ALEXANDER'S CARE OF THE PATIENT IN SURGERY PAPERBACK (2022)
BY JANE C. ROTHROCK PHD RN CNOR FAAN (BY ROTHROCK) ||
COMPLETE GUIDE || LATEST EDITION
17th Edition
,table of contents
unit 1: foundations for practice ...................................................................................... 3
chapter 01: concepts basic to perioperative nursing ................................................................................................3
chapter 02: patient safety and risk management ...................................................................................................12
chapter 03: workplace issues and staff safety ........................................................................................................26
chapter 04: infection prevention and control .........................................................................................................37
chapter 05: anesthesia ............................................................................................................................................55
chapter 06: positioning the patient for surgery ......................................................................................................73
chapter 07: sutures, needles, and instruments.......................................................................................................84
chapter 08: surgical modalities ...............................................................................................................................96
chapter 09: wound healing, dressings, and drains ................................................................................................111
chapter 10: postoperative patient care and pain management ...........................................................................123
unit 2: surgical interventions ..................................................................................... 135
chapter 11: gastrointestinal surgery .....................................................................................................................135
chapter 12: surgery of the liver, biliary tract, pancreas, and spleen .....................................................................144
chapter 13: hernia repair ......................................................................................................................................155
chapter 14: gynecologic and obstetric surgery .....................................................................................................166
chapter 15: genitourinary surgery.........................................................................................................................178
chapter 16: thyroid and parathyroid surgery ........................................................................................................191
chapter 17: breast surgery ....................................................................................................................................204
chapter 18: ophthalmic surgery ............................................................................................................................217
chapter 19: otorhinolaryngologic surgery .............................................................................................................229
chapter 20: orthopedic surgery .............................................................................................................................249
chapter 21: neurosurgery ......................................................................................................................................261
chapter 22: reconstructive and aesthetic plastic surgery .....................................................................................273
chapter 23: thoracic surgery .................................................................................................................................285
chapter 24: vascular surgery .................................................................................................................................296
chapter 25: cardiac surgery ...................................................................................................................................306
unit 3: special considerations .................................................................................... 318
chapter 26: pediatric surgery ................................................................................................................................318
chapter 27: geriatric surgery .................................................................................................................................329
chapter 28: trauma surgery...................................................................................................................................341
chapter 29: interventional and image-guided procedures ...................................................................................352
chapter 30: integrative health practices ...............................................................................................................362
,unit 1: foundations for practice
chapter 01: concepts basic to perioperative nursing
multiple choice
1. the perioperative patient focused model presents key components of nursing influence that
guide patient care. select the statement 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.
Answer: a
the perioperative patient focused model consists of domains or areas of nursing concern: nursing
diagnoses, nursing interventions, and patient outcomes. these domains are in continuous interaction
with the health system that encircles the focus of perioperative nursing practice—the patient.
ref: p. 3
2. the association of perioperative registered nurses’ (aorn) standards of perioperative nursing
practice that describes nursing interactions, interventions, and activities with patients falls under which
standards category?
a. evidence-based
b. process
c. outcome
d. structural
Answer: b
process standards relate to nursing activities, interventions, and interactions. they are used to explicate
clinical, professional, and quality objectives in perioperative nursing.
ref: p. 3
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
Answer: d
evidence-based practice is a systematic, thorough process by which to identify an issue, to collect and
evaluate the best evidence to design and implement a practice change, and to evaluate the process.
ref: p. 15
stuvia.com - the marketplace to buy and sell your study material
4. the ambulatory surgery unit is planning to develop a standardized skin preparation practice for
their unit. the best process to 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.
Answer: c
perioperative nurses have an ethical responsibility to review practices and to modify them based upon
the best available scientific evidence. using research to guide practice is called evidence-based practice
(ebp).
ref: p. 10
5. the cardiac team is developing a standardized sterile back table setup and is unable to find
sufficient research evidence for their project. 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 standards and recommended practices on sterilization
d. consult with facility instrument vendor representatives for their advice
Answer: b
when there is not enough evidence to guide practice, perioperative nurses should consider gathering
information from varied trusted sources that reflect best practices.
