Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
2024 CNOR ACTUAL PRACTICE EXAM QUESTIONS AND CORRECT ANSWERS
Typology: Exams
1 / 18
If the alimentary, respiratory, and genitourinary tracts or oropharyngeal cavity are entered under controlled conditions without significant spillage or unusual contamination, the surgical wound is classified as which of the following?
Clean-contaminated wound
A patient who receives a score of 3 using the Glasgow Coma Scale for eye opening is able to open his/her eyes...
in response to painful stimuli
It is important for the perioperative nurse to communicate a patient's new onset atrial fibrillation because of an increased risk of...
stroke caused by embolus
______________________ is the mnemonic used when performing a secondary assessment of a patient after all life-threatening issues have been treated.
FGHI
The PNDS (Perioperative Nursing Data Set) uses _______ domain(s) to address the perioperative nursing process.
four
The perioperative RN notes that the patient is taking garlic as a prophylactic cold remedy. This information is reported to which of the following health care providers?
A. The anesthesia care provider, as the herb can prolong bleeding
____________________ is an ideal complementary therapy to decrease patient anxiety during the intraoperative period, as there is no contact between the practitioner's hands and the patient.
Therapeutic touch
While a nurse is walking in the hallway to the preoperative area, he notices his neighbor on one of the surgical stretchers waiting for an anesthesia interview. What is the nurse's most appropriate action?
Not stopping or acknowledging the neighbor.
Swelling of muscles below the fascial layer of tissue is called...
compartment syndrome
A nurse assists the anesthesiologist with placement of a spinal anesthetic. The nurse notices the physician's sterile glove brush against the OR table cover. Which of the following actions demonstrates professional conduct by the nurse?
Inform the physician of the break in sterile technique and provide new sterile gloves
The time between traumatic injury and effective treatment that directly influences patient outcomes is referred to as the:
golden hour
The FDA began the voluntary _________ program to encourage physicians, nurses, pharmacists, and other health care professionals to report adverse events and defects or problems with regulated drugs and devices.
MedWatch
Patients at the highest risk for postoperative respiratory complication are patients who...
are obese
During a cataract extraction, which of the following medications is used as a prophylactic to reduce inflammation?
Dexamethasone
Secondary injury from a blast injury is caused by...
debris and projectiles
Which of the following statements best describes the World Health Organization (WHO) surgical safety checklist?
The checklist is used as one means of improving patient safety
During a subtotal thyroidectomy, both the right and left recurrent laryngeal nerves are ligated. The perioperative nurse can anticipate the need for which of the following interventions?
Obtaining an emergency tracheotomy tray
Administration of the preoperative prophylactic antibiotic is the responsibility of...
the anesthesia care provider
Which of the following patients is at an increased risk of inadvertent hypothermia?
A 62-year-old undergoing a coronary artery bypass graft (CABG) surgery
The perioperative RN is caring for a developmentally delayed male patient aged 46 years whose cognitive level is comparable to a child aged 9 years. Which of the following is the most appropriate pain assessment tool?
Using a FACES pain rating scale
Which of the following is an example of a program designed to introduce or demonstrate equipment, techniques, or procedures used when providing patient care within the perioperative department?
In-service education activities
In infants older that 3 months, shivering from extremes of cooling generates body heat, which increases metabolic needs and causes an increase in oxygen consumption.
200% to 500%
The RN circulator documents on the patient's record what was counted, __________, and by whom, and if the count was correct or incorrect.
type and size of needles counted
Explanted medical devices that have caused serious injury to the patient must be reported to which of the following?
FDA
When safely placing an adult patient in the prone position for surgery, a minimum of _____________ people are required.
five
A 12-year-old boy is scheduled for surgery to repair a fracture to the knee involving the epiphyseal plate. The perioperative nurse recognizes the primary complication resulting from this injury is...
impaired growth to the affected leg
A coup-contracoup brain injury is due to...
acceleration/deceleration forces
Radiation seeds have been removed along with prostatic tissue during a transurethral resection of the prostate. How should the tissue be handled?
