NIFA FINAL EXAM A+

NIFA FINAL EXAM A+ peripheral nerve block for ankle ORIF would complain if which symptom - CORRECT ANSWER-metallic taste in mouth positioning arms correctly to avoid pressure on the elbow to prevent - CORRECT ANSWER-ulnar nerve injury positioning device for bariatric patients prior to intubation - CORRECT ANSWER-upper body ramp depolarizing muscle relaxant that produces generalized fasciculations - CORRECT ANSWER-succinylcholine hemostatic device offers rapid and secure method of clamping, metal and MRI compatible - CORRECT ANSWER-ligating clip positioning device for head cases - CORRECT ANSWER-mayfield head positioner suture permanently attached at the end of the needle referred to as - CORRECT ANSWER-swaged overpressurization can lead to - CORRECT ANSWER-hypercarbaria most commonly used local anesthetic - CORRECT ANSWER-lidocaine double gloving - CORRECT ANSWER-the american college of surgeons endorses double gloving for all surgery and invasive procedures anesthesia that lets patients maintain their own airway and be easily aroused from sleep - CORRECT ANSWER-moderate sedation / analgesia who requires two patient identifiers on specimen labels - CORRECT ANSWER-JCO factor with high influence on wound healing that the surgical team can control - CORRECT ANSWER-tissue handling patient at highest risk for hypothermia in perianesthesia phase - CORRECT ANSWER-3 week old neonate for cardiac anomaly suture best suited for intestinal anastomosis - CORRECT ANSWER-vicryl trailing a new insuflation system, over-pressurization leads to - CORRECT ANSWERhypercarbia process of decontamination begins when - CORRECT ANSWER-at completion of the surgical procedure which injury is NOT related to a patient being placed in the lateral position - CORRECT ANSWER-compression of abdominal cavity primary substance found in epidermis that protects body from fluid loss and invasion of pathogens - CORRECT ANSWER-keratin correct statement regarding closed gloving - CORRECT ANSWER-closed gloving can only be used for initial gloving what measure can be taken to prevent aspiration based on patient's history - CORRECT ANSWER-cricoid pressure during induction on factor that describes high incidence of musculoskeletal disorders among surgical techs and nurses - CORRECT ANSWER-the cumulative effect of repeated patient handling events q allergic contact dermatitis with natural rubber latex - CORRECT ANSWER-puritis, edema, erythema and visicles 6-48 hours after exposure patient reports latex allergy, carries epi pen and beta-agonist inhaler - CORRECT ANSWER-true latex allergy 191.18 kg patient scheduled for surgery; interventions to enhance patient safety - CORRECT ANSWER-use of an OR bed to accommodate patient weight and size risk reduction strategy to reduce sharps injury - CORRECT ANSWER-passing sharp items using neutral / hands free techniques instead of passing hand to hand self retaining retractor for large patient - CORRECT ANSWER-bookwalter silk loses tensile strength after what period of time - CORRECT ANSWER-1 year physical characteristic of suture - CORRECT ANSWER-knot strength appropriate steps to remove sterile gown - CORRECT ANSWER-wipe gloves clean, untie side of gown, grasp gown at one shoulder seam practice for sponge, sharp, and instrument counts follows: - CORRECT ANSWERinstitutional policy laparoscopic trocars placed by resident; unusual occurance that could lead to sepsis - CORRECT ANSWER-inadvertent trocar puncture through bowel on insertion risk factor for PONV - CORRECT ANSWER-FEMALE GENDER source of radiation in OR - CORRECT ANSWER-C arm ideal suture material is one that has handling characteristics such as - CORRECT ANSWER-pliability NOT a characteristic of silk suture - CORRECT ANSWER-memory risk reduction strategy to reduce RSI - CORRECT ANSWER-replacing or tagging sponges and laparotomy instruments with RFID chips skin injuries related to shearing occur when the patient is in what position - CORRECT ANSWER-trendelenburg intracorporeal suture technique uses suture tying process analogous to - CORRECT ANSWER-instrument tying health professionals should employ which strategy to reduce risk of allergic reaction to latex - CORRECT ANSWER-use powder free gloves that have low levels of protein and chemical allergens patient right regarding consent - CORRECT ANSWER-right to informed consent patient has numb and tingly mouth, lips and tongue, and metallic taste after peripheral nerve block - CORRECT ANSWER-a toxic overdose