NIFA STUDY GUIDE WELL EXPLAINED #2
The number one patient safety issue identified in a survey of peri-operative nurses is
preventing: - correct answer Wrong site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk because: - correct answer
OR personnel not properly trained to reprocess instruments
To safely transfer and position patients in a manner that prevents shearing, personnel
should use a mechanical lifting device for a supine-to-supine transfer of a patient
weighing more than: - correct answer 157 lbs
_______________ should be the primary decision makers for what equipment and
supplies are purchased and stocked in the difficult airway management cart. - correct
answer Anesthesia personnel
Proper specimen management techniques prevent errors and include all of the following
EXCEPT: - correct answer Receiving specimens from the surgical field then affixing
patient label to each
Preventing surgical fires is a top priority for all OR personnel and members of the
surgical team should perform all of the following duties EXCEPT: - correct answer
Perform a weekly fire risk assessment
Peri-operative hypothermia is an important issue for all anesthetized patients because
of all of the following EXCEPT: - correct answer Increases risk of renal failure
Recommendations for preventing retained surgical items include all of the following
EXCEPT: - correct answer Utilizing a multidisciplinary team to resolve incorrect counts
Select the appropriate order for administering blood and blood products. - correct
answer Verify informed consent for blood, verify patient identification and blood type
and unit numbers against blood tag and requisition slip with second licensed person,
sign slips
Weighing sponges is a valuable tool for meticulous calculation of blood and fluid loss
when conducted correctly and used in appropriate circumstances. Select the response
that correctly reflects the best practice in weighing sponges. - correct answer Keep a
running total blood loss calculated from available sponges during procedure
Laparoscopic procedures that emergently convert to open procedures place the patient
at risk for unintentional retained foreign objects (rfos). What new and evolving risk
reduction strategy could prevent rfos and frustrating, time-consuming miscount
adventures at the end of these procedures? - correct answer Replacing or tagging
sponges and laparotomy instruments with radiofrequency identification (RFID) chips
, A female patient with end-stage pancreatic cancer was admitted from hospice for a
celiac plexus block to treat intractable pain. She had a Whipple procedure 18 months
earlier and enjoyed a good quality of life until 3 weeks ago. She wanted to be able to
complete "getting her things in order" and saying good-bye to her friends and family
while enjoying her last days pain-free. The patient insisted that her Do Not Resuscitate
(DNR) status NOT be rescinded. She was conscious and competent and knew what
was best for herself. The patient was taking full advantage of what provision for her
care? - correct answer PSDA and advance directives
A patient was presented with the prepared informed consent form during the discussion
with her surgeon concerning her scheduled vaginal-assisted laparoscopic hysterectomy.
She demonstrated and verbalized that she understood all of the tenets of the procedure,
risks, expected outcome, complications, and procedural process. Before she signed the
consent form, she informed the surgeon that she did not want any medical students or
surgical residents performing any parts of the procedure other than assisting and did not
want any photographs of her body taken. The surgeon agreed, and she crossed out
those portions of the form and initialed them before she signed. The patient was
exercising her: - correct answer right to informed consent.
Early on, during the preliminary sponge count on closure of a repair of a ruptured
abdominal aortic aneurysm, the circulating nurse was unable to account for 2 lap
sponges. He had meticulously maintained accountability for all sponges and
instruments discarded from the sterile field and bagged each sponge carefully. He
immediately turned and addressed the entire team in a clear voice. Select the
appropriate communication that the circulating nurse must employ during this count
discrepancy. - correct answer "We have a count discrepancy. We started with 70
sponges and find only 68. We are missing 2 lap sponges. Everyone, please check your
areas.
The OR is a danger-prone area for both patients and staff. Providing a safe environment
of care for the patient involves identifying, mitigating, and managing the hazards
inherent in surgical care. Choose the answer below that completes the blanks in this
sentence: The risk of the surgical hazard of _________________ can be mitigated
through _______________________. - correct answer wrong patient, wrong site, and
wrong side surgery; site marking and presurgical checklists
A patient was transferred to the postanesthesia care unit (PACU) by the anesthesia
provider and perioperative nurse. A hand-off report was given, using situation,
background, assessment, recommendation (SBAR) format, to the accepting PACU
nurse. The first element of information that should be presented in the hand-off report is:
- correct answer patient identification and procedure performed.
If a staff person receives a needlestick injury, what is the first corrective action? - correct
answer Wash wound with soap and water; flush mucous membranes.
