PATIENT IN SURGERY 16TH EDITION BY
ROTHROCK ISBN10: 0323479146 ISBN13:
9780323479141
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, Table10of10Contents
Unit101:10Foundations10for10Practice
1. Concepts10Basic10to10Perioperative10Nursing
2. Patient10Safety10and10Risk10Management
3. Workplace10Issues10and10Staff10Safety
4. Infection10Prevention10and10Control
5. Anesthesia
6. Positioning10the10Patient10for10Surgery
7. Sutures,10Sharps,10and10Instruments
8. Surgical10Modalities
9. Wound10Healing,10Dressings,10and10Drains
10. Postoperative10Patient10Care10and10Pain10Management
Unit102:10Surgical10Interventions
11. Gastrointestinal10Surgery
12. Surgery10of10the10Liver,10Biliary10Tract,10Pancreas,10and10Spleen
13. Hernia10Repair
14. Gynecologic10and10Obstetric10Surgery
15. Genitourinary10Surgery
16. Thyroid10and10Parathyroid10Surgery
17. Breast10Surgery
18. Ophthalmic10Surgery
19. Otorhinolarygologic10Surgery
20. Orthopedic10Surgery
21. Neurosurgery
22. Reconstructive10and10Aesthetic10Plastic10Surgery
22. Thoracic10Surgery
23. Vascular10Surgery
24. Cardiac10Surgery
Unit103:10Special10Considerations
26. Pediatric10Surgery
27. Geriatric10Surgery1028.10Trauma10Surgery
29. Interventional10and10Image-Guided10Procedures
30. Integrative10Health10Practices:10Complementary10and10Alternative10Therapies
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,Chapter1001:10Concepts10Basic10to10Perioperative10Nursing
Rothrock:10Alexander’s10Care10of10the10Patient10in10Surgery,1016th10Edition
MULTIPLE10CHOICE
1. The10Perioperative10Patient10Focused10Model10presents10key10components10of10nursing10influence10tha
are.10Select10the10statement10that10best10describes10the10dynamic10relationship10within10the10model.
a. The10patient10experience10and10the10nursing10presence10are10in10continuous10interaction.
b. Structure,10process,10and10outcome10are10the10foundation10domains10of10the10model.
c. The10perioperative10nurse10is10the10central10dynamic10core10of10the10model.
d. The10interrelated10nursing10process10rings10bind10the10patient10to10the10model.
ANS:1 0 A
The10Perioperative10Patient10Focused10Model10consists10of10domains10or10areas10of10nursing10concern
ing10interventions,10and10patient10outcomes.10These10domains10are10in10continuous10interaction10with10t
circles10the10focus10of10perioperative10nursing10practice—the10patient.
2. The10Association10of10PeriOperative10Registered10Nurses’10(AORN)10Standards10of10Perioperative10Nu
0interactions,10interventions,10and10activities10with10patients.10This10is10based10on10which10standards10c
a. Evidence-based
b. Process
c. Outcome
d. Structural
ANS:1 0 B
Process10standards10relate10to10nursing10activities,10interventions,10and10interactions.10They10are10used1
essional,10and10quality10objectives10in10perioperative10nursing.
3. Which10order10best10describes10the10process10used10to10implement10evidence-based10professional10nurs
a. Literature10search,10theory10review,10data10analysis,10policy10development
b. Regional10survey,10literature10search,10meta-analysis,10practice10change
c. Identify10problem,10scientific10evidence,10develop10policy,10evaluate10outcome
d. Identify10issue,10analyze10scientific10evidence,10implement10change,10evaluate10process
ANS:1 0 D
Evidence-
based10practice10is10a10systematic,10thorough10process10by10which10to10identify10an10issue,10to10collect10
dence10to10design10and10implement10a10practice10change,10and10to10evaluate10the10process.
4. The10ambulatory10surgery10unit10is10planning10to10develop10a10standardized10skin10preparation10practic
e10best10process10to10gather10scientific10information10is10to:
a. conduct10a10survey10of10skin10prep10policies10at10the10next10AORN10chapter10meeting.
b. review10their10surgical10site10infection10data10from10the10last10610months.
c. conduct10a10literature10search10on10antimicrobial10agents10and10infection10prevention.
d. review10the10scientific10literature10from10the10leading10manufacturers10of10prep10solutions.
