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- Using g mechanical g friction g will g not g aid g i n g Ans>> gRemovalgofgResidentgbacteria
- Reduction g in g resident g bactiera g is g aided g by g Ans>> gAntimicrobials
- Prolonged g contact g of g skin g atisepsis g agents g due g to g pooling g of g solutions g can g cau se g patient g injuries g that g inlude Ans>> gChemicalgandgthermalgburns
- Which g one g of g the g following g statements g is g TRUE? g Ans>> gHeatinggpovidone- iodinegmaygdecreasegit'sgeffectiveness
- Documentation g of g the g preoperative g skin g prep g includes g all g of g the g following g exc
AORN PERIOP 101 FINAL EXAM
Questions and Answers (Verified Revised
Full Exam)
ept g Ans>> gHairgRemoval
- The g concept g of g prepping g from g clean g to g dirty g means Ans>> gBeginninggatgthegsurgicalg sitegandgusinggcirculargstrokesgtowardgthegperiphery
- Common g resident g bacteria g include g all g except g A ns>> gStaphylococcusgepidermisg Staphylococcusgaureusg Diptheroidgbacillus ++Pseudomonasg aeruginosa
- Which g of g the g following g statements g about g the g skin g prep g is g FALS E g Ans>> g++Povi-gdone-iodinegshouldgnotgbegallowedgtogdry Maufacture'sgguidelinesgshouldgbegfollowed Skingprepgisgperformedgaftergthegptghasgbeengpositioned Thegnamegofgthegpersongperforminggthegprepgshouldgbegdocumented
- Objectives g of g the g surgical g prep g include g all g EXCEPT g Ans>> gRemovalgofgdirt,gskingoil,gandgmicrobesgfromgthegskin gSterilizationgofgskingReduction ofgbacterialgcount Preventiongofgregrowthgofgmicrobesgforgseveralghours
- The g generally g recognized g length g of g time g required g for g contact g of g antimicro- g bial g agents g to g be g effective g is Ans>> gAccordinggtogmanufacturersgdirection
ng g Ans>> gTouchinggthegORgbedgcontrols Adjustingg ag ptg bedg linens MarkinggthegsurgicalgsitegAll
ofgthegabove
- When g should g peri- operative g team g members g use g an g alcohol g based g rub g for g hand g hygiene? Ans>> gAfterghandsghavegbeengexposedgtogbloodgorgothergbodilygfluidsgAftergusinggthegrestr oom +++Whenghandsgaregnotgvisiblygsoiled Whengcaringgforgpatientsgwithgspore-forminggorganisms
- How g much g of g an g alcohol g based g hand g rub g should g be g used g when g performing g ha nd g hygiene Ans>> gThegamountgrecommendedgbygthegmanufacturer
- Perioperative g team g members g should g maintain g fingernails g at g a g maximu m g of g Ans>> g2mmg(0.8")
- Which g of g the g following g measures g is g helpful g for g maintaining g healthy g ski n g and g minimizing g the g risk g of g hand g dermatitis Ans>> gCompletelygdryingghandsgbeforegputtinggongglovesgAvoidi nggwaterghottergthang80F
Ans>> gDirectg observation Measurementgofgproductgusage
Automatedgmonitorin ggSelf-reporting
- Approximately g what g percentage g of g surgical g patients g develop g a g surgical g site g infe ction g during g hospitalization Ans>> g 5%
- Which g of g the g following g terms g is g used g to g refer g to g seepage g of g fluid g through g a g ste rile g material g with g subsequent g bacterial g penetration Ans>> gStrike-through
- Which g of g the g following g types g of g drape g is g to g be g tubul ar g Ans>> gStockinette
- Which g of g the g following g is g recommended g when g opening g a g sterile g field g in g the g perioperative g setting Ans>> gCablesgandgtubinggshouldgbegsecuredgwithgnon-perforatinggdevices