Placed in a specimen container using forceps
The heel bone is referred to as the ______.
calcaneus
The perioperative nurse has a professional responsibility to consider factors related to a product's impact on the environment, as demonstrated by which of the following actions?
The nurse supports vendors who offer products made from recycled materials
Which of the following is a requirement for reprocessing a single-use device (SUD)?
Ensuring the device is FDA approved
In the postoperative phase, information that should be included during handoff includes estimated blood loss, surgeon's orders for drains, diet, modifications, and...
surgical site dressings
The patient with musculoskeletal trauma arriving to the perioperative suite should receive a neurological assessment that includes observation of skin color, skin temperature, movement, sensations, pain, and ________ to create a baseline for all interventions.
pulses
A perioperative nurse is made aware of the impaired practice of another team member. According to the American Nurses Association's Code of Ethics, the perioperative nurse should...
act to ensure the impaired person receives assistance
Which of the following is a best practice related to cost containment?
Standardize products
During intraoperative use of monopolar electrosurgery unit, the...
return electrode should be placed as close to the surgical site as possible
It is important for nurses to use ________ when documenting nursing practice for the perioperative patient.
nursing terminology
A patient is admitted from a long-term care facility with a fractured hip. The patient has a "Do Not Resuscitate (DNR)" order in his medical record. The perioperative nurse's next action is to...
ensure that the patient, anesthesia care provider, and surgeon have an opportunity to discuss options and answer questions.
Electrical and laser equipment should pass inspection by the __________ and be tagged with a dated preventative maintenance sticker.
biomedical engineering department
The preferred incisional type for an exploratory laparotomy is...
midline vertical
During a postoperative follow-up phone call, a patient recovering from a right lumpectomy states that she is experiencing numbness to the ring (fourth) and little (fifth) fingers of her right hand. The perioperative nurse suspects possible damage to the:
ulnar nerve
What is defined as a standardized process to keep patients safe in surgery?
Universal Protocol
Monitoring the amount of fluid used during a hysteroscopy is important in preventing which of the following complications?
Hyponatremia
It is the responsibility of the _______ to obtain informed consent for a proposed surgical procedure.
practitioner performing the procedure
National standards for security and privacy of health data are set in the...
Health Insurance Portability and Accountability Act (HIPAA)
The most reliable indicator of a patient's level of pain is...
what the patient verbalizes
The normal hematocrit for a patient aged 10 years ranges from...
34% to 40%
The perioperative nurse caring for a patient presenting with a traumatic wound for which the edges of the incision cannot be approximated can expect the wound to close by ____________________ intention.
secondary
McBurney's incision is used by surgeons when performing an open...
appendectomy
Which of the following is an example of a question that demonstrates the perioperative nurse's commitment to providing ethical care?
"What should be done for this patient?"
The FDA requires manufacturers to track implants throughout the chain of distribution from the purchaser to the...
patients
Which of the following situations would be categorized as a reportable sentinel event?
a patient with a gunshot wound that results in a preoperative death
Compared with adults, infants are at increased risk for hypothermia due to _________.
increased body surface area-to-weight ratio
Initial assessment of the patient upon arrival of the postanesthesia care unit (PACU) begins with...
determination of airway patency
Patients with a possible injury within the cranium should not be placed in a __________ position.
Trendelenburg
Signs of severe anaphylaxis are hypotension, ___________ , bronchospasm, and generalized erythema.
tachycardia
The ________ lithotomy position is most often associated with compartment syndrome.
high
Determining whether re-anastomosis is possible after a low anterior resection of the sigmoid colon depends on...
a cancer-free margin of the distal rectum
Which of the following accurately describes the experience required to establish eligibility for the CNOR exam?
2 years and 2400 hours of perioperative nurse experience
A Spanish-only speaking patient is undergoing an appendectomy. The perioperative nurse understands that the most appropriate way to assist in obtaining informed consent is to ________________________.
obtain an interpreter
Wound classification scores are used to determine a patient's risk of postoperative complication from infection. The wound classification scores were developed by the ______.
