CNOR Exam Prep Flashcards

Questions and Answers

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?

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?

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?

Whether any special equipment, devices or implants will be needed Signup and view all the answers

A patient taking ginger preoperatively is at risk for surgical complications that include bleeding, hypotension and?

Bradycardia Signup and view all the answers

A patient is on long-term acetyl salicylic acid therapy. Preoperatively, the patient should be counselled to discontinue taking the medication _________ prior to surgery.

2 weeks Signup and view all the answers

A patient-specific risk factor for venous thromboembolism (VTE) is?

A previous history of stroke Signup and view all the answers

Actively warming surgical patients with forced air to prevent hypothermia should begin?

In the preoperative holding area Signup and view all the answers

Which of the following indicators demonstrates a patient who is at increased risk of developing a pressure ulcer during a surgical procedure?

Poor preoperative nutritional status Signup and view all the answers

Based on data collected during the patient assessment, the perioperative RN?

Formulates a nursing diagnosis Signup and view all the answers

Liquid peracetic acid low-temperature sterilant is used for devices that meet all of the following criteria except?

Device must be aerated Signup and view all the answers

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?

The anesthetic should be discontinued, and a narcotic antagonist such as naloxone (Narcan) should be administered Signup and view all the answers

NPO guidelines state that food and fluids can be consumed as desired up to how many hours before surgery?

8 hours Signup and view all the answers

NPO guidelines state for light meals which include toast, clear liquids, and infant formula, consumption should be limited to how many hours before surgery?

6 hours Signup and view all the answers

NPO guidelines for breast milk state consumption should be limited to how many hours before surgery?

4 hours Signup and view all the answers

NPO guidelines indicate clear liquids only, no solid foods or foods with fat content should be consumed up to how many hours before surgery?

2 hours Signup and view all the answers

NPO guidelines indicate that no solids or liquids should be consumed during how many hours until surgical time?

2 hours Signup and view all the answers

After a person with an airborne disease has been cared for in the OR, the OR should be closed and not cleaned until?

99% of the airborne particles have been removed from the air (e.g., 15 air exchanges/hour for 28 minutes) Signup and view all the answers

Airborne precautions are instated for pathogens that are how big?

Small, 5 microns or smaller Signup and view all the answers

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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Description

Prepare for the CNOR certification with this set of flashcards. Covering essential topics such as patient sensitivity to dosage errors and communication goals, these cards will help enhance your knowledge and performance for the exam.