ANS:1 0 C
Perioperative10nurses10have10an10ethical10responsibility10to10review10practices10and10to10modify10them1
ble10scientific10evidence.10Using10research10to10guide10practice10is10called10evidence-based10practice10
5. The10cardiac10team10is10developing10a10standardized10sterile10back10table10setup10and10is10unable10to10f
0evidence10for10their10project.10Where10might10they10look10for10information10on10best10practices?
a. Survey10regional10surgical10technology10programs10for10their10back10table10models
b. Review10case10studies10and10expert10opinions10on10sterile10back10table10setups
c. Review10AORN’s10Guidelines10for10Perioperative10Practice10on10sterilizati
on10and10disinfection
d. Consult10with10facility10instrument10vendor10representatives10for10their10advice
ANS:1 0 B
, 7. Which10of10the10following10actions10best10describes10an10element10of10the10perioperative10nursing10ass
a. Scanning10the10surgical10schedule10for10the10day10before10morning10report.
b. Reading10the10pick/preference10list10attached10to10the10case10cart.
c. Reviewing10the10patient10medical10record.
d. Studying10an10on-line10tutorial10about10the10intended10surgical10procedure.
ANS:1 0 C
Assessment10is10the10collection10and10analysis10of10relevant10health10data10about10the10patient.10Sources
operative10interview10with10the10patient10and10the10patient’s10family;10review10of10the10planned10surgic
10review10of10the10patient’s10medical10record;10examination10of10the10results10of10diagnostic10tests;10an
surgeon10and10anesthesia10provider,10unit10nurses,10or10other10personnel.
8. A10frail1076-year-
old10diabetic10woman10is10scheduled10for10major10surgery.10She10is10vulnerable10and10at10high10risk10fo
eral10factors10related10to10her10preexisting10conditions10and10overall10health10status.10As10part10of10deve
her10care,10the10nurse10uses10standardized10descriptive10terms.10This10step10of10the10nursing10process10i
a. nursing10diagnosis.
b. nursing10assessment.
c. nursing10outcome.
d. nursing10intervention.
ANS:1 0 A
Nursing10diagnosis10is10the10process10of10identifying10and10classifying10data10collected10in10the10assess
ides10a10focus10to10plan10nursing10care.10Nursing10diagnosis10components10include10a10definition10of10t
ing10characteristics10and10risk10factors.
9. During10the10admission10interview,10the10nurse10initiated10the10discharge10teaching10and10demonstrated
walking10activities.10The10teaching10activities10are10what10stage10of10the10nursing10process?
a. Assessment
b. Implementation
c. Outcome10identification
d. Evaluation
ANS:1 0 B
Implementation10is10performing10the10nursing10care10activities10and10interventions10that10were10planne
itical10thinking10and10orderly10action10to10changes10in10the10surgical10procedure,10patient10condition,10o
tion10is10the10“work”10of10nursing.
10. While10conducting10the10preoperative10interview10with10a10patient10scheduled10for10a10septoplasty,10the
rned10that10the10patient10was10latex10sensitive.10Based10on10this10knowledge,10the10nurse10reviewed10the
10reassembled10the10surgical10case10cart10setup10to10reflect10this10new10information10and10change10in10c
10phases10of10the10nursing10process10are10represented10in10the10nurse’s10actions?
a. Assessment10and10planning
b. Assessment10and10implementation
c. Planning10and10implementation
d. Nursing10diagnosis10and10intervention
ANS:1 0 C
Planning10is10preparing10in10advance10for10what10will10or10may10happen10and10determining10the10priori
0based10on10patient10assessment10results10in10knowing10the10patient10and10the10patient’s10unique10needs
ming10the10nursing10care10activities10and10interventions10that10were10planned10and10responding10with10
ly10action.10Implementation10is10the10“work”10of10nursing.
11. The10perioperative10nurse10implements10protective10measures10to10prevent10skin10or10tissue10injury10ca
ces.10Successful10accomplishment10of10this10intervention10would10meet10which10of10the10following10de
es?
a. The10patient10is10free10from10signs10and10symptoms10of10injury10from10anxiety.
b. The10patient10is10free10from10signs10and10symptoms10of10impaired10skin10integrity.
c. The10patient10is10free10from10signs10and10symptoms10of10surgical10site10infection.
d. The10patient10is10free10from10signs10and10symptoms10of10hyperthermia.