The number one patient safety issue identified in a survey of peri-operative nurses is
preventing: - correct answer Wrong site/procedure/patient surgery
Reprocessing (flashing) instruments in the OR is high risk because: - correct answer
OR personnel not properly trained to reprocess instruments
To safely transfer and position patients in a manner that prevents shearing, personnel
should use a mechanical lifting device for a supine-to-supine transfer of a patient
weighing more than: - correct answer 157 lbs
_______________ should be the primary decision makers for what equipment and
supplies are purchased and stocked in the difficult airway management cart. - correct
answer Anesthesia personnel
Proper specimen management techniques prevent errors and include all of the following
EXCEPT: - correct answer Receiving specimens from the surgical field then affixing
patient label to each
Preventing surgical fires is a top priority for all OR personnel and members of the
surgical team should perform all of the following duties EXCEPT: - correct answer
Perform a weekly fire risk assessment
Peri-operative hypothermia is an important issue for all anesthetized patients because
of all of the following EXCEPT: - correct answer Increases risk of renal failure
Recommendations for preventing retained surgical items include all of the following
EXCEPT: - correct answer Utilizing a multidisciplinary team to resolve incorrect counts
Select the appropriate order for administering blood and blood products. - correct
answer Verify informed consent for blood, verify patient identification and blood type
and unit numbers against blood tag and requisition slip with second licensed person,
sign slips
Weighing sponges is a valuable tool for meticulous calculation of blood and fluid loss
when conducted correctly and used in appropriate circumstances. Select the response
that correctly reflects the best practice in weighing sponges. - correct answer Keep a
running total blood loss calculated from available sponges during procedure
Laparoscopic procedures that emergently convert to open procedures place the patient
at risk for unintentional retained foreign objects (rfos). What new and evolving risk
reduction strategy could prevent rfos and frustrating, time-consuming miscount
adventures at the end of these procedures? - correct answer Replacing or tagging
sponges and laparotomy instruments with radiofrequency identification (RFID) chips
, A female patient with end-stage pancreatic cancer was admitted from hospice for a
celiac plexus block to treat intractable pain. She had a Whipple procedure 18 months
earlier and enjoyed a good quality of life until 3 weeks ago. She wanted to be able to
complete "getting her things in order" and saying good-bye to her friends and family
while enjoying her last days pain-free. The patient insisted that her Do Not Resuscitate
(DNR) status NOT be rescinded. She was conscious and competent and knew what
was best for herself. The patient was taking full advantage of what provision for her
care? - correct answer PSDA and advance directives
A patient was presented with the prepared informed consent form during the discussion
with her surgeon concerning her scheduled vaginal-assisted laparoscopic hysterectomy.
She demonstrated and verbalized that she understood all of the tenets of the procedure,
risks, expected outcome, complications, and procedural process. Before she signed the
consent form, she informed the surgeon that she did not want any medical students or
surgical residents performing any parts of the procedure other than assisting and did not
want any photographs of her body taken. The surgeon agreed, and she crossed out
those portions of the form and initialed them before she signed. The patient was
exercising her: - correct answer right to informed consent.
Early on, during the preliminary sponge count on closure of a repair of a ruptured
abdominal aortic aneurysm, the circulating nurse was unable to account for 2 lap
sponges. He had meticulously maintained accountability for all sponges and
instruments discarded from the sterile field and bagged each sponge carefully. He
immediately turned and addressed the entire team in a clear voice. Select the
appropriate communication that the circulating nurse must employ during this count
discrepancy. - correct answer "We have a count discrepancy. We started with 70
sponges and find only 68. We are missing 2 lap sponges. Everyone, please check your
areas.
The OR is a danger-prone area for both patients and staff. Providing a safe environment
of care for the patient involves identifying, mitigating, and managing the hazards
inherent in surgical care. Choose the answer below that completes the blanks in this
sentence: The risk of the surgical hazard of _________________ can be mitigated
through _______________________. - correct answer wrong patient, wrong site, and
wrong side surgery; site marking and presurgical checklists
A patient was transferred to the postanesthesia care unit (PACU) by the anesthesia
provider and perioperative nurse. A hand-off report was given, using situation,
background, assessment, recommendation (SBAR) format, to the accepting PACU
nurse. The first element of information that should be presented in the hand-off report is:
- correct answer patient identification and procedure performed.
If a staff person receives a needlestick injury, what is the first corrective action? - correct
answer Wash wound with soap and water; flush mucous membranes.
