CNOR-PREP Questions and answers, 100% Accurate, graded A+

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CNOR-PREP Questions and answers, 100% Accurate, graded A+ How do you do self-gowning and gloving relief members for a surgical team? - ✔✔Open sterile gown and gloves on a separate surface usi ... ng aseptic technique Most effective way to reduce possibility of contamination of sterile field during induction, positioning and prep of patient - ✔✔Surgical field should be covered during high activity in the OR Metal instruments stored with rubber protective tips need to be sterilized with this method - ✔✔Remove the rubber tips and sterilize the instruments for 3 min @ 270F Four laparoscopic tubal ligations have been scheduled for the same day. ONE OF THE FOUR AVAILABLE laparoscopes is contaminated during the preparation for thr 2nd tubal ligation. The laparoscopes will not withstand steam sterilization. In this situation, what would be the most appropriate course of action? - ✔✔Inform the surgeon of the potential compromise in the 4th patient's care and explore alternate solutions. The bowie-dick test is used to determine the steam sterilizer for their______ - ✔✔This is to check if the vacuum is working properly A prosthesis is contaminated during an orthopedic case and a suitable replacement is not immediately available. How should this prosthesis be decontaminated? - ✔✔Flash sterilize @ 270 F for 10 min with both chemical and biological indicators. A chemical indicator included in the instruments processed in a gravity displacement steam sterilizer indicates that the instruments are -------- - ✔✔Exposed to the sterilizing conditions solution to flush before sterilization - ✔✔Distilled water Type of sterilizer that must be tested with a Bowie-Dick chemical indicator daily - ✔✔Dynamaic air removal How often should the OR be terminally cleaned regardless of whether or not it was used? - ✔✔Once during each 24 hour period during the regularly scheduled work week The sterilization for immediate use parameters for metal or nonporous instruments with no lumens in a gravity displacement sterilizer are 270 to 275 for___ - ✔✔3 minutes Type of extinguisher to be used if disposable paper drapes ignite - ✔✔Class ABC Improper deflation of a pneumatic antishock garment could result to this. - ✔✔Hypovolemic shock Signs of adverse reaction to local anesthesia - ✔✔numbness around the mouth Normal value for potassium - ✔✔3.5 - 5.0 mEq/L Three main function of stomach - ✔✔motor, secretory and endocrine Most important lab value to assess for patient taking Hydrochlorothiazide(HCTZ) - ✔✔Potassium sign to observe for patient being treated for cardiac tamponade - ✔✔jugular vein distention A standarlized approach to hand-off communication is a requirement of the JC to ______ - ✔✔reduce the risk of error Most common type of necrotizing fascitis - ✔✔type 2 In relation to transcultural needs of the patient, it is important to include___needs in the nursing assessment - ✔✔spiritual Best option for a patient to use needing long term dialysis - ✔✔arteriovenous shunt what does it mean if there is elevated white blood counts - ✔✔acute infection A preoperative nursing assessment should be conducted by RN at what point? - ✔✔before the surgery Have the greatest risk for developing intraoperative hypothermia - ✔✔Older patients and those undergoing or major regional anesthesia for longer than 1 hour Causes patient to experience a phenomenon know as "tourniquet pain" - ✔✔tourniquet inflation times between 30-60 minutes Procedures of the head and neck area carry an increased risk of fire due to this. - ✔✔presence of an oxygen-enriched environment A combination of LR, lidocaine, and epinephrine is routinely injected in fatty areas prior to liposuction in order to achieve this. - ✔✔decrease fluid volume shift Blood type that is appropriate for emergency untyped/uncrossmatched transfusions - ✔✔O negative Tissue that will not undergo a sterilization process should be... - ✔✔Aseptically prepared and transferred to a sterile storage container potential intraoperative complication for patient with hyperthyroidism - ✔✔Thyroid storm is done to promote maximum independence - ✔✔Below the knee amputation When is discharge planning begins? - ✔✔Before the admission of patient to surgery Common incision made for hepatic resection - ✔✔right subcostal Type of regional anesthesia involving a double-cuff tourniquet and injection of local anesthesia - ✔✔Bier Block Correct way to transport a specimen for frozen section - ✔✔dry speciment container Procedure performed to reduce gastric acid secretions - ✔✔vagotomy Midazolom (versed) is contraindicated in patients with.... - ✔✔narrow-angle glaucoma Most common adverse reactions associated with IV administrstion of midazolam. - ✔✔Drowsiness, coughing, apnea and changes in vital signs has shorter half life than most benzodiazepines - ✔✔Fumazenil (Romazicon) patient position ,most likely to compromise the respiratory system - ✔✔trendelenburg Periop RN should anticipate to perform this assessment for pt during an abdominal aortic aneurysm repair - ✔✔An evaluation of peripheral pulses The antibiotic of choice to treat gram negative bacilli in the GI tract for Salmonella and Shigella - ✔✔Ampicillin When to administered antibiotics? - ✔✔Within 1 hour before skin incision What is added to heparin saline solution for its antispasmodic effect on the wall of the vessel that is harvested for bypass? - ✔✔Papaverine Hydrochloride A surgical procedure to prevent habitual midtrimester spontaneous miscarriage - ✔✔Cervical cerclage Trade name for Midazolam - ✔✔Versed Nursing interventions to reduce inadvertent hypothermia - ✔✔Initiating force air warming, infusing warm IV, applying warm blankets DNR order is rescinded during the immediate perioperative period by.... - ✔✔pre-sedation discussion with patient The minimum number of personnel that should be available to move an anesthesized patient from a supine-to-prone position - ✔✔four Items that come in contact with non-intact skin or mucous members according to Spaulding's Level of Sterility - ✔✔semicritical items A long-acting local anesthesia agent used for regional block - ✔✔Marcaine (bupivacaine) An adverse reaction related to using water as a distention media - ✔✔Hemolysis The purpose of using padded material under the pneumatic tourniquet - ✔✔Maintain skin integrity Clamp that is designed to hold bowel tissue and has opposing smooth blunt edges - ✔✔Babcock Areas of the eye where retrobulbar block is administered to the patient by the surgeon - ✔✔Globe Most common injured body part reported by a nurse - ✔✔back injuries Wound classification for vaginal hysterectomy - ✔✔Clean contaminated (class 11) Immediate Use Steam Sterilization - ✔✔IUSS Most effective method preoperative skin antisepsis - ✔✔Shower two times with 4% chlorhexidine gluconate (CHG) the evening before and morning of surgery incision used for an open appendectomy - ✔✔Mcburney's An open (compound) fracture to the left radius and ulna that occurred three hours ago - ✔✔contaminated class 3 Most common cause of delayed wound healing - ✔✔SSI Most common surgical incision made for hepatic resection - ✔✔right subcostal Most postoperative complications occur... - ✔✔within 48 hours after surgery Eyewash station must be located from the location of possible exposure - ✔✔10 seconds the weight of sterile instrument trays including packaging containers - ✔✔25 pounds Sets of standards for an optimal level of perioper [Show More]

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