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ALEXANDER'S CARE OF THE PATIENT IN SURGERY 17TH EDITION BY
JANE C. ROTHROCK|CHAPTERS (1- 29) RATED A+2024/2025
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,Table of Contents
UNIT I: FOUNDATIONS FOR PRACTICE .......................................................................................................... 3
CHAPTER 01: CONCEPTS BASIC TO PERIOPERATIVE NURSING ................................................................. 3
CHAPTER 02: PATIENT SAFETY AND RISK MANAGEMENT ...................................................................... 12
CHAPTER 03: WORKPLACE ISSUES AND STAFF SAFETY .......................................................................... 25
CHAPTER 04: INFECTION PREVENTION AND CONTROL .......................................................................... 35
CHAPTER 05: ANESTHESIA ...................................................................................................................... 49
CHAPTER 06: POSITIONING THE PATIENT FOR SURGERY ....................................................................... 64
CHAPTER 07: SUTURES, SHARPS, AND INSTRUMENTS ........................................................................... 76
CHAPTER 08: SURGICAL MODALITIES ..................................................................................................... 87
CHAPTER 09: WOUND HEALING, DRESSINGS, AND DRAINS ................................................................. 101
CHAPTER 10: POSTOPERATIVE PATIENT CARE AND PAIN MANAGEMENT ........................................... 112
UNIT II: SURGICAL INTERVENTIONS .......................................................................................................... 124
CHAPTER 11: GASTROINTESTINAL SURGERY ........................................................................................ 124
CHAPTER 12: SURGERY OF THE BILIARY TRACT, PANCREAS, LIVER, AND SPLEEN ................................ 134
CHAPTER 13: HERNIA REPAIR ............................................................................................................... 145
CHAPTER 14: GYNECOLOGIC AND OBSTETRIC SURGERY ...................................................................... 155
CHAPTER 15: GENITOURINARY SURGERY ............................................................................................. 167
CHAPTER 16: THYROID AND PARATHYROID SURGERY ......................................................................... 178
CHAPTER 17: BREAST SURGERY ............................................................................................................ 190
CHAPTER 18: OPHTHALMIC SURGERY .................................................................................................. 201
CHAPTER 19: OTORHINOLARYNGOLOGIC SURGERY............................................................................. 214
CHAPTER 20: ORTHOPEDIC SURGERY ................................................................................................... 229
CHAPTER 21: NEUROSURGERY.............................................................................................................. 240
CHAPTER 22: RECONSTRUCTIVE AND AESTHETIC PLASTIC ................................................................... 251
CHAPTER 23: THORACIC SURGERY ........................................................................................................ 260
CHAPTER 24: VASCULAR SURGERY ....................................................................................................... 271
CHAPTER 25: CARDIAC SURGERY .......................................................................................................... 283
UNIT III: SPECIAL CONSIDERATIONS.......................................................................................................... 294
CHAPTER 26: PEDRIATIC SURGERY ....................................................................................................... 294
CHAPTER 27: GERIATRIC SURGERY ....................................................................................................... 305
CHAPTER 28: TRAUMA SURGERY .......................................................................................................... 323
CHAPTER 29: INTEGRATIVE HEALTH PRACTICES ................................................................................... 333
,UNIT I: FOUNDATIONS FOR PRACTICE
CHAPTER 01: CONCEPTS BASIC TO PERIOPERATIVE NURSING
MULTIPLE CHOICE
1. THE PERIOPERATIVE PATIENT FOCUSED MODEL PRESENTS KEY COMPONENTS OF NURSING
INFLUENCE THAT GUIDE PATIENT CARE. SELECT THE STATEMENT THAT BEST DESCRIBES THE DYNAMIC
RELATIONSHIP WITHIN THE MODEL.
A. THE PATIENT EXPERIENCE AND THE NURSING PRESENCE ARE IN CONTINUOUS INTERACTION.
B. STRUCTURE, PROCESS, AND OUTCOME ARE THE FOUNDATION DOMAINS OF THE MODEL.
C. THE PERIOPERATIVE NURSE IS THE CENTRAL DYNAMIC CORE OF THE MODEL.
D. THE INTERRELATED NURSING PROCESS RINGS BIND THE PATIENT TO THE MODEL.
CORRECT ANS>A
THE PERIOPERATIVE PATIENT FOCUSED MODEL CONSISTS OF DOMAINS OR AREAS OF NURSING
CONCERN: NURSING DIAGNOSES, NURSING INTERVENTIONS, AND PATIENT OUTCOMES. THESE
DOMAINS ARE IN CONTINUOUS INTERACTION WITH THE HEALTH SYSTEM THAT ENCIRCLES THE FOCUS
OF PERIOPERATIVE NURSING PRACTICE—THE PATIENT.
