Aorn periop 101 mock exam 100% correct answers|

Aorn periop 101 mock exam 100% correct answers| -arm extention should be less than 90 degrees to avoid compression of brachial plexus -pressure points padded -soft pillow under knees to prevent lower back stress -safety strap applied with blanket protecting skin *ans*supine position -headrest or pillow placed under patients head -upper arm above lower arm on same plane as shoulder; forearm and wrist in neutral position; palm down -lower arm on same plane as or mattress; forearm and wrist in neutral positino; palm up -don't forget the axillary roll!! -lower leg is flexed at hip and knees -upper leg is straight and supported with pillows between legs -safety strap! (or bean bag; or pegs) *ans*lateral position -maintain feet in correct anatomical position to prevent foot drop -eyes padded and pressure avoided to prevent conjunctival edema, corneal abrasion, or retinal ischemia -arms rotated slowly on arm boards preventing brachial plexus injury -most vulnerable to resp problems due to compression of diaphragm which impairs gas exchange *ans*prone position -no inflammation -resp, ailmentary, and gu tracts not entered -ex. Eye surgery, hernia repairs, breast surgery, nontraumatic neuro & ortho surgery, cardiac, or peripheral vascular surgery *ans*class i-clean wounds -old, traumatic wounds with devitalized tissue, perforated viscera, delayed primary wound closure -ex. Incision and drainage, total evisceration, perforated viscera *ans*class iv-dirty wounds -open, fresh, traumatic wounds -major break in sterile technique -gross spillage from gi tract -incisions with acute nonpurulent inflammation -ex. Laparotomy w/ significant spillage, traumatic wounds, acute appendicitis or cholecystitis, compound fractures *ans*class iii-contaminated wounds -patient's buttocks is even with lower break in or bed but should not extend over the break to prevent strain on sacrum -arms are placed on padded arm boards to prevent patient fingers from resting in the or table break Physiologic effects -significant drop in bp if legs lowered too quickly -circulatory and resp systems may be compromised due to compression of abdomen on inferior vena cava and ab aorta -dislocation of hips if legs not raised or loewred simulatneously or not positioned at equal heights *ans*lithotomy position -resp, ailmentary, or gu wounds entered under controlled conditions and without contamination of surrounding tissue -no evidence of infection or major break in aseptic technique -ex. D&c, total hysterectomy, gastrectomy, chole without spillage, elective appy, cystoscopy, turp on pt w/ negative urine cultures, sigmoid colon resection *ans*class ii-clean contaminated 3 categories of disinfection according to spaulding classification systems *ans*-noncritical: contact with unbroken skin -semi critical: contact with mucous membranes -critical: contact with blood stream or otherwise normally sterild body areas 3 main categories of direct costs *ans*medical supplies Personnel Purchasing services 4 steps of wrong site, wrong procedure, wrong person surgery protocol *ans*patient participation Indentifying the patient Marking the site Time out 5 complications of administering anethesia *ans*laryngospasms Heart problems Bp changes Arrythmia Hemorrhage Anaphylaxis Hypo/hyperthermia 5 factors affecting wound healing controlled by surgical team *ans*maintenance of sterile and aseptic technique Hemostasis Removal of necrotic tissue Choice of closure material Closing w/ sufficient tension 6 things periop nurse should document when performing skin antisepsis on a pt *ans*skin condition Hair removal Area prepped Person performing prep Any hypersensitivity reactions