Patient Focused Model consists of domains or areas of nursing concern: nursing diagnointerventions, and patient outcomes. These domains are in continuous interaction with the health system thperioperative nursing practice—the patient. 2. The Association of PeriOperative Registered Nurses’ (AORN) Standards of Perioperative Nursing describinterventions, and activities with patients. This is based on which standards category? a. Evidence-based b. Process c. Outcome d. Structural ANS: B Process standards relate to nursing activities, interventions, and interactions. They are used to explicate cliquality objectives in perioperative nursing. 3. Which order best describes the process used to implement evidence-based professional nursing? a. Literature search, theory review, data analysis, policy development b. Regional survey, literature search, meta-analysis, practice change c. Identify problem, scientific evidence, develop policy, evaluate outcome d. Identify issue, analyze scientific evidence, implement change, evaluate process ANS: D Evidence-based practice is a systematic, thorough process by which to identify an issue, to collect and evadesign and implement a practice change, and to evaluate the process. 4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for their unit. gather scientific information is to: a. conduct a survey of skin prep policies at the next AORN chapter meeting. b. review their surgical site infection data from the last 6 months. c. conduct a literature search on antimicrobial agents and infection prevention. d. review the scientific literature from the leading manufacturers of prep solutions. ANS: C Perioperative nurses have an ethical responsibility to review practices and to modify them based on the beevidence. Using research to guide practice is called evidence-based practice (EBP). 5. The cardiac team is developing a standardized sterile back table setup and is unable to find sufficient reseaproject. Where might they look for information on best practices? a. Survey regional surgical technology programs for their back table models b. Review case studies and expert opinions on sterile back table setups c. Review AORN’s Guidelines for Perioperative Practice on sterilization and disinfection dConsultwithfacilityinstrumentvendorrepresentativesfortheiradvice 7. Which of the following actions best describes an element of the perioperative nursing assessment? a. Scanning the surgical schedule for the day before morning report. b. Reading the pick/preference list attached to the case cart. c. Reviewing the patient medical record. d. Studying an on-line tutorial about the intended surgical procedure. ANS: C Assessment is the collection and analysis of relevant health data about the patient. Sources of data may be with the patient and the patient’s family; review of the planned surgical or invasive procedure; review of threcord; examination of the results of diagnostic tests; and consultation with the surgeon and anesthesia proother personnel. 8. A frail 76-year-old diabetic woman is scheduled for major surgery. She is vulnerable and at high risk for hfactors related to her preexisting conditions and overall health status. As part of developing a plan to guidestandardized descriptive terms. This step of the nursing process is called: a. nursing diagnosis. b. nursing assessment. c. nursing outcome. d. nursing intervention. ANS: A Nursing diagnosis is the process of identifying and classifying data collected in the assessment in a way thplan nursing care. Nursing diagnosis components include a definition of the diagnostic term, defining charfactors. 9. During the admission interview, the nurse initiated the discharge teaching and demonstrated crutch-walkinactivities are what stage of the nursing process? a. Assessment b. Implementation c. Outcome identification d. Evaluation ANS: B Implementation is performing the nursing care activities and interventions that were planned and respondinand orderly action to changes in the surgical procedure, patient condition, or emergencies. Implementation10. While conducting the preoperative interview with a patient scheduled for a septoplasty, the perioperative npatient was latex sensitive. Based on this knowledge, the nurse reviewed the pick/preference list and reassecart setup to reflect this new information and change in care delivery. Which two phases of the nursing prothe nurse’s actions? a. Assessment and planning b. Assessment and implementation c. Planning and implementation d. Nursing diagnosis and intervention ANS: C Planning is preparing in advance for what will or may happen and determining the priorities for care. Planassessment results in knowing the patient and the patient’s unique needs. Implementation is performing thand interventions that were planned and responding with critical thinking and orderly action. Implementatinursing. 11. The perioperative nurse implements protective measures to prevent skin or tissue injury caused by thermalaccomplishment of this intervention would meet which of the following desired nursing outcomes? a. The patient is free from signs and symptoms of injury from anxiety. b. The patient is free from signs and symptoms of impaired skin integrity. c. The patient is free from signs and symptoms of surgical site infection. dThtitiffidtfhthi 13. A 36-year-old woman was preoperatively admitted for laparoscopic cholecystectomy with operative cholainterviewed by her perioperative nurse in the preoperative intake lounge. The patient’s weight on admissioassessment, the nurse returned to the operating room (OR) and modified the standard plan of care by institstrategies that were derived from information from the preoperative assessment. A good example of this acdescribed by: a. replacing the regular OR bed with a bariatric-specific OR bed. b. providing protective lead aprons for all staff during the procedure. c. writing the patient’s name, allergies, and body weight on the whiteboard. d. administering antibiotics to the patient 1 hour before the incision. ANS: A Planning is preparing in advance for what will or may happen and determining the priorities for care. Plannassessment results in knowing the patient and the patient’s unique needs so that alterations in events, such on a bariatric-specific OR bed as opposed to a regular OR bed, can be readily accommodated. Replacing thOR bed is a nurse-sensitive preventive intervention that provides equipment based on patient need. 14. Adoption of an electronic medical record requires the use of consistent terminology. Empirically validatedperioperative nursing language may be found in the: a. Perioperative Patient Focused Model. b. Nursing Alliance for Quality Care (NAQC). c. Perioperative Nursing Data Set (PNDS). d. Standards of Perioperative Nursing. ANS: C After 6 years of research and validation, the Perioperative Nursing Data Set (PNDS) was recognized as a slanguage, providing a uniform and systematic method to document the basic elements of perioperative nur15. When delegating a task, such as removing an intravenous (IV) catheter, to an unlicensed individual, the pea. retains responsibility for evaluating the outcome of the task. b. must comply with the seven “rights” of delegation. c. transfers the authority to perform the related assessments. d. transfers the supervision of the competent person to another competent person. ANS: C Delegation transfers to a competent person the authority to perform a selected nursing task in a selected sit“five rights” of delegation. When delegating care activities, perioperative nurses retain accountability for a the outcomes of delegated tasks.