WITH COMPLETE ANSWERS
[GUARANTEED A+]
What Wound classification for vaginal hysterectomy?
a. Class I
b. Class II
c. Class III
d. Class IV - ✔✔B. There is controlled entry into the genitourinary tract.
Alexander's Care of the Patient in Surgery 16th ed. Ch 9
The CRNA is attempting to open the 25-year-old man's mouth for
intubation but the jaw is tight and she's having difficulty. the nurse notices
that the patient's capnograph is rising dramatically as the CRNA continues
to struggle to open the jaw to intubate and the patient's heart rate and
©morren2025/2026.Year published 2025.
,blood pressure are rising. what is the appropriate response for the
perioperative nurse?
a. The anesthesia is too light, and the patient is confused and struggling
against the CRNA the perioperative nurse suggests giving more sedation
b. These are signs of malignant hypothermia the perioperative nurse tells
the CRNA what she's seeing. the perioperative nurse calls the or desk to
ask for help and the MH cart be brought to the room.
c. the patient is having an allergic reaction to a medication. the
perioperative nurse informs anesthesia provider and assists accordingly
d. MASSETEER space muscle rigidity also known as MMR is not un -
✔✔B. These are early signs of Malignant Hyperthermia. MMR does
happen more frequently in pediatric patients (not 25-year-olds) and may not
be associated with MH but you'd not see the rise in HR, BP or ETCO2 with
it.
Berry and Kohn's Operating Room Technique 13th ed Ch 31
©morren2025/2026.Year published 2025.
,The 19-year-old patient arrives to the OR within 2 hours of a traumatic
open Tib/Fib fracture for ORIF. What wound class is it?
a. Class I
b. Class II
c. Class III
d. Class IV - ✔✔A fresh open trauma is classified as Contaminated (Class
3), A fresh trauma is one that is less than 4-6 hours old at the start of
surgery.
Alexander's Care of the Patient in Surgery 16th ed. Ch
Patients with one or more of Virchow's triad are at increased risk for
Deep vein thrombosis
Hemorrhage
Surgical site infection
Respiratory distress - ✔✔Virchow's triad describes the three broad
categories of factors that are thought to contribute to thrombosis.
©morren2025/2026.Year published 2025.
, Hypercoagulability. Hemodynamic changes (stasis, turbulence) Endothelial
injury/dysfunction. DVT is at an increased risk
Alexander's Care of the Patient in Surgery 16th ed. Ch. 2
The Spaulding classification system is used to determine:
Appropriate methods to attain desired level of processing required for
safety in patient care items.
Safety standards for safely administering and monitoring anesthesia care
Post-operative discharge criteria
Ideal pressurization for rubberized spherical items - ✔✔Earle Spaulding, a
microbiologist, developed a classification system in 1968 to determine the
appropriate method to attain the desired level of processing required for
safety in patient care items. This system was adopted and later modified by
the CDC.
©morren2025/2026.Year published 2025.