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Exam (elaborations)

CNOR

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Suture is defined as: Correct Answer a genetic term for all material used to repair and the-approximate incited or torn tissue. Suture material have 3 properties: Correct Answer Physical characteristics (tensile strength, memory) Handling characteristic (pliability) Tissue-reaction characteristic (absorption) Suture is composed of two main categories: Correct Answer absorbable and non-absorbable Absorbable =surgical gut Collagen sutures used in eye surgeries Synthetic absorbed le suture often used in laparotomies. Non-absorbable sutures are divided into 3 classes: Correct AnswerClass I: silk and synthetic fibers Class II: cotton or linen fibers Class III: sutures with composition of monofilament or multifilament metal where. Non-absorbable suture include: Correct Answersilk (not used if infection is present) Cotton (eg. Umbilical tape) Nylon (used in ophthalmology) Polyester fiber (used as general closure or facial) Polypropylene (often used in the presence of infection) Barbed suture (used extensively in plastic surgery) Stainless steel. Sellick maneuver Correct Answer A technique that is used with intubation in which pressure is applied on either side of the cricoid cartilage to prevent gastric distention and aspiration and allow better visualization of vocal cords; also called cricoid pressure. Gurney Correct Answer a flat, padded table or stretcher with legs and wheels, for transporting patients or bodies. When performing preoperative patient skin antisepsis, the Perioperative RN should? Correct Answer Allow the antiseptic solution to dry for the full time recommended in the manufacture’s instructions for use before surgical drapes are applied. Rational: Allowing the skin antiseptic to dry completely according to the manufacter’s instruction for use improves the safety and efficacy or preoperative patient skin antisepsis. A Scavenging system must be used to remove waste anesthesia gases from operating room Correct Answer The use of scavenging system to remove waste anesthesia gases is a regulatory requirement. Local anesthetic systemic toxicity is treated by administering? Correct Answer20% lipid emulsion. The only medication that helps to reverse the effects of systemic local anesthetic toxicity is 20% lipid emulsion. Placing the patient on the OR bed in the supine position with arms extended on armbands at greater than 90 degrees may cause injury to? Correct AnswerBrachial plexus. The brachial plexus is a group of nerves that run between the clavicle and the rest rib. Hyperextension of the arm can press the clavicle and first rib together, applying excessive pressure on the brachial plexus. The correct time to label containers designated for medications or solutions is? Correct AnswerAt the time the medication is delivered to the sterile field. Immediately upon receipt of the medication at the sterile file, set scrub person receiving the medication should label the medication container and all devices (syringes) used or deliver or administrate medications. A Perioperative nurses is preparing to perform a skin p rep for a patient schedule for a right breast biopsy with needle localization. When the Perioperative nurse removes the patient’s gown she discovers a wire inserted into the left breast. What is the appropriate action? Correct Answer Postpone prepping until the discrepancy is resolved. Discrepancies in wrong side surgery are addressed before starting the procedure. Potential harm form the use of providing-iodine antiseptic includes? Correct Answer Thyroid dysfunction. Iodine may interfere with thyroid function in burn patients, undergoing thyroidectomy, neonates dan premature neonates, and pregnant or lactating women.

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