3 levels of evidence when preparing for recommendations - answer-A - multiple randomized trails
B - single randomized trails or nonrandomized trials
C - expert opinions, case studies
A national quality partnership with the intent to improve surgical care by reducing infections and other surgic...
CAPA CERTIFICATION STUDY GUIDE
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3 levels of evidence when preparing for recommendations - answer-A - multiple
randomized trails
B - single randomized trails or nonrandomized trials
C - expert opinions, case studies
A national quality partnership with the intent to improve surgical care by reducing
infections and other surgical complications which subject hospital is mandatory
reporting for payment from Medicare known as:
A. SCIP
B. HCUP
C. HIPPA
D. NHANES - answer-A
A state of depressed level of consciousness where the pt responds purposefully to
verbal commands or light tactile stimulation and can maintain an airway is what
type of sedation
A. Minimal sedation (anxiolysis)
B. Moderate sedation (conscious sedation)
C. Deep sedation
D. Anesthesia - answer-B
A woman calls the preop unit stating her infant is having surgery tomorrow. The
mother asks when she needs to stop breastfeeding the pt. The nurse answers:
A. The child can breastfeed until surgery
B. The child can breastfeed until 6 hours before surgery
C. The child can breastfeed until 4 hours before the surgery
D. The child can breastfeed until 8 hours before surgery - answer-C
According to the Perianesthesia Nursing Standards when referring to family
centered care, what is the definition of "family"?
A. Individuals who continue legal, genetic and/or emotional relationships. Patients
and families define their families
B. Groups legally determined to be genetically related
C. Individuals legally assigned as "legal guardian" by court of law
D. The person who brings the patient to the hospital - answer-A
Adolescent bp - answer-112-128/66-80
Age 1-2 HR - answer-80-130
Age 3-4 HR - answer-80-120
Age 5-6 HR - answer-75-115
,Age 7-9 - answer-70-110
Alderate - answer-- Determine pt's readiness for discharge from PACU
- Scores based on activity of extremities, bp, consciousness, and O2 sats
All of the following are correct discharge instructions following mitomycin treatment
except:
A. Do not use a public bathroom immediately after treatment
B. If painful urination continues more than 24 hrs after procedure, call the doctor
C. Treatment can cause blue-green urine
D. Limit fluids postoperatively - answer-D
An organ most commonly affected by tylenol is
A. Liver
B. Kidney
C. Stomach
D. Intestines - answer-A
Angio-Seal device - answer-Collagen sponge with an anchor that stops bleeding
from the puncture site
As a pt safety measure, pts should be identified:
A. By the family and medical record
B. Procedure and name
C. Medical record and name
D. Name and birthday - answer-D
ASA 1 - answer-Healthy non-smoking, normal BMI pt
ASA 2 - answer-- Pt with mild diseases but well controlled
- May be a current smoker
- BMI 30-40
ASA 3 - answer-Pt with severe systemic disease
ASA 4 - answer-Pt with a disease that is constant threat to life
ASA 5 - answer-Pt not expected to survive without the planned surgery
ASA 6 - answer-Brain-dead pt waiting for organ harvest
Assault - answer-The pt fears they may be harmed due to intentional actions of staff
Battery - answer-Touching the pt without consent
BiPAP - answer-- Delivers PEEP, pressure support times breaths
- Reacts to changes in breathing
- Non-invasive equivalent to a vent
Blended care - answer-- Care of pts who belong in multiple phases of care
, - Clinical judgement is required to determine safe staffing
- Pts in different levels may share same physical space
- An effort must be made to ensure privacy and confidentiality
Brachial plexus - answer-- Block of spinal nerves from C5-T1 vertebrae
- Each bundle divides and eventually end in radial, ulnar, and median nerves
- Used for hand, forearm, and shoulder surgeries
- Interscalene, supraclavicular, infraclavicular, axillary
Capnography - answer-- Can detect early hypoxia to allow correction of
hypoventilation, apnea, or airway obstruction
- Can be used in areas other than operating rooms for procedures or peripheral
nerve blocks
- Can increase safety for pts when included with use of pulse ox
- O2 supplementation may correct for pulse ox readings but may mask
hypoventilation
Current recommendations regarding observation prior to discharge of a pt who has
received a reversal agent include
A. Minimum 1 hr observation prior to discharge
B. Minimum of 30 min observation prior to discharge
C. Minimum of 2 hrs prior to discharge
D. Minimum 3 hrs prior to discharge - answer-C
Current recommendations suggest how long to observe pt after receiving a dose of
sedative or opioid prior to discharge?
A. 15 min
B. 30 min
C. 60 min
D. 2 hrs - answer-B
Deep sedation, analgesia - answer-- Pt responds purposefully to painful stimulation
- Pt may not be able to maintain their own airway
Discharge criteria for a pt when OSA could include all the following except:
A. Return to baseline mental status
B. O2 is 94% or at baseline
C. Pt has CPAP at home
D. No evidence of hypoxia or obstruction when pt if left alone for 15 min - answer-D
Discharge instructions for a pt going home with a foley include all the following
except:
A. Measure urine when emptying bag and record amounts
B. Always keep the drainage bag at waist level
C. Do not let the tubing become kinked
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