What is the leading and most costly occupational health problem in the united states?
- headache
- needlesticks and sharps injury resulting in exposures
... [Show More] to transmissible diseases
- overexertion leading to back strains sand sprain
- overwork leading to fatigue Correct Answer-overexertion leading to back strains sand sprain
when should leak testing of a flexible endoscope be performed?
- after manual cleaning and before it is placed into cleaning solution
- after manual cleaning and being placed into cleaning solution and before drying
- at the point of use during precleaning
- before manual cleaning and before it is placed into cleaning Correct Answer-before manual
cleaning and before it is placed into cleaning.
an rn circulator hears an anesthesia professional ask an unlicensed assistive person (UAP) to
push IV. What should the perioperative rn immediately do?
- help the UAP administer the IV push medication
- notify the charge rn that the UAP is performing a task that is not within his job description
- offer assistance to the anesthesia professional so that the anesthesia professional can administer
the medication himself
- tell the UAP to stop and the perioperative rn should administer the medication for the
anesthesia professional. Correct Answer-offer assistance to the anesthesia professional so that the
anesthesia professional can administer the medication himselfAfter a vaginal hysterectomy, a healthy 47-yr-old woman is in the postanesthesia care unit. Her
body mass index is 22. her arterial blood gas test results are pH 7.52, PaCO2 28, HCO3 24. the
patient's condition is
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis Correct Answer-respiratory alkalosis
an ambulatory surgery center (ASC) does not have a radiology department at the facility. When
surgical count discrepancies occur, what actions should be taken 1st by the perioperative rn?
- arrange for the pt to be x-rayed for the missing item at the closest hospital
- document the results of the surgical count
- follow the ASC's standardized process to locate the missing item
- inform the pt's family or caregiver that the procedure is taking longer than expected due to the
missing item Correct Answer-follow the ASC's standardized process to locate the missing item
the perioperative rn should be recognized that the most common complication for a pt with
multiple traumatic injuries is
fluid and electrolyte imbalance
hemorrhage
infection
shock Correct Answer-shock
in addition to the pt's identity, which of the following should be confirmed to help decrease the
risk for wrong site surgery?
allergies
medication historyprevious responses to general anesthesia
procedure and site Correct Answer-procedure and site
what statement related to medication management in an ASC is TRUE?
- a pharmacist may be contracted by the health care organization to provide consultative services
on site or by telepharmacy.
- An rn or pharmacist may be contracted by the health care organization to provide
pharmaceutical services.
- Pharmaceutical services must be provided by a pharmacist who is on site at the ASC.
- Physicians and pharmacists are the only licensed professional who may provide pharmaceutical
services at an ASC Correct Answer-a pharmacist may be contracted by the health care
organization to provide consultative services on site or by telepharmacy.
Mr. w is a 52-yr-old man in the emergency department complaining of shortness of breath and
tingling fingers. His breathing is shallow and rapid. He denies that he has diabetes, and his blood
sugar is within normal limits. There are no electrocardiogram changes. He has no significant
respiratory or cardiac history. He takes several anti-anxiety medications. He says he has had
anxiety attacks in the past. While Mr. w is being worked up for chest pain, a blood specimen is
drawn for testing arterial blood gasses (ABG). What do mr. w's ABG values indicate?
pH 7.48, PaCO2 28, HCO3 22
metabolic acidosis
metabolic alkalosis
respiratory acidosis
respiratory alkalosis Correct Answer-respiratory alkalosis
the perioperative rn should select a pneumatic tourniquet cuff
- based on the pt's age and blood pressure
- by considering the average length of the planned surgical procedure- after the pt is under anesthesia and positioned on the OR bed and the surgeon is in the OR
- that is long enough so that bladder of the tourniquet overlaps sufficiently on the limb. Correct
Answer-that is long enough so that bladder of the tourniquet overlaps sufficiently on the limb.
A pt is on a stretcher in the perioperative ready area. When he arrived at the facility's surgery
admission desk that morning, he appeared disheveled and incoherent. Laboratory blood tests
indicated a high level of cocaine in his system. The anesthesia professional was at the pt's side
discussing the need to postpone the surgery with the surgeon when the pt became belligerent and
forcefully grabbed the anesthesia professional's neck. The pt was placed into restraints. In this
situation, why were restraints necessary [Show Less]