SURGICAL FIRST ASSIST

SURGICAL FIRST ASSIST Q.Routine decontamination of the surgical suite is considered very important. Which of the following should be the recommended practice prior to the first case of the day? - CORRECT ANSWER-A. Damp dusting of the surgical lights, damp dusting of the fixed equipment in the surgical suite, and damp dusting of the furniture. Prior to starting the first case of the day, the staff should damp dust the surgical lights, the furniture, and the fixed equipment that are located in the surgical suite. The chemical used is typically a hospital grade disinfectant which is then applied to a clean lint-free cloth. Q.Which of the following is an example of an activity related to the affective domain of learning? - CORRECT ANSWER-A. A scrub nurse-in-training is asked to express her opinion regarding a bioethical issue Answer D is the correct answer. The nurse is asked to "express her opinion regarding a bioethical issue." This answer is an example of an affective domain activity. Q. All of the following are important when education patient's and their families. However, what is a PRIMARY nursing responsibility when providing post-operative education to a patient and the patient's family? - CORRECT ANSWER-A. Provide information verbally and in writing Nurse should provide patient information verbally and in writing. This is a primary responsibility when educating patient's and their families. Nurses may also provide internet resources, demonstrate information, or ask patient's questions to determine comprehension. Nurses should not provide information in highly technical terms. Q. A pair of ovoid and glandular organs that are the center of the male reproductive system are called the? - CORRECT ANSWER-A. Testes The testes are central to the male reproductive system and are responsible for the production of sperm cells and the male sex hormone known as testosterone. The testes produce approximately 12 trillion sperm in a males lifetime. Approximately 400 million sperm are released in a single ejaculation. Q. Where would you expect to find dull sound when performing percussion? - CORRECT ANSWER-A. Liver When performing percussion over the liver, the sound should be dull and high pitched. This sound is abnormal when percussion is performed over the lungs. The lungs should sound loud and hollow. Q. Large-bowel obstruction can occur in all of the following areas EXCEPT: - CORRECT ANSWER-A. duodenum Small-bowel obstruction occurs in any area of the duodenum, jejunum, or ileum, or in several of these areas simultaneously. Large-bowel obstruction can occur in the ascending, transverse, or descending colon, the rectum, or several of these areas simultaneously. Q. Urinary tract infections are treated with antibiotics or what? - CORRECT ANSWERA. Sulfa drugs Urinary tract infections are common after procedures. They are treated with antibiotics or sulfa drugs Q. The portion of the eye that is sensory and contains layers of photoreceptors, nerves, and supporting cells would be considered which of the following? - CORRECT ANSWER-A.Retina The retina is the sensory portion of the eye. It contains many layers of photoreceptors, supporting cells, and nerves. The retina also contains the optic disk which is the entry and exit point of the eye. Q. When a nurse draws on internal and external resources to resolve a patient problem this is known as which of the following? - CORRECT ANSWER-A. consultation In a consultation, the nurse draws on internal and external resources to resolve a patient problem. As health care organizations decentralize, nurses will become more involved in consultations. Q. Of the following, which would be considered the most common flooring used in an operating room? - CORRECT ANSWER-A. Seamless polyvinyl chloride The most common operating room floor covering used is a seamless polyvinyl chloride. Typically it is continued up the sides of the walls for 5-6 inches and then welded into place. One of the advantages with this type covering is it doesn't stain with age and cleaning and doesn't degrade. Q. A model of care which focuses on the behaviors known to impact health is known as which of the following? - CORRECT ANSWER-A. Health promotion model The health promotion model focuses on patient behaviors that are known to impact health. This model is especially useful when providing patient education about managing a diagnosis or preventing disease. It focuses on what the patient can do to impact his or her own health, which helps promote a sense of agency. Q. When you, as a nurse, help to ensure the health, welfare, and safety of the patient, this is acting in the role of: - CORRECT ANSWER-A. advocate The medical-surgical nurse assumes various roles. When the nurse ensures the health, welfare, and safety of the patient, he or she is working in the role of advocate. Q. The normal hematocrit for men is what? - CORRECT ANSWER-A. 42 - 50% Men and women have different hematocrit values. The normal range for men is 42 - 50%. Q. What would you use Lister scissors for? - CORRECT ANSWER-A. These type of scissors can be used for such things as dressing or bandages. They are also used to cut drains and dressings and to open plastic packets. The fact they have a protective tip helps prevent cutting into concealed structures Q. A feature of post-procedural infections is that they: - CORRECT ANSWER-A. Are influenced by many variables Post-procedural infections can have long term effects and difficult to treat as well as trace to a definite cause. The one true statement about these type of infections is they can be influenced by