Centers for Disease Control and Prevention (CDC)
The surgical count procedure is a method of accounting for items during the surgical procedure. When is the final count performed?
During the skin closure
For a patient with a history of serum cholinesterase deficiency, which of the following anesthetic agents should be avoided?
Succinylcholine
Which of the following actions demonstrates a key physical attribute of the RN circulator?
Using eye-hand coordination
When delayed primary closure is required, the skin edges are closed how many days after?
4 to 6 days
A child is at risk of blunt intestinal trauma from...
a seatbelt in a motor vehicle accident
Including the patient's family member or caregiver in the perioperative plan of care has been found to...
reduce patient and family anxiety
The perioperative nurse can expect the wound/ostomy/continence nurse to mark the site for the stoma for a colostomy at:
the rectus muscle
A patient is at risk for burns from an improperly placed grounding pad when the ________ is altered.
resistance
A key component of quality end-of-life care is communication with the patient and caregiver that demonstrates empathy and...
active listening
Level 1 trauma centers must have OR staff available...
in-house 24/
Pulse oximetry measures...
saturated hemoglobin in arterial blood
Which perioperative team member(s) is/are responsible for prevention of retained surgical items?
All perioperative team members
The greatest risk for transmitting the HIV virus is through exposure...
to infected blood or body fluids via a large-bore hollow needle
Standards published in the Guidelines for Perioperative Practice are...
voluntary
A ______ forcep is angled to prevent the user's hand from occluding vision in a small space.
bayonet
Placing sequential compression devices (SCDs) on a patient's legs preoperatively addresses which of the following risk factors for the development of deep vein thrombosis (DVT)?
Venous stasis
___________________ protected types of mobile hospital tents and containers are used in areas where nuclear, chemical, or biological terrorism threat exists.
Chemically
Indications for use of Focused Assessment with Sonography in Trauma (FAST) include detection of...
suspected free fluid in the chest
Most medication errors in pediatric care occur because this patient population varies dramatically in:
weight
During the preoperative assessment, the perioperative nurse notes on the history and physical that the patient has an entrapped median nerve on the volar surface of the wrist secondary to her work as an IT specialist. The nurse will set up for which of the following procedures?
Carpal tunnel repair
A 34-year-old female patient with a diagnosis of breast cancer is scheduled for a right breast mastectomy. When performing the surgical skin prep, the nurse...
uses a "no-touch" technique during prepping
After purchase of a product for a facility, responsibility for safe use of the product lies with the _____________________.
facility
A complementary therapy that could be utilized during the perioperative period to help reduce anxiety is...
music therapy
A patient with a fractured anterior fossa of the skull may have an alteration in which sense?
Smell
Immediate use steam sterilization (IUSS) should only be used for _____.
insufficient time to process by the preferred wrapped and container method
A potential complication of epidural anesthesia caused by a/an ______ is complete paralysis requiring intubation and systemic support until the block is resolved.
subarachnoid injection
An example of a regulatory agency with the authority to fine a healthcare facility for not meeting laws established to protect the public is the _____.
Centers for Medicare & Medicaid Services (CMS)
As a member of the multidisciplinary committee, the perioperative nurse assists with development of a standardized process to guide in the selection of products that are...
safe and cost-effective
In the event of an incorrect count during closing procedures, what is the first thing the nurse should do?
Immediately inform the surgeon
What is the shelf life of red blood cells when refrigerated?
42 days
Perioperative patient-centered care includes which of the following?
Using the nursing process and focusing on outcomes
Bone wax should be immediately available for craniotomies conducted in the Fowler position because of this position's increased risk for...
air embolus
During a local procedure, the nurse notices that the patient is exhibiting a sense of uneasiness, agitation, coughing, and wheezing. The nurse should suspect a/an:
allergic reaction to the local anesthesia
A patient involved in an explosion presents with a mediastinal shift. The perioperative nurse anticipates obtaining which of the following supplies?
Chest drainage system
The rationale for using a local anesthetic with added epinephrine is to...
slow the rate of absorption of the local anesthetic by promoting vasoconstriction
Which of the following procedures is considered a Class III wound?