- Which g surface g of g the g sterile g field g drapes g are g considered g ste rile g Ans>> gTOPgONLY
- Drapes g are g considered g contaminated g under g which g of g the g following g condi- g tions g Ans>> gAgholegisgdiscovered Thegdrapegdropsgbelowgwaistglevel
- Which g of g the g following g is g the g most g important g practice g for g minimizing g the g risk g for g transmission g of g infectious g organism g transmission
Ans>> g HANDg WASHING
- Which of the following parts of a surgical gown are considered sterile? g Ans>> g - Thegsleevesgfromgthegcuffgtog2"gabovegthegelbow
- Which g of g the g following g statements g about g preoperation g of g sterile g fields g is g m ost g accurate Ans>> g Perioperativeg teamg membersg shouldg performg surgicalg handg anit- g sepsisg beforegenteringgthegsterilegfield
- Which g of g the g following g areas g of g properly g draped g sterile g field g is g considered g ste rile g Ans>> gThegTOP
- Which g of g the g following g isolation g technique g procedures g should g be g followed g to g pr event g the g spread g of g cancer g cells g from g one g area g to g another g during g resection g of g metat statis g tumors Ans>> gChanginggSurgicalgglovesgwhengsoiled CoveringgexistinggsterilegdrapesgwithgnewgsterilegdrapesgaftergthegresectiongDiscontinuinggus egofginstrumentsgaftergtheygweregusedgforgthegtumorgexcisiongOrganizinggsterilegfieldgingagw aygthatgminimizesgriskgofgexposuregtogcancerousgcellsg ALLgOFgTHEgABOVE
16 g ++Requiresgeffectivegcommunicationgandgcollaborationgbetweengnurses,ganesthesia,g andgthe surgeon
17 g Isgsafegforgallgpatientsgasglonggasgtourniquetgtimegdoesgnotgexceedg 30 gminutes
- Physiological g effects g of g exsanguination g and g pneumatic g tourniquet g inflation g du ring g surgery g typically g include g all g of g the g following g EXCEPT Ans>> gIncreasegingcentralgvenousgpressur egIncreasedgheartgrategIncreased coregbodygtemp +++Decreasedgcoregbodygtemp
- Which g of g the g following g is g NOT g a g common g physiological g effect g pneumatic g tourn iquet g deflation g following g a g period g of g inflation g are g characterized g by g Ans>> gHy
- g potension Decreasedgheartgrate ++ +IncreasedgcoregbodygtempgDecre asedgcoregbodygtemp
- The g acid g base g effect g of g penumatic g tourniquet g deflation g ollowing g a g perio d g of g onfaltion g are g characterized g by Ans>> gElevatedgPaCO2gwithgrespgacidosisgandgmetabolic
19 g
- Chiose g the g false g stemant g regarding g intravous g regional g anesthesia g (Bier's g Bloc k) g Ans>> g++ +Aftergagproceduregisgover,gthegperioperativegnursegshouldgleavegthegcuffginflated forgatgleastg 60 gminutes
20 g Intermittentlygdelfatinggandgreinflatinggthegcuffgforgseveralgcyclesgaftergthegprocedureg isgove rgmayghelpgminimizegpeakgbloodgconcentrationgofgtheglocalganesteticgandgreduceg thegriskgofga gsystemicgtoxicgreactoin Centralgnervousgsystemgabnormalitiesgaregussuallygthegearliestgwarninggsignsgofgag systemicgto xicgreactiongduringgintravenousgregionalganesthesia Beforegapplyinggagpneumaticgtourniquet,gnursesgshouldgscreengpatientsgforgsensitivesgtoglocalgane stheticsgandgcommunicategwithgtheganesthesiagprofessionalgtogconfirmgthegplangforgintraveno usgregionalganesthesia
- Choose g the g extremity g and g nerve g most g frequesntly g affected g by g pneu mitc g tourniquet g indced g nerve g damage Ans>> gLowerglimb,gperonealgnerve ++Upperglimb,gradialgnerve
