Chapter 02: Foundations of Perioperative Patient Care Standards Phillips: Berry & Kohn’s Operating Room Technique, 13th Edition MULTIPLE CHOICE 1. Who is responsible for documenting the final counts at the end of the case as correct or incorrect? a. Scrub person b. Surgeon c. Anesthesiologist d. Circulating nurse ANS: D The circulating nurse is responsible for final documentation. REF: 22 2. Optimal patient care requires which element? a. Deterring an admission of fault in sterile technique b. Anatomic separation c. Dynamic tension of surgical team members d. Application of asepsis and sterile technique principles ANS: D Asepsis and sterile technique are expected and necessary practices in the OR setting for favorable patient outcomes. REF REF: 21 | 22 3. The circulating nurse should assess a patient for which type of injury before entering the OR? a. Medication error b. Wrong IV site c. Skin injury d. Sharp object ANS: C Skin injuries can be caused by many things in the OR. The nurse should assess the skin before and after the procedure to make sure no damage has been done. REF: 24 4. Caregivers should always know why they are doing a particular action. Actions should be based on ___________. a. self-taught methods b. preceptor actions c. nursing process d. evidence-based prac Evidence-based practice is a systematic process that is based on research. The research is the base for best practices. Practices are constantly evaluated for the best methods for performing patient care. REF: 26 5. When does the intraoperative phase begin? a. Placement of the patient on the OR bed b. When the patient enters the OR c. When waiting in the holding area d. When taken to the recovery area or PACU ANS: A The intraoperative phase begins with the patient on the OR bed and continues until the patient is transported to the PACU. REF: 28 6. What documentation goes into the patient’s chart and becomes part of the permanent record? a. Specimen results b. Intraoperative notes only c. All routine and individualized care d. Physical changes ANS: C All patient care interventions and observations are documented. Standardized language provides legal evidence for the plans of care and revisions of those plans. REF: 31 7. 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 the table to the stretcher. ANS: B There should be at least one person on either side of the patient, one at the foot, and one at the head to monitor the airway. The person guiding the patient’s head should be the one who counts “one, two, three” to pace the synchronized movement from one surface to another. REF: 22 8. 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 ANS: C