Exploratory laparotomy with repair of ruptured diverticulum
Preparation and familiarity with surgical procedures and a specific surgeon's preferences are fundamental principles of...
teamwork
When stocking medication in the perioperative suite, it is important to stock single-dose vials instead of multi-dose vials whenever possible because...
there is less risk of using a contaminated medication
When talking with the patient during teaching, using an open, relaxed sitting position is a form of _____________ communication.
nonverbal
Shoes worn by perioperative team members within the surgical suite should have closed toes and backs, low heels, and non-skid soles and must meet requirements.
OSHA
When comparing the scope of the perioperative nurse's practice to the scope of the surgical technician's practice, which of the following is a correct statement?
The scope of practice of the perioperative nurse is to care for patients throughout the continuum of the perioperative phase, while the scope of practice of the surgical technician is to prepare instruments and supplies and maintain aseptic technique of the surgical procedure.
The primary goal for moderate sedation/analgesia is for the patient to exhibit a depressed level of consciousness while...
being aroused with tactile stimulation
Which of the following should be considered regarding the integrity of packaging materials?
storage area should have air temperature below 75 degrees F
A patient suffers a cardiac arrest following the injection of Bupivacaine 0.5% with epinephrine 1:200, 25mL as a peripheral nerve block for a left knee arthroscopy. The perioperative nurse can anticipate obtaining which of the following drugs for the anesthesia care provider?
20% lipid emulsion
Which one of the following antibiotics can potentiate neuromuscular blocking agents?
Piperacillin
Which of the following complementary therapies may provide relief for postoperative nausea and vomiting?
Peppermint aromatherapy
The rights of patients as participants in research include the right of adequately informed consent, the right of freedom of risk of injury, the right of privacy, and the right to ____.
end the study
Utilization and documentation of the nursing process when transferring care of the perioperative patient demonstrate use of...
critical thinking skills
The perioperative registered nurse can expect the surgeon to explore the scrotum during which type of hernia repair?
Indirect
The best healthcare employee to clean the operative or procedural area is ____________________________.
designated personnel
The primary assessment for a trauma patient uses the mnemonic?
ABCDE
What is a physiologic change associated with the normal aging process in the geriatric patient?
Increased vascular resistance
A patient arrives in the operating room with a metal post impaled through his left thigh from a fall suffered at a construction site. In preparing the site for surgery, the perioperative nurse's most appropriate response is to...
prep the surrounding area and leave the post
A patient is scheduled for burr holes to remove fluid accumulated secondary to blunt head trauma. The best option for a drain that removes cerebral spinal fluid while monitoring intracranial pressure is a...
ventriculostomy
While a nurse is charting in an electronic patient chart, a colleague who is not assigned to the patient walks up and begins to read some of the chart. What should the nurse do?
Tell the colleague that the patient chart is private and move from the view.
Compartment pressure of an extremity above ______mm Hg requires a fasciotomy.
30 mm Hg
Specimens should be transferred from the sterile field to the appropriate container using ____________________ precautions.
standard
Solutions used for manually cleaning flexible endoscopes should be discarded...
after every use
The purpose of reconciling a patient's medications prior to discharge from an ambulatory surgery center is to...
prevent duplication of postoperative prescriptions with current medications
Which position puts the patient at greatest risk for development of deep vein thrombosis (DVT)?
Reverse Trendelenburg
A 12-month-old child is scheduled for an exploratory laparotomy. The child's caregivers inform the perioperative nurse that the child is allowed to play with his favorite teddy bear and blanket until just before he falls asleep at home. The perioperative nurse should...
allow the teddy bear and blanket in the operating room until the child falls asleep
Which of the following is a toxic reaction and needs to be communicated to the surgeon?
Visual disturbances
This is a potential toxic reaction to local anesthesia and should be communicated promptly to the surgeon.
What is the American Society of Anesthesiologists (ASA) classification of a patient with severe hypertension?
ASA Class IV
ASA Class IV indicates a patient with severe systemic disease that is a constant threat to life.