many variables. Q. An anesthetized patient lying in the supine position has an increased risk of ______. - CORRECT ANSWER-A. Obstruction of airway by tongue The tongue can cause an airway obstruction in certain patients. Patients who are comatose or anesthetized have an increased risk of obstruction of airway by tongue. This risk occurs when they are in the supine position. Q. All of the following are appropriate nursing interventions for a patient who is suffering from bursitis EXCEPT: - CORRECT ANSWER-A. Do not elevate the area or apply any compression. This is not an appropriate intervention. The proper thing to do would be to elevate the area and apply gentle compression (elastic bandage or compression or neoprene sleeve). Q. Which of the following would not be considered a human resource for quality control monitoring for the reprocessing of medical devices? - CORRECT ANSWER-A. There should be regular maintenance of the sterilization and disinfection systems. There should be regular maintenance of the sterilization and disinfection systems, but this would be considered a technology based parameter. The human resource for quality control monitoring for the reprocessing of medical devices should include: The central processing personnel are provided with the correct tools and methods that would be needed to meet their work objectives. There should be accurate records kept of the responsibilities and tasks. These are kept for the purpose of tracking any adverse outcomes that could be related to the disinfection and sterilization. The personnel are offered/encouraged to participate in any outgoing training and evidence-based practices. The personnel in the perioperative area and central processing should be involved in the coordination of their roles and responsibilities, especially regarding their safety. Q. The five rights of medication administration includes all of the following except? - CORRECT ANSWER-A. Right color The five patient medication administration rights consists of: Right patient Right dose Right medication Right route Right time Q. The three stages of surgical wound healing are what? - CORRECT ANSWER-A. Inflammation, proliferation, maturation The three stages of surgical wound healing include inflammation, proliferation, and maturation. The entire process may vary from patient to patient and depending on the procedure. Q. A patient who expresses that she can do nothing to improve her situation is said to displaying signs of - CORRECT ANSWER-A. Powerlessness Powerlessness is a sense that one can do nothing to change his or her situation. This often accompanies a serious health diagnosis, though patients with a variety of health conditions may feel powerless. A nursing diagnosis of powerlessness helps in the planning of care that can help the patient not only manage his or her condition, but the stress or other feelings that go with it. Q. The medical abbreviations for the left and right ears would be which of the following? - CORRECT ANSWER-A. al, ad The medical abbreviation for the left ear is al, and the right ear is ad. These abbreviations derive from auris laeva and auris dextra the Latin terms for left ear and right ear. Q. Of the following sizes, which would be considered the correct for the most common used piece of absorbable gelatin? - CORRECT ANSWER-A. 1/4 to 1 inch The typical size of absorbable gelatin used during a surgery procedure would be 1/4 to 1 inch square or rectangular pieces. These pieces are not left over bone or neural tissues because they have the potential to cause tissue injury Q. A patient has a perforated eardrum with no other complications than a tear to the membrane, which stage of tympanoplasty will be required? - CORRECT ANSWER-A. Type 1 Type 1 Tympanoplasty is used for closing simple perforation of the tympanic membrane. Types 2 through 4 Tympanoplasty are used to place a graft on the ossicles. Type 5 Tympanoplasty is used for placing a graft next to the opening of one the semicircular canals. Q. Which factor is a risk factor for infection related to drug administration? - CORRECT ANSWER-A. Type of operative procedure Factors that increase the risk of infection related to drug administration include malnutrition, advanced age, existing medical conditions and treatments, and the type of procedure being performed. The patient's immune system also plays a part in developing an infection after operative or invasive procedures. An inadequate primary or secondary immune system place the patient at risk for an adverse outcome. Q. A sign of electrosurgery injury during laparoscopic procedures is what? - CORRECT ANSWER-A. Abdominal pain If electrosurgery is used during laparoscopic procedures, the patient should show reasonable progress during recovery. Fever or abdominal pain may be an indication of injury during the procedures or infection. Q. Of the following, the disease that is usually caused by contaminated or inadequately processed foods, especially eggs and poultry, and produces abdominal pain, fever, and severe diarrhea is which of the following? - CORRECT ANSWER-A. salmonellosis Salmonellosis is a disease caused b a serotype of the genus Salmonella, a member of the Enterobacteriaceae family. It usually follows ingestion of contaminated dry milk, chocolate bars, pharmaceuticals of animal origin, or contaminated or inadequately processed food, especially eggs and poultry. Q. Which of the following would be considered the duration for the local anesthetic agent ropivacaine? - CORRECT ANSWER-A. 120-360 minutes Ropivacaine 0.5% has an onset of 15-30 minutes. It has a duration of 120-360 minutes.