Periop 101 Final Exam Questions With All Correct Detailed Answers
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Course
NU1426
Institution
NU1426
Periop 101 Final Exam Questions With All Correct Detailed Answers
Indemnity Payment
Liability
Negligence
Nursing Malpractice
Respondeat Superior
Tort
What are the four elements of malpractice?
Elements of Informed Consent
Five Rights of Delegation
Four types of patient privacy health ca...
Periop 101 Final Exam Questions With All
Correct Detailed Answers
1). Indemnity payment
Ans: Payment made on behalf of the policy holder
2). Liability
Ans: A legal responsibility
3). Negligence
Ans: An act or failure to act that deviates from the standard of care
4). Nursing malpractice
Ans: A nurse's negligence or any intentional act that causes physical, financial,
emotional, psychosocial, and/or cognitive damage to the person in the nurse's care
5). Respondeat superior
Ans: An employer is legally responsible for the nurse employee only when:
o The nurse acts within the scope of practice
o Any allegations brought against the nurse occurred during the nurse's employment
o The nurse's actions were within the employer's best interests.
6). Tort
Ans: A breach of duty to another person as outlined by law
7). What are the four elements of malpractice?
Ans: • Duty
• Breach of duty
• The breach of duty caused an injury
• The injury was harmful to the patient
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, 8). Elements of informed consent
Ans: • Must be obtained by the licensed professional who is performing the procedure
• The patient must give consent voluntarily with the full understanding of all implications
• Must include
o Diagnosis
o Proposed treatment
o Treatment alternatives
o Consequences of accepting or declining the proposed treatment
9). Five rights of delegation
Ans: Right task
Right circumstance
Right person
Right communication and direction
Right supervision and evaluation
10). Four types of patient privacy health care providers and personnel have an ethical and legal
responsibility to always maintain
Ans: • Medical information
• Physical exposure
• Personal privacy
• Electronic privacy
11). Eight factors to consider before determining what anesthetic to use for a particular patient
Ans: • Patient's age
• Length & type of surgery
• Patient & surgeon preferences
• Patient's co-existing diseases
• Patient's mental & psychological status
• Patient's previous experiences with anesthesia
• Plans & protocols for postoperative pain management
• Position of the patient during surgery
12). The american society of anesthesiologist's npo guidelines
Ans: • Clear liquids - stop 2 hours before surgery
• Breast milk - stop 4 hours before surgery
• Infant formula - stop 6 hours before surgery
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, • Light meal (toast & a clear liquid) - stop 6 hours before surgery
• Fried foods, fatty foods, meat - stop 8 hours before surgery
13). Circulator rn duties during induction of anesthesia and assisting anesthesia professional
with cricoid pressure
Ans: • Cricoid pressure application is not released until the endotracheal (ET) tube
cuff is inflated, tube placement is confirmed, and anesthesia provider has given a verbal
confirmation to the nurse that the cricoid pressure can be released.
• If intubation or ventilation of the patient becomes difficult, the perioperative nurse
should retrieve additional airway equipment and supplies.
14). General anesthesia
Ans: • A drug-induced reversible state of unconsciousness
• Results in amnesia, analgesia, and loss of responsiveness, decreased stress response,
and loss of skeletal muscle reflexes to a varying degree
15). Regional anesthesia
Ans: • An injection of local anesthetics near nerve fibers that causes reversible loss of
sensation over an area of the body
• Examples include spinal, epidural, and peripheral nerve blocks.
16). Monitored anesthesia care (mac)
Ans: An anesthesia provider monitors the patient, administers sedatives and other
agents as needed, and provides medical services as required.
17). Moderate sedation
Ans: • The administration of sedative, analgesic, and/or anxiolytic agents by a
physician or by a nurse under physician supervision
• Depending on state laws and hospital policies, an RN may administer moderate
sedation.
18). Local anesthesia
Ans: • The infiltration or topical administration of agents to anesthetize a part of the
body
• The perioperative nurse provides patient monitoring and supportive care.
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, 19). Phases of general anesthesia
Ans: • Phase I: Induction
o IV medications and inhalational agents are administered by the anesthesia provider.
• Phase II: Maintenance
o Medications and inhalational agents are administered to keep the patient
anesthetized.
• Phase III: Emergence o At the end of the procedure, the anesthetic agents are
discontinued or reversed to allow the patient to wake up.
Ans: • Older adults
• Infants and children
• Women
• Patients with lower-than-normal body weight
25). Medical conditions associated with increased risk for hypothermia
Ans: • Hypothyroidism
• Hypoglycemia
• Burns
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