Vendors present during a surgical procedure may...
be a resource outside the scrub field
Vendors are present to assist with equipment and provide expertise but do not scrub in or assemble instrumentation.
Preoperative patient assessment of the use of herbs is an important function of the perioperative nurse so that...
the appropriate health care providers can be notified of potential risk to the surgical procedure
This assessment ensures that potential risks associated with herbal use are communicated to the healthcare team.
For unwrapped, porous stainless steel items with lumens, the minimum exposure time at 270 degrees F in a prevacuum cycle is...
4 min
A minimum exposure time of 4 minutes at 270 degrees F is required for effective sterilization.
Passive drains like a Penrose provide...
continuous drainage
Passive drains provide continuous drainage without the need for external suction.
During patient handoffs, providing the postanesthesia care unit (PACU) nurse with the amount and type of local anesthetic used for regional field block is an example of which component of SBAR communication?
Recommendation
This information helps guide the care in the PACU, which is part of the recommendation component of SBAR.
The most effective process for transferring information related to perioperative nursing care includes which of the following?
Face-to-face report and a checklist
Face-to-face report along with a checklist ensures comprehensive and accurate transfer of information.
Which of the following is an effective way to prevent hypothermia in the perioperative patient?
Warm the patient before induction of anesthesia
Pre-warming the patient helps to prevent hypothermia during surgery.
During the ________ stage of healing, granulation tissue can be felt as a firm ridge under the edges of the incision.
proliferative
Granulation tissue forms during the proliferative stage of wound healing.
Universal Protocol is...
a standardized means for ensuring patient safety during surgery
The Universal Protocol is designed to prevent wrong-site, wrong-procedure, and wrong-person surgery.
The philosophical basis for informed consent is the right of...
self-determination
Informed consent is based on the principle of self-determination and respect for autonomy.
The perioperative nurse brings a completed case's contaminated instruments to the decontamination area. The correct response to this observation is...
"In addition to current PPE, workers should be wearing a fluid-resistant gown with sleeves, masks, and eye protection."
Additional PPE beyond gloves and shoe coverings is required in the decontamination area.
Local anesthesia injected during an epidural is diffused by the _______.
patient's baricity
The baricity of the local anesthetic affects its diffusion in the epidural space.
If a surgeon performs a procedure without a valid informed consent, he/she is at risk for legal action related to a/an...
battery
Performing a procedure without valid consent can be considered battery.
The purpose of witnessing a surgical consent is to attest to which of the following?
The signature was voluntary and not coerced
Witnessing ensures that the patient's consent was voluntary and not coerced.
All learners in the perioperative environment are adults. Which of the following describes a characteristic of adult learning (i.e., andragogy)?
Being task-oriented
Adults are often motivated by tasks and solving real-world problems.
Using _______ after high-level disinfection of flexible endoscopes may help dry the lumen to prevent microorganisms from multiplying.
approved enzymatic cleaner
Enzymatic cleaners help to break down organic material and facilitate drying.
The perioperative nurse sterilizes a yankaur suction tip that has been contaminated during the case. The nurse's next action is to...
return the instrument to the sterile field in an aseptic fashion.
Once sterilized, the instrument should be returned to the sterile field in an aseptic manner.
The Joint Commission instituted the Universal Protocol to _______.
eliminate wrong-site surgery
The Universal Protocol aims to prevent wrong-site, wrong-procedure, and wrong-person surgery.
For a patient undergoing a left total knee replacement, appropriate marking of the surgical site includes which of the following?
Initialing the surgical site on the left knee by the surgeon with patient input.
This ensures that the correct surgical site is identified with patient participation.
Which of the following is an example of education using the patient-centered care approach?
"Call the doctor if there is more than 30 cc of bloody discharge on the ABD."
This statement uses specific instructions relevant to the patient's experience.
Blunt trauma to the chest usually results from a fall, blow, blast, deceleration injury, or __________________.
low-velocity object
Blunt trauma typically involves low-velocity impacts.
The nurse should place a specimen in a container with when sending to pathology for a frozen section.
saline
Specimens for frozen sections are typically placed in saline to maintain tissue integrity.
