AORN Periop 101 Final Exam Study Guide
2 Characteristics included in the elements of a culture of safety within a healthcare
organization: - ANS-a. Commitment to safety as the first priority in providing care*
b. Trust among healthcare team members*
4 Barriers to effective pt and family education in the perioperative setting. - ANS-a.
Anxiety about an uncertain outcome-
b. Discomfort or pain-
c. Fear of unknown-
d. Short period of time for assessment and teaching-
4 things the perioperative nurse should do when setting up the insufflation equipment
for an abdominal endoscopic procedure - ANS-a. Have a back up tank available-
b. Verify that CO2 pressure and supply alarms are on and functioning-
c. Position the insufflator at pts heart level or above
d. Verify that the tank valve is open
A critical perioperative nursing diagnosis within the PNDS is: - ANS-Risk for
perioperative positioning injury?
A designation of 4-0 on a suture package indicates this about the suture material. -
ANS-diameter
A packaging system for items undergoing sterilization should possess this
characteristic:
What is....
1. Made of only disposable materials
2. to permit aseptic delivery of contents to the sterile field
3. Maintain sterility of the items for a specified length of time.
4. Compatible with all sterilization processes - ANS-to permit aseptic delivery of
contents to the sterile field
A patient is unable to transfer independently to the procedure bed. To achieve the
PNDS outcomes related to safe patient transfer, name 4 measures that may be used to
prevent shearing injury? - ANS-a. Request additional personnel to assist with pt
transfer-
b. Use a friction-reducing transfer sheet-
c. Use a slider or roller board-
, d. Use the draw sheet to lift the pt slightly to allow the skin to realign with skeletal
structure-
A precaution that should be taken when using this hemostatic agent intraoperatively is
to avoid using it with an autologous blood salvage unit (cell saver). - ANS-microfibrillar
collagen
A psychosocial assessment of your pt should include these 4 things: - ANS-a. Cultural
beliefs and practices-
b. Expectations of perioperative care-
c. Spiritual or religious beliefs-
d. Understanding of the surgical procedure-
A recommended means of promoting the safety of personnel in the surgical suite is:
What is....
a. Routine screening of patients for HIV and hepatitis C
b. Providing access to MSDS (material safety data sheets) for hazardous agents in that
environment
c. Double-glove for every procedure
d. Leaving the room when x-rays are being used, even if scrubbed. - ANS-b. Providing
access to MSDS (material safety data sheets) for hazardous agents in that environment
According to Dewey and Glaser this statement about critical thinking is incorrect.
a. Logical inquiry and thoughtful reasoning
b. Active, persistent and careful consideration of the evidence supporting a decision
c. Passive acceptance of an unreflective jump to conclusion required in the OR.
d. Skill in applying the methods of logical inquiry and reasoning - ANS-Passive
acceptance of an unreflective jump to conclusion required in the OR.
After this is procured by the surgeon, the scrub person should keep it moist with saline
and in a sterile basin until it can be passed to the circulating nurse. - ANS-specimen
An abstract concept that has been developing since Socrates. - ANS-critical thinking
An automatic intraoperative suspension of a do-not-resuscitate decision violates a
patient's ethical right to... - ANS-self-determination
An example of administrative controls to assure safe use of lasers, is the appointment of
a person in this role: - ANS-laser safety officer
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