2. THE ASSOCIATION OF PERIOPERATIVE REGISTERED NURSES’ (AORN) STANDARDS OF
PERIOPERATIVE NURSING DESCRIBES NURSING INTERACTIONS, INTERVENTIONS, AND ACTIVITIES WITH
PATIENTS. THIS IS BASED ON WHICH STANDARDS CATEGORY?
A. EVIDENCE-BASED
B. PROCESS
C. OUTCOME
D. STRUCTURAL
CORRECT ANS>B
PROCESS STANDARDS RELATE TO NURSING ACTIVITIES, INTERVENTIONS, AND INTERACTIONS. THEY ARE
USED TO EXPLICATE CLINICAL, PROFESSIONAL, AND QUALITY OBJECTIVES IN PERIOPERATIVE NURSING.
3. WHICH ORDER BEST DESCRIBES THE PROCESS USED TO IMPLEMENT EVIDENCE-BASED
PROFESSIONAL NURSING?
A. LITERATURE SEARCH, THEORY REVIEW, DATA ANALYSIS, POLICY DEVELOPMENT
, B. REGIONAL SURVEY, LITERATURE SEARCH, META-ANALYSIS, PRACTICE CHANGE
C. IDENTIFY PROBLEM, SCIENTIFIC EVIDENCE, DEVELOP POLICY, EVALUATE OUTCOME
D. IDENTIFY ISSUE, ANALYZE SCIENTIFIC EVIDENCE, IMPLEMENT CHANGE, EVALUATE PROCESS
CORRECT ANS>D
EVIDENCE-BASED PRACTICE IS A SYSTEMATIC, THOROUGH PROCESS BY WHICH TO IDENTIFY AN ISSUE,
TO COLLECT AND EVALUATE THE BEST EVIDENCE TO DESIGN AND IMPLEMENT A PRACTICE CHANGE,
AND TO EVALUATE THE PROCESS.
4. THE AMBULATORY SURGERY UNIT IS PLANNING TO DEVELOP A STANDARDIZED SKIN
PREPARATION PRACTICE FOR THEIR UNIT. THE BEST PROCESS TO GATHER SCIENTIFIC INFORMATION IS
TO:
A. CONDUCT A SURVEY OF SKIN PREP POLICIES AT THE NEXT AORN CHAPTER MEETING.
B. REVIEW THEIR SURGICAL SITE INFECTION DATA FROM THE LAST 6 MONTHS.
C. CONDUCT A LITERATURE SEARCH ON ANTIMICROBIAL AGENTS AND INFECTION PREVENTION.
D. REVIEW THE SCIENTIFIC LITERATURE FROM THE LEADING MANUFACTURERS OF PREP
SOLUTIONS.
CORRECT ANS>C
PERIOPERATIVE NURSES HAVE AN ETHICAL RESPONSIBILITY TO REVIEW PRACTICES AND TO MODIFY
THEM BASED ON THE BEST AVAILABLE SCIENTIFIC EVIDENCE. USING RESEARCH TO GUIDE PRACTICE IS
CALLED EVIDENCE-BASED PRACTICE (EBP).
5. THE CARDIAC TEAM IS DEVELOPING A STANDARDIZED STERILE BACK TABLE SETUP AND IS
UNABLE TO FIND SUFFICIENT RESEARCH EVIDENCE FOR THEIR PROJECT. WHERE MIGHT THEY LOOK FOR
INFORMATION ON BEST PRACTICES?
A. SURVEY REGIONAL SURGICAL TECHNOLOGY PROGRAMS FOR THEIR BACK TABLE MODELS
B. REVIEW CASE STUDIES AND EXPERT OPINIONS ON STERILE BACK TABLE SETUPS
C. REVIEW AORN’S GUIDELINES FOR PERIOPERATIVE PRACTICE ON STERILIZATION AND
DISINFECTION
D. CONSULT WITH FACILITY INSTRUMENT VENDOR REPRESENTATIVES FOR THEIR ADVICE
CORRECT ANS>B
WHEN THERE IS NOT ENOUGH EVIDENCE TO GUIDE PRACTICE, PERIOPERATIVE NURSES SHOULD
CONSIDER GATHERING INFORMATION FROM VARIED TRUSTED SOURCES THAT REFLECT BEST
PRACTICES.
6. HOW DO INSTITUTIONAL STANDARDS OF CARE, SUCH AS POLICIES AND PROCEDURES, DIFFER
FROM NATIONAL STANDARDS, SUCH AS AORN’S STANDARDS OF PERIOPERATIVE NURSING?
