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Test Bank for Alexander’s Care of the Patient in Surgery 17th Edition by Rothrock
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Test Bank for Alexander’s Care of the Patient in Surgery 17th Edition by Rothrock
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Test Bank for Alexander’s Care of the Patient in17th Edition by Rothrock
,Chapter 01: Concepts Basic to Perioperative Nursing
Rothrock: Alexander’s Care of the Patient in Surgery, 17th Edition
MULTIPLE CHOICE
1. The Perioperative hospital patient Focused Model presents key components of nursing influence that g
patient care. Select the statement that best describes the dynamic relationship within the model.
a. The hospital patient experience and the nursing presence are in continuous interaction.
b. Structure, process, and outcome are the foundation domains of the model.
c. The perioperative professional nurse is the central dynamic core of the model.
d. The interrelated nursing process rings bind the hospital patient to the model.
RIGHT CHOICE<> A
EXPLANATION- The Perioperative hospital patient Focused Model consists of domains or areas of n
diagnoses, nursing interventions, and hospital patient outcomes. These domains are in continuous intera
that encircles the focus of perioperative nursing practice—the hospital patient.
2. The Association of PeriOperative Registered Nurses’ (AORN) Standards of Perioperative Nursing desc
interventions, and activities with hospital patients. This is based on which standards category?
a. Evidence-based
b. Process
c. Outcome
d. Structural
RIGHT CHOICE<> B
EXPLANATION- Process standards relate to nursing activities, interventions, and interactions. They a
professional, and quality objectives in perioperative nursing.
3. Which order best describes the process used to implement evidence-based professional nursing?
a. Literature search, theory review, data analysis, policy development
b. Regional survey, literature search, meta-analysis, practice change
c. Identify problem, scientific evidence, develop policy, evaluate outcome
d. Identify issue, analyze scientific evidence, implement change, evaluate process
RIGHT CHOICE<> D
EXPLANATION- Evidence-based practice is a systematic, thorough process by which to identify an is
best evidence to design and implement a practice change, and to evaluate the process.
4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice for their un
gather scientific information is to:
a. conduct a survey of skin prep policies at the next AORN chapter meeting.
b. review their surgical site infection data from the last 6 months.
c. conduct a literature search on antimicrobial agents and infection prevention.
d. review the scientific literature from the leading manufacturers of prep solutions.
RIGHT CHOICE<> C
EXPLANATION- Perioperative nurses have an ethical responsibility to review practices and to modify
available scientific evidence. Using research to guide practice is called evidence-based practice (EBP).
5. The cardiac team is developing a standardized sterile back table setup and is unable to find sufficient re
project. Where might they look for information on best practices?
a. Survey regional surgical technology programs for their back table models
b. Review case studies and expert opinions on sterile back table setups
c. Review AORN’s Guidelines for Perioperative Practice on sterilization and
disinfection
d. Consult with facility instrument vendor representatives for their advice
RIGHT CHOICE<> B
, d. Studying an on-line tutorial about the intended surgical procedure.
RIGHT CHOICE<> C
EXPLANATION- Assessment is the collection and analysis of relevant health data about the hospital pat
a preoperative interview with the hospital patient and the hospital patient’s family; review of the plann
procedure; review of the hospital patient’s medical record; examination of the results of diagnostic test
surgeon and anesthesia provider, unit nurses, or other personnel.
8. A frail 76-year-old diabetic woman is scheduled for major surgery. She is vulnerable and at high risk fo
factors related to her preexisting conditions and overall health status. As part of developing a plan to gu
professional nurse uses standardized descriptive terms. This step of the nursing process is called:
a. nursing diagnosis.
b. nursing assessment.
c. nursing outcome.
d. nursing intervention.
RIGHT CHOICE<> A
EXPLANATION- Nursing diagnosis is the process of identifying and classifying data collected in the as
provides a focus to plan nursing care. Nursing diagnosis components include a definition of the diagno
characteristics and risk factors.
9. During the admission interview, the professional nurse initiated the discharge teaching and demonstrate
The teaching activities are what stage of the nursing process?
a. Assessment
b. Implementation
c. Outcome identification
d. Evaluation
RIGHT CHOICE<> B
EXPLANATION- Implementation is performing the nursing care activities and interventions that were p
critical thinking and orderly action to changes in the surgical procedure, hospital patient condition, or em
the “work” of nursing.
