How many days does it take for an SSI occur? Right Ans - 30 days
When should discharge planning start? Right Ans - Pre-admission; When
decision for surgery is made
When should forced air warming be initiated for the surgical patient? Right
Ans - In the preoperative holding area
Minimizes heat loss more effectively
What is the reversal agent of heparin? Right Ans - Protamine sulfate
What 3 structures does the surgeon need to visualize during a carotid
endarterectomy? Right Ans - Internal, external, and common carotid
arteries
What is the drug of choice for anaphylaxis? Right Ans - epinephrine
What is. the Patient Self Determination Act of 1990? Right Ans - Includes
patients rights related to informed consent, living will, power of attorney for
healthcare, DNR, or AND (allow natural death)
What is shearing? Right Ans - Sliding of skin and subcutaneous tissue over
stationary muscle
occurs beneath the skin
Can occur in Trendelenburg position
What is friction? Right Ans - Act of RUBBING one tissue over another tissue
or surface
Can occur when patient is dragged from one surface to another without using
transfer device
What are the pressure points for supine position? Right Ans - Occiput
Scapulae
,Olecranon (elbow)
Thoracic Vertebrae
Sacrum and Coccyx
Calcaneus (heel)
What are potential complications of Trendelenburg? Right Ans - Increased
intraocular and intracranial pressure
Increased BP and cardiac output
Risk of shearing
What are potential complications of Lithotomy? Right Ans - Risk for
decreased respiratory function and tidal volume
Risk for acute change in vasculature volume and cardiac exertion
Potential for compartment syndrome
Risk for hyperabduction of hips
What are potential complications of Semi-Fowler/beach chair? Right Ans -
Neurovascular bundle strain
Potenial for decreased vascular return volume
*Air embolism
What are pressure points of prone position? Right Ans - Cheeks
Eyes (blindness)
Ears
Female breasts
Male genitalia
Knees and toes
What are potential complications of prone position? Right Ans -
Respiratory volume is compromised because of limited anterolateral
movement and potential limitation of diaphragmatic movements
Potential for pain during range of motion
What is the safest radiation treatment for OR and PACU staff? Right Ans -
Afterloading radiation treatment
, In the OR, a cold, unloaded, hollow plastic or metal applicator is inserted into
or adjacent to the tissues that will receive radiation. After x-ray verification of
correct placement, the radiation source is loaded into the applicator at the
patient's bedside.
What happens during vasogenic shock? Right Ans - Cardiac output
decreases, the heart muscle weakens, and venous pressure is unstable. Two
examples are anaphylaxis and septic shock.
What information should be documented when using immediate use steam
sterilization ("flashing")? Right Ans - IUSS is performed, the information to
be documented includes date, time, patient name or ID number, load contents,
sterilizer identification number, cycle parameters (time, temperature,
pressure), and indicator verification (whether chemical and/or biologic)
Results of indicator are not documented
What are signs and symptoms of hypercalcemia? Right Ans - Cardiac
dysrhythmias
kidney stones
nausea and vomiting
muscle weakness
Stupor or altered level of consciousness
calcium level: 9-10.5
What is the reversal agent of benzodiazepines? Right Ans - Romazicon
(Flumazenil)
What is the reversal agent of muscle relaxants? Right Ans - Cholinergics
What is a reversal agent of narcotics? Right Ans - Naloxone (Narcan)
What are examples of halogenated anesthetic agents? Right Ans -
Desflurane
Sevoflurane
Both are triggers for MH