Packages prepared for sterilization should be labeled and writing should be on the...
paper side of the peel pouch
Labels should be on the paper side of the peel pouches for clarity.
An undesired outcomes that may have resulted in injury or death and may be the result of direct or indirect action by a professional care giver is known as a/an...
sentinel event
A sentinel event is an undesired occurrence that may result in harm.
Atelectasis is characterized by...
increased temperature, increased pulse, and increased respirations
These signs can be indicative of atelectasis.
The recommended maximum cuff pressure limit for a pneumatic tourniquet applied to the lower leg is...
250 to 300 mmHg
This range helps prevent tissue damage while maintaining hemostasis.
A patient scheduled for an emergency hip arthroplasty has a preoperative prothrombin result of 12 seconds. The best action of the RN circulator is to:
inform the anesthesiologist
Abnormal coagulation results should be communicated to the anesthesiologist for appropriate management.
Universal Protocol is a process to keep patients safe in surgery. Verbal confirmation is performed at three points during the perioperative period. Which of the following is identified as one of the three critical points?
The sign-in before induction of anesthesia
Verbal confirmation is required during the sign-in process.
The purpose for placing a chemical indicator tape on the outside of a package is to signify that the package...
has been exposed to a sterilization process
Chemical indicator tape changes color when exposed to sterilization conditions.
The accountability for surgical counts is a professional responsibility that rests primarily on the...
scrub person and RN circulator
Both scrub person and RN circulator are responsible for surgical counts.
A patient who has just received a local anesthetic block is beginning to demonstrate decreased breathing rate and depth, tremors, and muscle twitching. The nurse should suspect a/an _______________________
toxic reaction to the local anesthesia
These signs indicate a toxic reaction to the local anesthetic.
Which of the following housekeeping duties must be completed prior to the first case of the day?
Damp-dust the overhead operating lights, articulated arms, furniture, flat surfaces, and all portable and mounted equipment
This ensures a clean environment for the first case of the day.
When deciding what should be done for a patient, the perioperative nurse is considering what aspect of professional care?
Moral
Professional care involves moral and ethical considerations.
The most accurate method for verifying the effectiveness of a steam sterilizer is a...
biologic indicator
Biological indicators directly test the effectiveness of sterilization.
When a laser is in use during a procedure, the area around the surgical site that poses potential injury is known as the _______.
nominal hazard zone
This is the area where caution is needed due to potential laser hazards.
Which of the following is a sign of a blood transfusion reaction in the anesthetized patient?
Temperature change
A change in temperature can indicate a blood transfusion reaction.
It is important to obtain the distance of a fall during a preoperative assessment, as falls greater than _______ feet are often associated with significant spinal and aortic injuries.
10 feet
Falls from heights greater than 10 feet are concerning for significant injuries.
When performing an abdominal-vaginal skin preparation for a laparoscopic-assisted vaginal hysterectomy, the perioperative nurse proceeds in what order?
The abdomen, perineum, anus, and finally the vagina
This ensures that the preparation starts from the cleanest to the least clean area.
An EPA-registered disinfectant labeled to kill tuberculosis is effective against...
mycobacteria
Tuberculosis is caused by mycobacteria, and effective disinfectants kill these pathogens.
A ________ is the major cause of death during and immediately following the surgical procedure that can result from blood pooling in low pressure areas.
pulmonary embolism
This is a common cause of death in surgical patients due to blood clots.
Blood salvage for autotransfusion should not be done intraoperatively if there is presence of amniotic fluid, enteric organisms, or _.
Surgicel
Surgicel can interfere with blood salvage and should be avoided.
Pneumatic tourniquet inflation pressures are determined by _______.
systolic blood pressure, age of the patient, and circumference of the extremity
These factors are considered when determining safe inflation pressures for a pneumatic tourniquet.
Novice perioperative staff should seek a _______, a person who has experience and is respected for clinical competence, and pattern his or her behavior similarly.
preceptor
A preceptor guides and supports the learning process of novice staff.
