Trivia Flashcards

What gives the patient the right to decide not to receive treatment for a medical emergency that was brought on by routine anesthesia during surgery?

Answer: Self Determination Act

Explanation: Compliance with the Patient Self-Determination Act (PSDA), a federal statute, is required. The aim of this law is to ensure that patients' rights to informed consent and protection in healthcare decisions are upheld.

Unconscious trauma patients need urgent surgery. Although two hours distant, the family is traveling. The traveling nurse ought to:

Answer: Have the surgeon document the case is emergent and proceed with the set up

Explanation: Implied surgical consent is presumed in cases where the injury poses a risk to life or limb. It doesn't matter where the family comes from. As long as the staff notes mention the threat to life or limb, you would still have implied agreement even if they were present.

The following situations have the lowest postoperative infection rates:

Answer: Not removed

Explanation: When the hair is left in its current location, infection rates are the lowest. Even neurosurgical procedures can be performed while leaving the hair on if the hair is stretched away from the incisional site using a non-flammable gel.

The surgeon asks that the drapes be moved further apart during a bilateral lower extremity debridement and skin graft to improve surgical access. The scrub nurse's best course of action, as per AORN standards, is:

Answer: Tell the surgeon that the drapes should not be repositioned

Explanation: It's a difficult question, but the solution is to inform the surgeon that the curtains shouldn't be moved. While the patient is open, the old drapes cannot be taken down and replaced. Once the curtains are in place, you can't adjust them (per the rules), and a towel covering the edges will do you no good. Therefore, you must inform the surgeon, "Nope, not moving them," before taking off running.

A 9-year-old child is getting ready for surgery by taking a preoperative tour of the neighborhood. According to his parents, he is afraid of getting a urinary catheter after surgery.

Answer: Show the boy a urinary catheter and explain what he can expect

Explanation: Giving children who are of school age honest, kind information will help them feel less anxious.

The Nursing Practice Act is what?

Answer: It is a body of State law that mandates the State Nursing Board to set out the scope of practice and responsibilities for RNs in that state.

Explanation: Every state has a nursing practice legislation that requires your State Board to specify what constitutes proper nursing practice.

How long can sterile supplies remain open in an empty room before they need to be thrown out?

Answer: There is no specific amount of time

Explanation: According to studies, even in the absence of an actual contamination event, the likelihood of contamination increases the longer a field is left open. As a result, the field shouldn't be created until just before use. There is no temporal limit on how long opened sterile goods can stay sterile in an empty space, though. The cause of sterility is frequently an incident.