NIFA Final Exam (Latest 2023 – 2024) Graded A+

NIFA Final Exam (Latest 2023 – 2024) Graded A+ Peripheral nerve block for ankle ORIF would complain if which symptom - metallic taste in mouth Positioning arms correctly to avoid pressure on the elbow to prevent - ulnar nerve injury Positioning device for bariatric patients prior to intubation - upper body ramp Depolarizing muscle relaxant that produces generalized fasciculations - succinylcholine Hemostatic device offers rapid and secure method of clamping, metal and MRI compatible - ligating clip Positioning device for head cases - mayfield head positioner Suture permanently attached at the end of the needle referred to as - swaged Over pressurization can lead to - hypercarbaria Most commonly used local anesthetic - lidocaine Double gloving - 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 - moderate sedation / analgesia Who requires two patient identifiers o n specimen labels - JCO Factor with high influence on wound healing that the surgical team can control - tissue handling Patient at highest risk for hypothermia in perianesthesia phase - 3 week old neonate for cardiac anomaly Suture best suited for intestinal anastomosis - vicryl Trailing a new insuflation system, over -pressurization leads to - hypercarbia Process of decontamination begins when - at completion of the surgical procedure Which injury is NOT related to a patien t being placed in the lateral position - compression of abdominal cavity primary substance found in epidermis that protects body from fluid loss and invasion of pathogens - keratin Correct statement regarding closed gloving - closed gloving can only be used for initial gloving What measure can be taken to prevent aspiration based on patient's history - cricoid pressure during induction One factor that describes high incidence of musculoskeletal disorders among surgical techs and nurses - the cumulative effect of repeated patient handling events q Allergic contact dermatitis with natural rubber latex - puritis, edema, erythema and visicles 6 -48 hours after exposure patient reports latex allergy, carries epi pen and beta -agonist inhaler - true latex allergy 191.18 kg patient scheduled for surgery; interventions to enhance patient safety - use of an OR bed to accommodate patient weight and size risk reduction strategy to reduce sharps injury - passing sharp items using neutral / hands free techniques in stead of passing hand to hand self retaining retractor for large patient - bookwalter silk loses tensile strength after what period of time - 1 year physical characteristic of suture - knot strength appropriate steps to remove sterile gown - wipe gloves clean, untie side of gown, grasp gown at one shoulder seam practice for sponge, sharp, and instrument counts follows: - institutional policy laparoscopic trocars placed by resident; unusual occurance that could lead to sepsis - inadvertent trocar puncture through bowel on insertion risk factor for PONV - FEMALE GENDER source of radiation in OR - C arm ideal suture material is one that has handling characteristics such as - pliability NOT a characteristic of silk suture - memory risk reduction strategy to reduce RSI - replacing or tagging sponges and laparotomy instruments with RFID chips skin injuries related to shearing occur when the patient is in what position - trendelenburg intracorporeal suture techn ique uses suture tying process analogous to - instrument tying health professionals should employ which strategy to reduce risk of allergic reaction to latex - use powder free gloves that have low levels of protein and chemical allergens patient right re garding consent - right to informed consent patient has numb and tingly mouth, lips and tongue, and metallic taste after peripheral nerve block - 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 - set ambient room temp between 68 -73 CO2 gas is used to insufflate to: - 9 L/min, 14 -16 mm Hg treatment for LAST includes - lipids correct order of removal for s oiled sterile attire - gown, gloves, mask sponge counts should be performed - before the procedure, before closure of each body cavity, before wound closure, at skin closure suture that helps eliminate tension of primary suture line - retention tensile strength of lactic and glycolic acid polymers is sufficient for how many weeks - 2-3 concern with large doses of ketamine - respiratory depression patient having cardiac surgery, consider all of the following except: - RBCcount? there are blank main cor onary arteries which originate in the blank - 2, sinuses of valsalva most stable and rigid fixation of a fracture - locked plating system NOT included in the retroperitoneal space - spleen filtering mechanism if located in which region of the kidney - renal cortex ? damage to cranial nerve VII - drooping of the corned of the mouth which lab values are indicative of acute pancreatitis resulting from blockage in the ampulla of vater - amylase, lipase absolute contraindication for a cholecystectomy is - uncontrolled coagulopathy ductal ectasia is difficult to distinguish from cancer because it presents with - a hard irregular mass, nipple discharge, and enlarged axillary nodes wound classification for breast surgery - clean correct path of cardia c conduction system - SA, AV< bundle of his, purkinjie fibers branch of the left main coronary artery - circumflex coronary artery patient with CVI is not often treated surgically because - CVI is not life threatening or limb threatening venous structur e that prevents blood backflow - semilunar intimal folds communication with anesthesia in cases involving facial nerves - muscle relaxants, paralytic agents, and some local anesthetics must be avoided primary function of three thyroid hormones - regulate energy metabolism absences of distinct teniae serves as visual landmark for - upper margin of rectum lymphatics of small bowel and portions of colon are located in - mesentary point of insertion for iliopsoas muscle - lesser trochanter femoral hernias occur more frequently in - women minimally invasive technique used to remove thyroid tumors deep in the mediastinum - thoracoscopy