*NURSING > QUESTIONS & ANSWERS > AORN Periop 101 Final Exam-Questions Latest Updates. 2022/2023. Graded A (All)

AORN Periop 101 Final Exam-Questions Latest Updates. 2022/2023. Graded A

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AORN Periop 101 Final Exam Questions Latest Updates Who can provide anesthesia care? (4) >>> 1. Anesthesiologists 2. CRNA's 3. Anesthesia assistants 4. Periop nurses 4 types anesthesia >>> Gener... al - loss of consciousness Regional - loss of sensation Local - small area loss of sensation MAC - IV Whose responsibility during MAC to monitor pt? >>> RN What should RN monitor during MAC? (3) >>> 1. Extravasation of IV 2. Reduction of arterial O2 sat 3. Difficulty breathing 4 Stages of anesthesia >>> 1. Initial administration 2. Excitement - unconscious to loss of eyelid reflex 3. Intrasurgery 4. Possibility of resp failure 3 Phases of Anesthesia >>> 1. Induction - admin until 1st incision 2. Maintenance - incision to completion 3. Emergence - from when pt awakens until pt exits OR What is often used for upper extremity nerve blocks? >>> IV regional anesthetic/Bier block Where is epidural anesthetic injected? >>> between ligamentum flavum and dura (NOT spinal canal) What helps ensure proper needle placement during peripheral nerve block with regional anesthesia? >>> continuous nerve stimulation First sign of Malignant Hyperthermia >>> increased end-tidal CO2 What should be done for pt with MH crisis? >>> 1. Stop surgery & stop triggering agents 2. Give dantrolene 3. Give 100% O2 4. Cool pt with iced salineMentor or preceptor? "One who provides encouragement and acts as a guide and facilitator while modeling professional nursing behaviors" >>> Mentor Mentor or preceptor? "One who teaches, counsels, inspires, serves as a role model, and supports the growth and development of the novice for a fixed and limited period" >>> Preceptor Mentor or preceptor? Guides nurse through a wide range of professional activities >>> Mentor Mentor or preceptor? Guides nurse through defined clinical activities >>> Preceptor What should intra-abd pressure be maintained under in an adult pt during CO2 insufflation for endoscopic surgery? >>> 12 mm Hg Single most important factor in minimizing microorganism transfer >>> Hand hygiene The most effective method for floor care in surgical suite >>> Wet vacuuming When should air sampling be done in OR? (3) >>> 1. Before construction begins 2. After demolition 3. At end of project examples of mechanical hemostasis (8) >>> 1. Manual pressure (sponges) 2. Clamps 3. Sutures 4. Staples 5. Clips 6. Ligatures 7. Pledgets 8. Bone wax What type of hemostasis is achieved by occluding severed vessels until platelet formation occurs >>> Mechanical Strand of material tied around blood vessel to occlude lumen and prevent bleeding >>> Ligature non-absorbable suture support used when there is possibility of sutures tearing through tissue >>> Pledget What type of hemostasis uses pharmacological or topical products? >>> ChemicalEx of thermal hemostasis (3) >>> Laser Argon beam electrosurgery Ex of chemical hemostasis methods >>> 1. Microfibrillar collagen 2. Oxidized cellulose 3. Collagen sponge 4. Gelatin sponge 5. Fibrin sealant 6. Phenol solution 7. Thrombin 8. Styptics Who is involved in sponge counts? >>> ALL periop personnel What types of surgery are JP suction drains frequently used in? >>> Abdominal or breast What should be labeled on a medication on or off sterile field (5) >>> 1. Med name 2. Concentration 3. Initials of RN preparing 4. Expiration 5. Date prepared S&S of systemic toxicity from medications >>> Metallic taste Tinnitus Lightheaded Vision disturbances Numb tongue/lips Confusion Tremors Shivering Siezures Tachy/HTN Brady/HypoTN Ventricular arrhymias Resp arrest Goals of pt and family education >>> Increase knowledge and satisfaction Patient's right to make informed choices based on truthful information >>> Self determination What is the first thing the RN should pay attention to in post anesthesia care? >>> AirwayWhat is monitored with the Aldrete scale in PACU? (5) >>> 1. Mobility 2. Resp 3. Circulation 4. LOC 5. O2 What things should be documented when taking pt hx before surgery? (5) >>> 1. Allergies/implants/prostheses/piercings 2. D/c plans 3. Med profile (& herbals) 4. Nutritional status 5. Cultural considerations Documentation of pt positioning in OR (5) >>> 1. Pt position & devices 2. Person who positioned 3. Safety belt 4. Arms placement 5. Postop eval What should be documented when giving meds in OR (5) >>> 1. Drug 2. Concentration 3. Route 4. Dose 5. Time Potential sources of fuel for surgical fires (5) >>> 1. Linens/drapes 2. Skin degreasers/tinctures/aerosols 3. Prep solutions 4. Body tissues/pt hair 5. Intestinal gases What questions should you ask when identifying a pt preop? (3) >>> Name DOB Planned procedure What do you need to document for Time Out? (3) >>> 1. 2 Pt identifiers checked 2. Site/side 3. Verification of procedure What can increase pt risk for skin injury in OR? (6) >>> 1. Preexisting metabolic conditions (DM) 2. Unusual position [Show More]

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