AORN Periop 101 Final Exam Questions with Complete Rationales

AORN Periop 101 Final Exam Questions with Complete Rationales NUMBER OF VENTILATION EXCHANGES FOR AN INDIVIDUAL OR - ANS: 20 PER HOUR WITH 4 EXCHANGES FROM OUTDOOR AIR HUMIDITY RANGE FOR AN INDIVIDUAL OR - ANS: 20-60% TEMPURATURE RANGE FOR AN INDIVIDUAL OR - ANS: 68-75 DEGREES FAHRENHEIT 20-24 DEGREES CELSIUS THIS LOSES PLIABILITY IF DRIED OUT OPEN OVER SMALL BASIN SURGICAL GUT (PLAIN OR CHROMIC) AND COLLAGEN - ANS: NATURAL ABSORBABLE SUTURE MAXON MONOCRYL VICRYL DEXON PDS & PDS II DO NOT SOAK OR DIP IN WATER (THIS CAUSES HYDROLYSIS AND REDUCTION OF TENSILE STRENGTH) - ANS: SYNTHETIC ABSORBABLE SUTURE SILK SURGICAL COTTON (WEAKEST; GAINS STRENGTH WHEN WET) LINEN STAINLESS STEEL (USED FOR CLOSURE OF STERNUM, RETENTION SUTURE, SECONDARY REPAIR, RESP TRACT, ORTHO, NEUROSURGERY) - ANS: NATURAL NONABSORBABLE SUTURE NYLON SUTURE -MONOFILAMENT (ETHILON & DERMALON) -COATED (SURGILON) -UNCOATED (NEUROLON) POLYESTER FIBER SUTURE -COATED (TICRON, ETHIBOND, TEFLON) -UNCOATED (MERSILENE & DACRON) POLYPROPYLENE (PROLENE & SURGILENE) POLYBUTESTER (NOVAFIL) POLY ETHYLENE (DERMALENE) - ANS: SYNTHETIC NONABSORBABLE SUTURE -NO INFLAMMATION -RESP, AILMENTARY, AND GU TRACTS NOT ENTERED -EX. EYE SURGERY, HERNIA REPAIRS, BREAST SURGERY, NONTRAUMATIC NEURO & ORTHO SURGERY, CARDIAC, OR PERIPHERAL VASCULAR SURGERY - ANS: CLASS I-CLEAN WOUNDS -RESP, AILMENTARY, OR GU WOUNDS ENTERED UNDER CONTROLLED CONDITIONS AND WITHOUT CONTAMINATION OF SURROUNDING TISSUE -NO EVIDENCE OF INFECTION OR MAJOR BREAK IN ASEPTIC TECHNIQUE -EX. D&C, TOTAL HYSTERECTOMY, GASTRECTOMY, CHOLE WITHOUT SPILLAGE, ELECTIVE APPY, CYSTOSCOPY, TURP ON PT W/ NEGATIVE URINE CULTURES, SIGMOID COLON RESECTION - ANS: CLASS II-CLEAN CONTAMINATED -OPEN, FRESH, TRAUMATIC WOUNDS -MAJOR BREAK IN STERILE TECHNIQUE -GROSS SPILLAGE FROM GI TRACT -INCISIONS WITH ACUTE NONPURULENT INFLAMMATION -EX. LAPAROTOMY W/ SIGNIFICANT SPILLAGE, TRAUMATIC WOUNDS, ACUTE APPENDICITIS OR CHOLECYSTITIS, COMPOUND FRACTURES - ANS: CLASS III-CONTAMINATED WOUNDS -OLD, TRAUMATIC WOUNDS WITH DEVITALIZED TISSUE, PERFORATED VISCERA, DELAYED PRIMARY WOUND CLOSURE -EX. INCISION AND DRAINAGE, TOTAL EVISCERATION, PERFORATED VISCERA - ANS: CLASS IV-DIRTY WOUNDS PURPOSE OF STANDARDIZED NURSING LANGUAGE SUCH AS PNDS - ANS: MAINTAIN PT SAFETY, INFECTION CONTROL, AND MANAGEMENT OF SUPPLY COST PLAN OF CARE HELPS TO -PLAN NURSING INTERVENTIONS -ASSESS AND DEVELOP NURSING DIAGNOSES -ASSESS AND EVALUATE PT STATUS -EVALUATE RESPONSES TO POSITIONING REQUIREMENTS OF STORAGE AND MOVEMENT OF DIRTY, CLEAN AND STERILE SUPPLIES WITHIN THE OPERATING ROOM - ANS: KEEP COVERED IN ENCLOSED CARTS LABELED, KEEP APART CLEAN, DIRTY AND STERILE ELEMENTS OF PROFESSIONALISM - ANS: -GOVERNED BY PRACTICE ACTS THAT OUTLINE LEGAL SCOPE OF PRACTICE -MAINTAIN CURRENT KNOWLEDGE -SEEK OUT COLLEAGUES TO ASSESS THEIR PRACTICE -ACTIVATE PARTICIPANTS IN PROFESSIONAL ORGANIZATIONS -ENGAGE IN ONGOING PROFESSIONAL DEVELOPMENT -MAINTAIN COMPETENCE ACTIVITIES THROUGOUT CAREER PICO - ANS: POPULATION, PATIENT, PROBLEM INTERVENTION COMPARISON OUTCOME 3 MAIN CATEGORIES OF DIRECT COSTS - ANS: MEDICAL SUPPLIES PERSONNEL PURCHASING SERVICES IOM REPORT - ANS: INSTITUTE OF MEDICINE SAYS THAT NURSES SHOULD PRACTICE TO TE FULL EXTENT OF THEIR EDCUCATION AND TRAINING AREAS OF THE STERILE GOWN TAHT ARE CONSIDERED STERILE - ANS: CHEST, GOWN SLEEVES AT 2 INCHES ABOVE ELBOW TO CUFF CIRCUMFERENTIALLY, CHEST TO LEVEL OF STERILE FIELD WHY IS THERE A RECOMMENDATION TO CHANGE SURGICAL GLOVES AFTER MAX TIME OF 150 MINUTES - ANS: PERFORATION RATES INCREASE AFTER 150 MINUTES RELATED TO INCREASED WATER ABSORPTION CAUSING INCREASED PERMEABILITY AND POROSITY 3 CATEGORIES OF DISINFECTION ACCORDING TO SPAULDING CLASSIFICATION SYSTEMS - ANS: -NONCRITICAL: CONTACT WITH UNBROKEN SKIN -SEMI CRITICAL: CONTACT WITH MUCOUS MEMBRANES -CRITICAL: CONTACT WITH BLOOD STREAM OR OTHERWISE NORMALLY STERILD BODY AREAS FIRST STEP IN STERILIZATION PROCESS - ANS: CLEANING (REMOVING GROSS SOIL AND MOISTENING) STEPS IN DECONTAMINATION PROCESS - ANS: 1. OPEN BOX LOCKS & DISASSEMBLE INSTRUEMENTS WITH MULTIPLE PARTS 2. USE ENZYMATIC DETERGENT ON HEAVILY SOILED INSTRUMENTS 3. WEAR PPE 4. INSTRUMENTS WITH LUMEN SHOULD BE FLUSED WITH WATER OR DETERGENT SOLUTION