AORN Periop 101 Final Exam
______ is often used for microsurgical instruments: It has a blue, anodized finish, is inert, nonmagnetic, lighter, stronger & harder than stainless steel. – ANSWER-Titanium
._______ refers to the proportion of clinically apparent causes that are severe or fatal: - ...
AORN Periop 101 Final Exam
______ is often used for microsurgical instruments: It has a blue, anodized
finish, is inert, nonmagnetic, lighter, stronger & harder than stainless steel. –
ANSWER-Titanium
._______ refers to the proportion of clinically apparent causes that are severe
or fatal: - ANSWER-Virulence
._______ refers to the proportion of the infected individual who develop
clinically apparent disease: - ANSWER-Pathogenicity
.__________ is the absence of pathogenic microorganisms. – ANSWER-Asepsis
.__________ is the absence of virtually all microorganisms. – ANSWER-Sterility
.A _______ _______ is used to monitor the sterilizer’s efficiency & effectiveness
of killing the non-pathogenic spores. – ANSWER-Biological Indicators
.A _______ BI indicates the sterilization conditions were met: - ANSWER-
Negative
.A culture of safety is promoted by: - ANSWER-• The health care
organization’s commitment to patient safety above all goals
,• A commitment to safety at all levels of the organization
• A focus on systems, process improvement, and individual accountability
• Sufficient resources
• The ability of providers to discuss near miss events and errors without
reprisal
.A customized distribution of resources and opportunities across a population
to ensure no subset of groups is at a particular disadvantage over others in
achieving their maximum potential is an example of: - ANSWER-Health equity
.A Medication Assessment Should Include: - ANSWER-• Prescription
medications
• Herbal preparations:
O may accentuate the toxicity of anesthetics.
O interfere with drug metabolism or clearance.
O might affect bleeding times.
• Recreational/street drugs
*It is also important to ask if the patient is using any recreational/street
drugs. Close observation must be maintained for symptoms of withdrawal,
especially during and after long procedures.
• Drugs, alcohol, and smoking can alter lab values or system assessment. A
chemically dependent patient who is recovering may have concerns about
medication he or she is given.
• Patient risk factors due to alcoholism include:
- Lowered immunity
- Prolonged bleeding times
- Increased stress response
- Cardiac complications
,.A patient’s risk factors for hypothermia include: - ANSWER-• Extremes in the
patient’s age (eg, pediatric, elderly)
• History of diabetes
• Low body weight
• Peripheral vascular disorders
• Thyroid disorders
- An example of a procedural risk for hypothermia is open-cavity surgery
(eg, laparotomy, open thoracotomy).
.A Semi-restricted Zone is an area not open to the public and requires proper
attire. These areas are secured via: - ANSWER—signage
- Doors with electronic access/badge requirements to enter
.A sterile field is contaminated when _______ items come in contact with it. –
ANSWER-unsterile
.A sterile gown is considered sterile from the chest to the sterile field and
_______ _______ above the elbow to the cuff. – ANSWER-2 inches
.Abdominoperineal prep, positioning and equipment for Vaginal surgery
include: - ANSWER—Prep kits
- Foley
~ straight cath to ensure empty bladder after vaginal prep
- Lithotomy with possible Trendelenburg
- Stirrups/holders
.Abdominoperineal surgical site prep area(s) include: - ANSWER—Abdomen
- Pubis
- Vagina
, - Perineum
- Anus
- Thighs
.Actions to decrease and prevent medication errors when transferring onto
the sterile field include: - ANSWER-• Label all medications, medication
containers, and other solutions
• Write down & read back verbal orders
• Verify medications – RN circulator reads aloud the medication name,
strength, dosage, and expiration date when transferring medications to the
back table
• Label medications—the scrubbed team member labels each medication
container immediately
• Avoid use of abbreviations that could cause medication errors
• Do Not use trailing zeroes when documenting medication doses
• Retrieve one medication at a time for one patient at a time
.Actions to Take Before Transporting Instruments from the OR after use: -
ANSWER-• Discard sharps into a sharps container.
• Discard liquids per federal, state, and local regulations or transport them in
a leak-proof container.
• Separate sharp instruments from delicate and heavy instruments.
• When applicable, follow the manufacturer’s instructions for use (IFU) for
instrument disassembly prior to transport to the decontamination area.
• Moisten instruments with an enzymatic pre-treatment product or cover
with a water-soaked towel.
.Adson forceps – ANSWER-used to move and hold tissue in place during
delicate surgical procedures
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