to local anesthetic, monitoring and increasing flow rate in IV saline select the intervention that is an engineered control factor to protect patient from hypothermia - CORRECT ANSWER-set ambient room temp between 68-73 CO2 gas is used to insufflate to: - CORRECT ANSWER-9 L/min, 14-16 mm Hg treatment for LAST includes - CORRECT ANSWER-lipids correct order of removal for soiled sterile attire - CORRECT ANSWER-gown, gloves, mask sponge counts should be performed - CORRECT ANSWER-before the procedure, before closure of each body cavity, before wound closure, at skin closure suture that helps eliminate tension of primary suture line - CORRECT ANSWERretention tensile strength of lactic and glycolic acid polymers is sufficient for how many weeks - CORRECT ANSWER-2-3 concern with large doses of ketamine - CORRECT ANSWER-respiratory depression patient having cardiac surgery, consider all of the following except: - CORRECT ANSWER-RBCcount? there are blank main coronary arteries which originate in the blank - CORRECT ANSWER-2, sinuses of valsalva most stable and rigid fixation of a fracture - CORRECT ANSWER-locked plating system NOT included in the retroperitoneal space - CORRECT ANSWER-spleen filtering mechanism if located in which region of the kidney - CORRECT ANSWER-renal cortex ? damage to cranial nerve VII - CORRECT ANSWER-drooping of the corned of the mouth which lab values are indicative of acute pancreatitis resulting from blockage in the ampulla of vater - CORRECT ANSWER-amylase, lipase absolute contraindication for a cholecystectomy is - CORRECT ANSWER-uncontrolled coagulopathy ductal ectasia is difficult to distinguish from cancer because it presents with - CORRECT ANSWER-a hard irregular mass, nipple discharge, and enlarged axillary nodes wound classification for breast surgery - CORRECT ANSWER-clean correct path of cardiac conduction system - CORRECT ANSWER-SA, AV bundle of his, purkinjie fibers branch of the left main coronary artery - CORRECT ANSWER-circumflex coronary artery patient with CVI is not often treated surgically because - CORRECT ANSWER-CVI is not life threatening or limb threatening venous structure that prevents blood backflow - CORRECT ANSWER-semilunar intimal folds communication with anesthesia in cases involving facial nerves - CORRECT ANSWERmuscle relaxants, paralytic agents, and some local anesthetics must be avoided primary function of three thyroid hormones - CORRECT ANSWER-regulate energy metabolism absences of distinct teniae serves as visual landmark for - CORRECT ANSWER-upper margin of rectum lymphatics of small bowel and portions of colon are located in - CORRECT ANSWERmesentary point of insertion for iliopsoas muscle - CORRECT ANSWER-lesser trochanter femoral hernias occur more frequently in - CORRECT ANSWER-women minimally invasive technique used to remove thyroid tumors deep in the mediastinum - CORRECT ANSWER-thoracoscopy colon wall has 5 layers which include - CORRECT ANSWER-mucosa possible benefit to paramedian incision - CORRECT ANSWER-decreased risk for hernia transthoracic esophagectomy with lymph node dissection for cancer of esophagus; which approach - CORRECT ANSWER-upper midline abdominal and right thoracotomy burn patient; preparation performed before patient comes to OR - CORRECT ANSWER-prewarm the OR to above the ambient high temp for adult distinguishing characteristic of large intestine - CORRECT ANSWER-teniae coli, haustra, epiploic appendages 51 y/o male with hepatobiliary disease; pre op assessment includes - CORRECT ANSWER-review his chart for bleeding and coagulation times and platelet count boundaries for skin prep for patient receiving liver transplant - CORRECT ANSWERneck to midthigh, bedline to bedline during kidney transplant prior to clamping vessels, drugs given - CORRECT ANSWERheparin and mannitol hernias that occur in the heselbach's triangle - CORRECT ANSWER-direct inguinal hernia incision for removing cancerous testis - CORRECT ANSWER-midportion of scrotum correct statement regarding trigone of bladder - CORRECT ANSWER-forms the base of the bladder nerve supply for female pelvis comes from - CORRECT ANSWER-superior hypogastric plexus tear to the meningeal artery results in what kind of hematoma - CORRECT ANSWERepidural bloodless plane that contains loose areolar tissue and permits mobility of scalp - CORRECT ANSWER-subgleal space vessels of the circle of willis include - CORRECT ANSWER-posterior communicating artery cranial nerve responsible for pupillary