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Questions and Answers
Which patient population is more sensitive to dosage errors?
Which patient population is more sensitive to dosage errors?
- Male patients 25-40
- A patient with a history of polypharmacy
- Pediatric patients (correct)
- Bariatric patients
The National Patient Safety Goals directed at improving staff communication review the need for?
The National Patient Safety Goals directed at improving staff communication review the need for?
- Transferring patients to the correct next level of care
- Conducting a daily huddle on the unit
- Ensuring important test results are communicated to the right person on time (correct)
- Completing perioperative charting prior to transfer to the postanesthesia care unit
Which of the following is a potential contraindication to the use of a pneumatic tourniquet?
Which of the following is a potential contraindication to the use of a pneumatic tourniquet?
- Patient's operative extremity has been shaved
- Patient has sickle cell anemia (correct)
- Patient is older than 80 years old
- Patient has undergone previous joint replacement surgery
Which of the following is part of the surgical checklist?
Which of the following is part of the surgical checklist?
A patient taking ginger preoperatively is at risk for surgical complications that include bleeding, hypotension and?
A patient taking ginger preoperatively is at risk for surgical complications that include bleeding, hypotension and?
A patient is on long-term acetyl salicylic acid therapy. Preoperatively, the patient should be counselled to discontinue taking the medication _________ prior to surgery.
A patient is on long-term acetyl salicylic acid therapy. Preoperatively, the patient should be counselled to discontinue taking the medication _________ prior to surgery.
A patient-specific risk factor for venous thromboembolism (VTE) is?
A patient-specific risk factor for venous thromboembolism (VTE) is?
Actively warming surgical patients with forced air to prevent hypothermia should begin?
Actively warming surgical patients with forced air to prevent hypothermia should begin?
Which of the following indicators demonstrates a patient who is at increased risk of developing a pressure ulcer during a surgical procedure?
Which of the following indicators demonstrates a patient who is at increased risk of developing a pressure ulcer during a surgical procedure?
Based on data collected during the patient assessment, the perioperative RN?
Based on data collected during the patient assessment, the perioperative RN?
Liquid peracetic acid low-temperature sterilant is used for devices that meet all of the following criteria except?
Liquid peracetic acid low-temperature sterilant is used for devices that meet all of the following criteria except?
During surgery, the patient's respirations become increasingly shallow, and the pupils become smaller and smaller until they are pinpoint. How should this situation be managed?
During surgery, the patient's respirations become increasingly shallow, and the pupils become smaller and smaller until they are pinpoint. How should this situation be managed?
NPO guidelines state that food and fluids can be consumed as desired up to how many hours before surgery?
NPO guidelines state that food and fluids can be consumed as desired up to how many hours before surgery?
NPO guidelines state for light meals which include toast, clear liquids, and infant formula, consumption should be limited to how many hours before surgery?
NPO guidelines state for light meals which include toast, clear liquids, and infant formula, consumption should be limited to how many hours before surgery?
NPO guidelines for breast milk state consumption should be limited to how many hours before surgery?
NPO guidelines for breast milk state consumption should be limited to how many hours before surgery?
NPO guidelines indicate clear liquids only, no solid foods or foods with fat content should be consumed up to how many hours before surgery?
NPO guidelines indicate clear liquids only, no solid foods or foods with fat content should be consumed up to how many hours before surgery?
NPO guidelines indicate that no solids or liquids should be consumed during how many hours until surgical time?
NPO guidelines indicate that no solids or liquids should be consumed during how many hours until surgical time?
After a person with an airborne disease has been cared for in the OR, the OR should be closed and not cleaned until?
After a person with an airborne disease has been cared for in the OR, the OR should be closed and not cleaned until?
Airborne precautions are instated for pathogens that are how big?
Airborne precautions are instated for pathogens that are how big?
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Study Notes
Patient Sensitivity and Safety
- Pediatric patients are at a higher risk for dosage errors due to their size and developmental differences.
- National Patient Safety Goals emphasize timely communication of important test results to prevent procedural errors.
Surgical Considerations
- Sickle cell anemia is a contraindication for using a pneumatic tourniquet, which can increase the risk of complications.
- Surgical checklists include verifying the need for special equipment or implants before proceeding.
Preoperative Risks and Management
- Patients taking ginger preoperatively may experience surgical complications like bradycardia, hypotension, or bleeding.
- Long-term acetylsalicylic acid therapy should be discontinued at least 2 weeks before surgery to minimize the risk of bleeding.
Venous Thromboembolism (VTE) Risks
- Previous history of stroke is a significant patient-specific risk factor for developing VTE during surgery.
Temperature Management
- Active warming using forced air should begin in the preoperative holding area to prevent hypothermia during surgery.
Pressure Ulcer Risk
- Poor preoperative nutritional status significantly increases the risk of pressure ulcers in surgical patients.
Nursing Assessment
- The perioperative RN formulates a nursing diagnosis based on data collected during the patient assessment, guiding nursing interventions.
Sterilization Standards
- Liquid peracetic acid sterilization does not require devices to be aerated; it is essential for heat-sensitive items that are not exposed to moisture.
Anesthesia and Patient Monitoring
- If a patient’s respirations become shallow and pupils constrict during surgery, it is critical to discontinue the anesthetic and administer a narcotic antagonist like naloxone.
NPO Guidelines
- NPO for food and fluids as desired is permitted up to 8 hours before surgery.
- Light meals can be consumed up to 6 hours prior, with breast milk allowed up to 4 hours, and clear liquids up to 2 hours before the procedure.
- No solids or liquids should be ingested during the 2 hours before surgical time.
Airborne Infection Control
- After a case involving an airborne disease in the OR, it should remain closed and not cleaned until 99% of airborne particles are cleared, requiring approximately 15 air exchanges per hour for 28 minutes.
- Airborne precautions apply to pathogens smaller than 5 micrometers.
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