SURGICAL FIRST ASSIST TEST 18 QUESTIONS AND ANSWERS 100% SOLVED

SURGICAL FIRST ASSIST TEST 18 QUESTIONS AND ANSWERS 100% SOLVED Q. Which of the following is a barrier of advocating for patients? - answerA. The patient cannot properly express their needs Sometimes patients are unable to fully express their needs. This type of situation can cause barriers in communication and keep the nurse from properly advocating for the patient. Q. The only cure for endometriosis is surgical removal of all the endometrial implants. This may be done by definitive surgery that involves which of the following? - answerA. removal of the uterus, fallopian tubes, ovaries and as many endometrial implants as possible The only cure for endometriosis is surgery - either conservative or definitive. Definitive surgery involves removal of the uterus, fallopian tubes, ovaries and as many endometrial implants as possible. Q. Knowledge deficit can be related to many factors. All of the following are related factors, EXCEPT - answerA. High readiness level A high readiness level for receiving new information will help improve any knowledge deficit the patient may have. However, a low readiness level may reflect anxiety which can interfere with the patient's comprehension Q. Evidence-based nursing practice (EBNP) emphasizes identifying the best available evidence and integrating it with clinical expertise, patient input, and existing resources. All of the following are appropriate steps in implementing EBNP EXCEPT: - answerA. using randomized control trials This is not part of EBNP. It is associated more with evidence-based medicine. EBNP has five basic steps: formulating a clinical question; searching for peer-reviewed articles; critically evaluating and comparing these articles; applying information from these articles; and, finally, evaluating the outcome of the changes made in local practice Q. A patient presents with decreased immunity, collagen synthesis. The MSN would MOST likely diagnosis a lack of what? - answerA. Zinc The lack of Vitamin B6 typically manifests as decreased protein synthesis and protein, the impairment of healing and host defenses. A deficiency of zinc created decreased immunity, collagen synthesis. Low Vitamin A produces decreased epithelialization, collagen synthesis, and resistance to infection. Q. The _____ is best done with individualized plans of care. - answerA. Discharge criteria A mix of standardized and individualized nursing plans is often effective. Individual plans are more effective for discharge criteria, outcome criteria, and timing of interventions. The other answers work better with standardized nursing plans. Q. Which of the following would be a fat-soluble vitamin which promotes blood clotting? - answerA. Mephyton The fat-soluble vitamin which can help to promote blood clotting would be vitamin K. Vitamin K's can include: Mephyton Konakion Aquamephyton Q. Which sleep condition is linked to airway obstruction? - answerA. Sleep apnea Disturbed sleep patterns fall under the category of a secondary diagnosis, but they can affect the primary diagnosis. Sleep apnea is a condition that causes disturbed sleep patterns and is linked to airway obstruction. Q. Which of the following signs and/or symptoms is most likely to indicate that your patient has a systemic infection? - answerA. malaise, weakness, or fatigue Systemic infections are generalized and produce symptoms in multiple body systems. Prodromal symptoms include malaise, weakness, fatigue, aches, and anorexia. Progression of a systemic infection is evidenced by symptoms such as fever, tachycardia, leukocytosis with a shift in differential, and lymphadenopathy. Q. Which of the following gloves should be worn for a procedure that does not require a sterile field? - answerA. Unsterile latex gloves Double sterile gloves do not help prevent a puncture wound, but could be appropriate if there is a danger of a glove tear. Sterile gloves would be worn if a sterile field is required. Unsterile latex or vinyl gloves can be worn for procedures that do not require a sterile field. Q. What should be done if systemic anaphylaxis is suspected? - answerA. Inject aqueous epinephrine intramuscularly At the first sign of systemic anaphylactic response, 0.2-0.5 ml of aqueous epinephrine should be injected intramuscularly. Adjuvant therapy can include a cortico-steroid and/or an antihistamine. A non-steroid anti-inflammatory drug would not stabilize hemodynamics, provide brochodilation and prevent additional mast cell degranulation, which is what the epinephrine will accomplish. Q. When a specimen is being sent to pathology, which of the following would be considered the most common transport medium? - answerA. Formalin If the scrub technician is not for sure as to which type of transport medium would be correct for the specimen that is being transported, they should check with pathology or the surgeon. The most common transport medium is c