BY JANE C. ROTHROCK PHD RN CNOR FAAN (BY ROTHROCK) ||
COMPLETE GUIDE || LATEST EDITION
17th Edition
,table of contents
unit 1: foundations for practice ...................................................................................... 3
chapter 01: concepts basic to perioperative nursing ................................................................................................3
chapter 02: patient safety and risk management ...................................................................................................12
chapter 03: workplace issues and staff safety ........................................................................................................26
chapter 04: infection prevention and control .........................................................................................................37
chapter 05: anesthesia ............................................................................................................................................55
chapter 06: positioning the patient for surgery ......................................................................................................73
chapter 07: sutures, needles, and instruments.......................................................................................................84
chapter 08: surgical modalities ...............................................................................................................................96
chapter 09: wound healing, dressings, and drains ................................................................................................111
chapter 10: postoperative patient care and pain management ...........................................................................123
unit 2: surgical interventions ..................................................................................... 135
chapter 11: gastrointestinal surgery .....................................................................................................................135
chapter 12: surgery of the liver, biliary tract, pancreas, and spleen .....................................................................144
chapter 13: hernia repair ......................................................................................................................................155
chapter 14: gynecologic and obstetric surgery .....................................................................................................166
chapter 15: genitourinary surgery.........................................................................................................................178
chapter 16: thyroid and parathyroid surgery ........................................................................................................191
chapter 17: breast surgery ....................................................................................................................................204
chapter 18: ophthalmic surgery ............................................................................................................................217
chapter 19: otorhinolaryngologic surgery .............................................................................................................229
chapter 20: orthopedic surgery .............................................................................................................................249
chapter 21: neurosurgery ......................................................................................................................................261
chapter 22: reconstructive and aesthetic plastic surgery .....................................................................................273
chapter 23: thoracic surgery .................................................................................................................................285
chapter 24: vascular surgery .................................................................................................................................296
chapter 25: cardiac surgery ...................................................................................................................................306
unit 3: special considerations .................................................................................... 318
chapter 26: pediatric surgery ................................................................................................................................318
chapter 27: geriatric surgery .................................................................................................................................329
chapter 28: trauma surgery...................................................................................................................................341
chapter 29: interventional and image-guided procedures ...................................................................................352
chapter 30: integrative health practices ...............................................................................................................362
,unit 1: foundations for practice
chapter 01: concepts basic to perioperative nursing
multiple choice
1. the perioperative patient focused model presents key components of nursing influence that
guide patient care. select the statement 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.
Answer: a
the perioperative patient focused model consists of domains or areas of nursing concern: nursing
diagnoses, nursing interventions, and patient outcomes. these domains are in continuous interaction
with the health system that encircles the focus of perioperative nursing practice—the patient.
ref: p. 3
2. the association of perioperative registered nurses’ (aorn) standards of perioperative nursing
practice that describes nursing interactions, interventions, and activities with patients falls under which
standards category?
a. evidence-based
b. process
c. outcome
d. structural
Answer: b
process standards relate to nursing activities, interventions, and interactions. they are used to explicate
clinical, professional, and quality objectives in perioperative nursing.
ref: p. 3
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
Answer: d
evidence-based practice is a systematic, thorough process by which to identify an issue, to collect and
evaluate the best evidence to design and implement a practice change, and to evaluate the process.
ref: p. 15
stuvia.com - the marketplace to buy and sell your study material
4. the ambulatory surgery unit is planning to develop a standardized skin preparation practice for
their unit. the best process to 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.
Answer: c
perioperative nurses have an ethical responsibility to review practices and to modify them based upon
the best available scientific evidence. using research to guide practice is called evidence-based practice
(ebp).
ref: p. 10
5. the cardiac team is developing a standardized sterile back table setup and is unable to find
sufficient research evidence for their project. 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 standards and recommended practices on sterilization
d. consult with facility instrument vendor representatives for their advice
Answer: b
when there is not enough evidence to guide practice, perioperative nurses should consider gathering
information from varied trusted sources that reflect best practices.
