TEST INSTRUCTIONS
* Read the article. The test for this nursing continuing professional development (NCPD) activity is to be taken online at http://www.NursingCenter.com/CE/JWOCN. Tests can no longer be mailed or faxed.
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* There's only one correct answer for each question. A passing score for this test is 7 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost.
* For questions, contact Lippincott Professional Development: 1-800-787-8985.
* Registration deadline is December 6, 2024.
PROVIDER ACCREDITATION
Lippincott Professional Development will award 2.5 contact hours for this nursing continuing professional development activity.
Lippincott Professional Development is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.5 contact hours. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida, CE Broker #50-1223. Your certificate is valid in all states.
Payment: The registration fee for this test is FREE for members and $24.95 for nonmembers.
Research for this manuscript was supported by a grant from Molnlycke Healthcare.
Dr. Black discloses that she has been engaged as a Consultant, Speakers' Bureau for Molnlycke; Consultant, Speakers' Bureau for Urgo; Consultant, Speakers' Bureau for Sage a Division of Stryker Medical; Consultant, Speakers' Bureau for KCI; and Consultant, Speakers' Bureau for Atlas LiftTech. Ms. Creehan has a financial relationship with Molnlycke Healthcare. She receives payment from Molnlycke as a member of their global Scientific Advisory Board, and is a Consultant and on the Speaker's Bureau for Molnlycke.
All staff and planners in any position to control the content of this educational activity have disclosed that they have no relevant financial relationships with ineligible companies.
This activity has been reviewed and all relevant financial relationships have been mitigated.
JWOCN0122B
Learning Outcome: 75% of participants will demonstrate knowledge of evidence-based clinical practice guidelines addressing the prevention of pressure injuries (PIs) in the operating room (OR) by achieving a minimum score of 70% on the outcomes-based posttest.
Learning Objectives: After completing this continuing professional development activity, the participant will be able to apply knowledge gained to:
1. Identify the parameters of the standardized risk assessment tools used to predict the PI risk of perioperative patients.
2. Select the appropriate strategies for preventing PIs in perioperative patients.
3. Recognize the evidence that demonstrated a reduction in PIs as a result of specific education and/or interventions.
1. The intraoperative assessment portion of the Munro Pressure Risk tool includes multiple factors, including
a. blood loss.
b. body mass index.
c. hypotensive events.
2. The Scott Triggers classifies patients as being at high risk for OR-associated PI development if they have two of four factors, one of which might be
a. age over 50 years.
b. serum albumin less than 3.5 g/L.
c. estimated surgery time of at least 90 minutes.
3. The Perioperative Risk Assessment Measure for Skin instrument identifies surgical patients at risk for OR-associated PI development using six criteria, one of which is
a. diabetes mellitus.
b. Braden score less than 10.
c. surgical time of at least 3 hours.
4. You are an OR nurse preparing a patient for a surgical procedure that requires supine positioning. During your assessment, you identify a stage-2 PI on the patient's left hip. Which of the following interventions should you implement?
a. Position a gel pad under the left hip.
b. Use a foam wedge to elevate the right hip.
c. Apply a prophylactic dressing on the sacrum.
5. The authors recommend that all OR table mattresses be replaced with
a. a high-specification reactive foam surface.
b. a high-quality air mattress.
c. an eggcrate foam mattress.
6. The advantage of using a fluidized positioner made of viscoelastic composite material is that it
a. absorbs moisture.
b. can be molded to the body.
c. can be laundered in a washing machine.
7. You are an OR nurse preparing a patient for a surgical procedure that requires careful head positioning. Which of the following devices is the best choice for stabilizing the patient's head?
a. a gel donut
b. stacked folded towels
c. a fluidized head positioner
8. To provide 100% offloading of a patient's heel in preparation for surgery, you
a. lay a pillow lengthwise under the patient's calf.
b. position the heel in the center of a gel donut.
c. surround the heel with rolled towels.
9. After the introduction of positioning workshops for staff and 5-layer foam dressings for patients with planned procedures longer than 1.5 hours, and after all patients in prone or park bench positions had these dressings applied to all high-risk body areas, Haggard et al. (2018) reported that the incidence of PIs dropped to
a. 5%.
b. 3%.
c. 0%.
10. In a study by Brindle (2020), the use of 5-layer foam dressings and viscoelastic OR mattresses resulted in intraoperative PIs developing in how many of the left ventricular assist device patients they included in the study?
a. 4.3%
b. 2.1%
c. 0%