reaction - CORRECT ANSWER-cranial nerve III primary divisions of nerve are known as - CORRECT ANSWER-rami disadvantage of harrington rods - CORRECT ANSWER-rod breakage is increased nerves in the lower extremity not commonly implicated in positioning related neuropathies - CORRECT ANSWER-popliteal use of PMMA can result in which adverse reaction - CORRECT ANSWER-transient hypotension ASPECT OF BONE HEALING THAT IS PRESERVED THROUGH INTRAMEDULLARY REAMING - CORRECT ANSWER-maintenance of fracture hematoma closed reduction is the treatment of choice for fractures because - CORRECT ANSWER-decreased opportunity for infection most commonly used pediatric premedication - CORRECT ANSWER-versed child is being pre oped for surgery and nurse notices mild myotonia congenita; appropriate risk reduction strategy would be - CORRECT ANSWER-perform careful assessment of family hx to identify risk for developing MH congenital anomaly that best reflects indications of fetal surgery - CORRECT ANSWERcongenital diaphragmatic hernia scoring range for GCS - CORRECT ANSWER-15, 3 pneumonic AMPLE - CORRECT ANSWER-allergies, medications, PMH, last meal, event leading to injury why must evidence be placed in a paper bag and not a plastic bag - CORRECT ANSWERmulitple trauma wound patient, what is appropriate for rapid preparation of this patient - CORRECT ANSWER-prep patient from suprasternal notch to mid thigh B why must evidence be placed in a paper bag and not a plastic bag - CORRECT ANSWER-plastic bags may trap moisture and allow mold growth, destroying evidence person responsible for marking the patient - CORRECT ANSWER-surgeon concept of risk management - CORRECT ANSWER-all of the above patient safety strategy that reduces medication errors - CORRECT ANSWER-tracing origin and insertion of all tubes and catheters contributing factors to friction and shearing - CORRECT ANSWER-transfer process from OR bed to stretcher most common pattern of hearing loss in older adults - CORRECT ANSWER-bilateral symmetric sensorineural skin injuries are often overlooked or not linked to surgery because - CORRECT ANSWER-injuries often have a delay in appearance the perioperative nurse - CORRECT ANSWER-all of the above JCAHO model of risk management includes - CORRECT ANSWER-all of the above cutting suture knots of non absorbable suture - CORRECT ANSWER-1/2 inch most common complication following ACDF - CORRECT ANSWER-difficulty swallowing humidity levels in the OR range between - CORRECT ANSWER-40-70 complication that can occur as a result of rapid high pressure is - CORRECT ANSWERhypotension dry time for most skin preps - CORRECT ANSWER-3-5 minutes structures located within the broad ligaments - CORRECT ANSWER-fallopian tubes, ureters, uterine vessels most common size needle for skin closure - CORRECT ANSWER-3/8 one of the two strongest layers in tissue closure - CORRECT ANSWER-fascia aortic root is located - CORRECT ANSWER-at the junction of the origin of the ascending aorta and the left ventricle a reason for conversion of lap cholecystectomy to open - CORRECT ANSWER-inability to remove a stone from the CBD via ERCP must consider which of the following when decided treatment for breast cancer - CORRECT ANSWER-size of tumor absolute contraindication for cholecystectomy - CORRECT ANSWER-uncontrolled coagulopathies most common used incision for C section - CORRECT ANSWER-pfannensteil another name for the left colonic flexure - CORRECT ANSWER-splenic flexure what structures comprise the medial border of Hesselbach's triangle - CORRECT ANSWER-lateral edge of the rectus abdominal muscle ligament that connects the laminae of the spine - CORRECT ANSWER-ligamentum flavum medication used in cardiac surgery to prevent spasms of vessels - CORRECT ANSWER-papaverine muscle critical in stabilization of knee joint - CORRECT ANSWER-quad borders of the triangle of calot - CORRECT ANSWER-hepatic duct, cystic duct, inferior edge of right lobe of the liver during a THA using the posterior lateral approach, the RNFA will dislocate the head of the femur using - CORRECT ANSWER-flexion, adduction, external rotation identify the fascia which is an extension of the internal oblique muscle and covers the spermatic cord - CORRECT ANSWER-cremaster technique primarily used for women having prophylactic mastectomy with immediate reconstruction - CORRECT ANSWER-nipple sparing patient uses ephedra, if halothane is used during procedure, patient is at risk for - CORRECT ANSWER-ventricular arrhythmias