AORN Questions with complete Answers 100% to Pass

AORN Questions with complete Answers 100% to Pass What feature is common to delay primary closure? The wound is cleaned, debrided, and packed for eventual skin approximation Wound healing is influenced by numerous intrinsic and extrinsic factors. What could place stress on a fresh postoperative wound? Vomiting, coughing, edema What is an example of biologic wound debridement? Sterile maggot application What is the main reason for the use of negative pressure wound therapy? To reduce edematous bacterial load and initiate wound contracture and healing What is a disadvantage of a drain? It provides an entry for pathogenic microorganisms What class is a wound that entered the respiratory, or gastrointestinal tract under controlled circumstances? Class II What materials are used in the composition of non-absorbable sutures? cotton, metal, linen A stitch that is separated and tied independently of other stiches is called a(n) interrupted stich In addition to sutures, the skin can be closed using staples, adhesive, and wound strips Coefficient of friction is an element of which suture material characteristic? Handling Describe the mode of transmission in the chain of infection a microbe's route from the portal of exit Drug diversion is the result of a facility's lack of narcotic security measures What outlines sharps safety for the healthcare provider? Bloodborne Pathogen Standard A patient with influenza placed on droplet precautions is scheduled for a bronchoscopy. What type of mask should the RN wear during the procedure? A fit-tested N95 Are PAPRs recommended in the OR by the CDC? No When caring for a patient on airborne precautions in that location is the respirator removed? outside of the AIIR Which level of the Hierarchy of Controls addresses changing the way people work? Administrative controls According to OSHA's Bloodborne Pathogens Standard, when should you wear PPE? for any anticipated blood or body fluid exposure Why is an employee screened for certain diseases that have an associated vaccination? the diseases are preventable What is not a warning sign of SARS-CoV-2 sore throat What is a negative consequence of specimen error? Potential litigation To decrease the possibility of specimen compromise, the scrub person should cover and label the specimen When transferring the specimen off the sterile field, the scrub person should confirm with the RN circulator that the container is large enough for the specimen An incomplete, inaccurate, or delayed diagnosis can have devastating consequences for the patient. What is a negative outcome of specimen mismanagement that can have a direct impact on any member of the surgical team? Exposure to blood and other potentially infectious materials It is necessary for specimen containers to be leak-proof, puncture resistant, large enough to contain the specimen and preservative What patient harm may occur due to a specimen management error? Extended length of stay How are bullets handled during procedure? Grasped with a metal instrument with protective rubber shods and placed in a non-metal basin Why would a patient's medical device be removed? infection, manufacturer recall, discomfort What is the appropriate procedure for returning an implant to the manufacturer? Follow the manufacturer's instructions If the facility policy and procedure does not describe steps for handling an infectious specimen, who would you call? Pathology department What type of alloy finish on an instrument eliminates glare and is often used during laser surgery? Ebony What is the preferred sterile solution to use on the sterile field to remove debris from instruments? Water What characteristic of robotic instruments is defined as an instrument with a specific number of uses? Reposable What are the classifications of endoscopes? Flexible, rigid, semi-rigid Describe the Kocher clamp toothed tip to hold tough tissue The four major catagories of intruments are cutters, clamps, retractors, other The weight of an instrument tray should not exceed 25 pounds Powered surgical instruments are powered by air, electricity, or battery It is important to know that an instrument looks like and what it is called for the count process, to save OR time, and to understand what is being said An ergonomic consideration for instrument use would include the ________ of the instrument weight Which area is considered a sterile area of a surgical gown? front of the gown Who often should surgical gloves be changed during surgery? every 90-150 minutes How should a surgical hand rub be applied? Apply solution according to the manufacturer's intructions for use What is an example of a glove perforation indicator system? the inner glove is a different color from the outer glove For initial gloving after you have donned a sterile gown, what self-gloving technique should you use? closed gloving You are helping a team member don a sterile gown and gloves. Assist the team member by Releasing the gown and stepping away once the team member's arms are in the gown You are assigned to scrub for a surgical procedure, and you know there will be a high risk of blood and fluid exposure and a significant amount of fluid drainage and irrigation. Which ANSI/AAMI class of gown should you wear? Level 4 Should you wear any rings, watches, or bracelets during surgical hand antisepsis? no What action should be taken FIRST to remove a gown and gloves after the completion of a surgical procedure? Which gloved hands, pull the gown away from your body and break the ties, roll it into a bundle touching only the outside of the gown If your sterile glove becomes contaminated during a surgery, what action should you take FIRST? step away from the sterile field and ask a non-scrubbed team member to remove the contaminated glove What is one principle of surgical draping? handle the drapes as little as possible