Chapter 1 (Part 6)

Question 1

INTRAOPERATIVE NURSING MANAGEMENT GOALS

Answer 1

1. Asepsis
2. Homeostasis
3. Safe administration of Anesthesia
4. Hemostasis (First stage of wound healing)

Question 2

SURGICAL SETTING

Answer 2

1. Unrestricted Area
2. Semi-Restricted Area
3. Restricted Area

Question 3

Entrance and exit from surgical suite for personal, equipment and patient

Answer 3

Unrestricted Area

Question 4

Access tot the procedure rooms and the peripheral support areas within the surgical suite such as storage areas

Answer 4

Semi-Restricted Area

Question 5

Procedure room where the surgery is performed and adjacent to the room is the sterilization area

Answer 5

Restricted area

Question 6

The surgical team

Answer 6

1. Patient
2. Anesthesiologist/Certified Nurse anesthesiologist
3. Surgeon
4. Nurses
5. Registered Nurse First Assistant
6. Surgical technicians

Question 7

Primary responsible for preop medical history and physical assessment

Answer 7

Surgeon

Question 8

Primary decision maker

Answer 8

Surgeon

Question 9

May assist with positioning and prepping

Answer 9

Surgeon

Question 10

Resident, Intern, physician’s assistant, or perioperative nurse

Answer 10

First assistant to the surgeon

Question 11

Selects anesthesia and administer it

Answer 11

Anesthesiologist

Question 12

Intubates and maintains overall wellbeing of the patient (unsterile)

Answer 12

Anesthesiologist

Question 13

Assist and prep the room

Answer 13

Scrub nurse

Question 14

Scrubs, gowns, gloves other members

Answer 14

Scrub nurse

Question 15

Dropping, Passing and Counting the equipments

Answer 15

Scrub nurse

Question 16

Boss of Sterility

Answer 16

Circulating nurse

Question 17

Responsible and accountable for all activities

Answer 17

Circulating nurse

Question 18

Management of personal equipment, supplies, and the environment

Answer 18

Circulating nurse

Question 19

Medical Asepsis

Answer 19

1. Reduce number of pathogens
2. Clean technique
3. Enema, tube feeding

Question 20

Surgical Asepsis

Answer 20

1. Eliminate all pathogens
2. Sterile technique
3. Dressing changes, intubation

Question 21

Principles of surgical asepsis

Answer 21

1. All materials and instruments must be sterilized except scissors (soaked in sterile solution)
2. Proper sterile technique and downing of gloves and gown
3. Sterile to sterile
4. Unsterile to unsterile

Question 22

Positions during surgery

Answer 22

1. Supine (Dorsal Recumbent)
2. Prone
3. Trendelenburg
4. Reverse Trendelenburg
5. Lithotomy Position
6. Modified Fowlers
7. Jack Knife Position