Collection of postoperative data for evaluation may be collected through direct patient interview, patient evaluation response form, and...
chart review
Chart review is essential for collecting comprehensive postoperative data.
Which electrolyte is important to check preoperatively after a bowel prep the day before?
Potassium
Bowel preps can affect potassium levels, so it's important to monitor them preoperatively.
An anesthesia care provider uses stories to describe the purpose of each monitoring device to a patient aged 3 years as he prepares the child for induction. This part of an age-specific individualized plan of care addressing the child's ability to...
understand body functions
Stories help young patients understand the purpose of monitoring devices.
During the preoperative assessment, the patient states that "donor-directed" red blood cells (RBCs) are available and should be used if a blood transfusion is necessary. Which of the following is accurate about donor-directed RBCs?
There is no need to type and crossmatch the donated units
Donor-directed RBCs are preselected and do not require additional typing and crossmatching.
Which of the following is an assessment parameter monitored through use of the perioperative nursing process?
Attainment of expected outcomes
Monitoring patient outcomes is a key aspect of the nursing process.
While completing the preoperative assessment, a nurse notices the patient's right knee has been marked by the surgeon, but the patient is scheduled for a left total knee arthroplasty. What is the best action for the nurse?
Verify with the surgeon and preoperative nurse
Verification ensures correct site identification before surgery.
During the surgical procedure, instruments should be kept as free as possible from gross soil and debris by...
wiping instruments with a sponge moistened in sterile water
This helps maintain the cleanliness of instruments during surgery.
A patient's preoperative health assessment form indicates that he uses a continuous positive airway pressure (CPAP) machine at night for sleep apnea. The perioperative nurse knows to transfer this information to the postanesthesia care unit (PACU) nurse so that the patient can be monitored more closely for signs and symptoms of...
hypoxia
CPAP users are at risk for airway compromise postoperatively.
During the discharge medication reconciliation process, the postanesthesia care unit (PACU) nurse educates the patient and family members to...
use one pharmacy for filling all prescription and OTC medications
This helps prevent medication errors and interactions.
A patient ages 7-years is scheduled for a tonsillectomy and adenoidectomy at an ambulatory surgery center. During the preoperative telephone interview, the mother of the patient asks the perioperative nurse if her daughter will be able to take her favorite stuffed animal into the operating room. Which of the following is the best response based on the child's developmental level?
"We will make sure the toy stays with your daughter until the anesthetic takes effect."
This response supports the child's comfort and emotional needs during induction.
The top three risk factors associated with patient falls are medications, gait, and _______.
a previous fall
A history of falls is a significant risk factor for future falls.
Which of the following describes appropriate role behavior of a health care industry representative in the surgical suite?
The health care industry representative wears professional business attire and photo identification in the perioperative areas
Professional attire and identification are necessary for industry representatives in surgical areas.
As part of the nursing process, a postoperative follow-up phone call should be made 24 to 48 hours after discharge. During the call the nurse is able to assess the achievement of...
expected outcomes
Follow-up calls help assess patient recovery and outcomes.
Beneficence, one of several universal moral principles that guide ethical decision-making in nursing practice, is best defined as a duty to...
seek balance between good and harmful acts
Beneficence involves doing good and balancing potential harms.
To prevent risk of SSI, AORN Guidelines recommend fingernails should be short and free of chipped nail polish. It has been demonstrated that nail polish chipping occurs on the _____________ day after application.
third
Nail polish chipping is common after the third day of application.
In the absence of a sterile transfer device when dispensing medication to the sterile field, the best option is to...
have the RN circulator draw up the medication in a syringe and transfer
This maintains sterility by minimizing contamination risk.
To adequately decontaminate a flexible endoscope after use, the first step that should be followed is to...
flush channels with cleaning product
Flushing with cleaning product starts the decontamination process.
A patient is scheduled for a laparoscopic cholecystectomy at 1000. In response to a question related to NPO status, the patients states she had a sip of water with her usual dose of metoprolol/hydrochlorothiazide at 0700. The perioperative nurse's next response is to ____________.
proceed with the case as scheduled
A sip of water with medication typically does not require cancellation of surgery.