Deck 2: Foundations of Perioperative Patient Care Standards

Question 1

The pathology report does not become part of the patient's permanent record as added documentation of the diagnosis.

Answer 1

False
The loss of a specimen or no documentation of its pathology could prevent determination of a diagnosis and subsequent initiation of certain definitive therapy.

Question 2

Both perioperative nurses and surgical technologists work toward the common goal of providing the safest possible care so that patients achieve favorable surgical outcomes.

Answer 2

True
As both learners and caregivers,perioperative nurses and surgical technologists are accountable to patients receiving services,employers,educational institutions providing learning experiences;professions or vocations that uphold established standards of practice,and to themselves and other team members.

Question 3

Evaluation is a process done only at the end of the procedure to reassess the patient's responses to implementation of the care plan.

Answer 3

False
Evaluation is a continual process of reassessing the patient and his or her responses to implementation of the plan of care.

Question 4

Identifying the surgical site is always done with an "X" to verify the correct site.

Question 5

To whom are perioperative nurses and surgical technologists accountable?

A) Health care insurance providers
B) Self
C) Hospital attorneys representing patients
D) Emergency management specialists

Question 6

The intraoperative phase begins when the patient decides to undergo surgical intervention and ends when the patient is placed on the OR table.

Question 7

Optimal patient care requires which element?

A) Deterring an admission of fault in sterile technique
B) Anatomical separation
C) Dynamic tension of surgical team members
D) Application of asepsis and sterile technique principles

Question 8

Access to health care is a privilege of every human being.

Question 9

A perioperative nurse should be reluctant to admit a frank or questionable break in sterile technique.

Question 10

No area of the body is considered "dirty."

Question 11

Which identifies one aspect of safe patient movement from the OR table to the stretcher?

A) The circulating nurse counts to synchronize the patient's movement.
B) The person guiding the head counts to synchronize the movement.
C) The person at the left side of the patient also guides the head and counts to start the movement.
D) Two people are needed to move an anesthetized patient from table to stretcher.

Question 12

Postoperative infection can originate only in the OR from a break in technique by the surgeon or scrub person.

Question 13

Nursing and surgical technology schools and facilities require an employee to sign a confidentiality agreement on hiring.

Question 14

Failure of a caregiver to maintain accountability constitutes:

A) liability.
B) negligence.
C) false standards.
D) consistency.

Question 15

Which is one of the "seven rights" of medication administration for each patient?

A) Right pharmacy
B) Right color
C) Right route
D) Right answer

Question 16

What is a key element of perioperative practice?

A) Division of surgical duties
B) Absence of disease
C) Surgical conscience
D) Respect of surgical staff

Question 17

What is an important aspect in the development of a surgical conscience?

A) Communication
B) Fear of criticism
C) Anxiety
D) Sterile technique

Question 18

The ____ should document in writing the outcome of the final counts as correct or incorrect at the end of the procedure.

A) scrub person
B) surgeon
C) anesthesiologist
D) circulating nurse

Question 19

Standards of practice for the surgical technologist include:

A) teamwork.
B) measuring compliance with policy and procedures.
C) supervising ancillary personnel.
D) creating patient-centered diagnoses preoperatively.

Question 20

The primary emphasis of the nurse's responsibility is focused on the scrub person and the surgeon's needs throughout the procedure.

Question 21

Which event is included on Medicare's "No Pay List" and will not be reimbursed?

A) Myocardial infarction
B) Wrong site surgery
C) Documented Alzheimer's
D) Incision and drainage of chronic hip abscess

Question 22

Who should be present for the standardized "hand-off" communication that occurs in the postanesthesia care unit?

A) Surgeon and surgical resident
B) Surgeon and family member
C) Perioperative nurse and postanesthesia nurse
D) Head Nurse Manager