10. While conducting the preoperative interview with a hospital patient scheduled for a septoplasty, the pe
nurse learned that the hospital patient was latex sensitive. Based on this knowledge, the professional nu
pick/preference list and reassembled the surgical case cart setup to reflect this new information and cha
Which two phases of the nursing process are represented in the nurse’s actions?
a. Assessment and planning
b. Assessment and implementation
c. Planning and implementation
d. Nursing diagnosis and intervention
RIGHT CHOICE<> C
EXPLANATION- Planning is preparing in advance for what will or may happen and determining the pr
based on hospital patient assessment results in knowing the hospital patient and the hospital patient’s un
is performing the nursing care activities and interventions that were planned and responding with critic
action. Implementation is the “work” of nursing.
11. The perioperative professional nurse implements protective measures to prevent skin or tissue injury ca
sources. Successful accomplishment of this intervention would meet which of the following desired nu
a. The hospital patient is free from signs and symptoms of injury from anxiety.
b. The hospital patient is free from signs and symptoms of impaired skin integrity.
c. The hospital patient is free from signs and symptoms of surgical site infection.
d. The hospital patient is free from signs and symptoms of hyperthermia.
RIGHT CHOICE<> B
EXPLANATION- Chemical and thermal sources used in surgery can cause skin and tissue burn
povidine-iodine, radiation, lasers). The hospital patient being free from signs and symptoms of ch
injury, and electrical injury are approved NANDA International nursing diagnoses.
12. The nursing diagnosis is derived from:
, 13. A 36-year-old woman was preoperatively admitted for laparoscopic cholecystectomy with operative ch
interviewed by her perioperative professional nurse in the preoperative intake lounge. The hospital pati
was 245 lb. After the assessment, the professional nurse returned to the operating room (OR) and modi
care by instituting risk reduction strategies that were derived from information from the preoperative as
example of this action would best be described by:
a. replacing the regular OR bed with a bariatric-specific OR bed.
b. providing protective lead aprons for all staff during the procedure.
c. writing the hospital patient’s name, allergies, and body weight on the whiteboard.
d. administering antibiotics to the hospital patient 1 hour before the incision.
RIGHT CHOICE<> A
EXPLANATION- Planning is preparing in advance for what will or may happen and determining the p
based on hospital patient assessment results in knowing the hospital patient and the hospital patient’s uni
in events, such as positioning the hospital patient on a bariatric-specific OR bed as opposed to a regular
accommodated. Replacing the OR bed with a larger OR bed is a nurse-sensitive preventive interventio
based on hospital patient need.
14. Adoption of an electronic medical record requires the use of consistent terminology. Empirically valida
perioperative nursing language may be found in the:
a. Perioperative hospital patient Focused Model.
b. Nursing Alliance for Quality Care (NAQC).
c. Perioperative Nursing Data Set (PNDS).
d. Standards of Perioperative Nursing.
RIGHT CHOICE<> C
EXPLANATION- After 6 years of research and validation, the Perioperative Nursing Data Set (PNDS)
specialty nursing language, providing a uniform and systematic method to document the basic element
care.
15. When delegating a task, such as removing an intravenous (IV) catheter, to an unlicensed individual, the
a. retains responsibility for evaluating the outcome of the task.
b. must comply with the seven “rights” of delegation.
c. transfers the authority to perform the related assessments.
d. transfers the supervision of the competent person to another competent person.
RIGHT CHOICE<> C
EXPLANATION- Delegation transfers to a competent person the authority to perform a selected nursi
situation according to the “five rights” of delegation. When delegating care activities, perioperative nur
analyzing and evaluating the outcomes of delegated tasks.
16. A hospital nursing excellence center for education developed standards for nursing advancement that w
achievement of professional performance. They developed a clinical advancement ladder based on the
acquisition model and established worthy criteria for each level. Select the response that might best des
achievement for a perioperative staff nurse.
a. Certified nurse, OR (CNOR) credential, BSN, and chair of the nursing
research committee
b. Published article in the hospital newsletter and 15 years’ service pin
c. BCLS instructor and weekend Emergency Medical Technician (EMT) transport
d. Patient safety champion and nurses’ union representative
RIGHT CHOICE<> A
EXPLANATION- Achieving certification (CNOR), pursuing lifelong learning, and maintaining compe
perioperative nursing are the hallmarks of the professional.
17. Performance improvement activities in the perioperative practice setting are designed to promote:
a. cost savings by eliminating fines for near-misses and never events.
b. customer satisfaction and loyalty.
c. time measurement activities.
d. efficient, effective, and ethical quality care.
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