NIFA FINAL EXAM 500 + Questions and Correct Answers

NIFA FINAL EXAM 500 + Questions and Correct Answers .among the treatment options for tricuspid valve disease ; what type of prosthetic graft would be created or implanted - ANSWER-a mitral prosthesis .an appropriate combined function for a laparoscopic instrument would be - ANSWER-blunt dissection with the smooth rounded edge of the closed endoscopic scissors .an appropriate nursing action by the female nurse would be - ANSWER-maintain shoshana's privacy and convey empathy and positive regard for her culture .an appropriate protective intervention is reflected in which true statement about patient positioning in vascular surgery - ANSWER-the nurse should protect the patient's vulnerable neurovascular bundles from compression .an example of an amphiarthrotic joint is - ANSWER-intervertebral joints .an example of antithyroid drugs that would be administered during a thyroid storm crisis would be - ANSWER-propylthiouracil and methimazole .an extension and modification of the brain designed to perceive light and relay visual signals through the optic nerve back to the occipital brain - ANSWER-retina .an integrator is designed to measure () during sterilization - ANSWER-temperature, time, presence of steam .an interventional radiology procedure used to open a blocked or narrowed blood vessel as a result of arthrosclerosis is - ANSWER-percutaneous transluminal angioplasty .an orichiopexy indications - ANSWER-all testes that are undescended after 1 year require surgical placement in the scrotum .anesthesia that lets patients maintain their own airway and be easily aroused from sleep - ANSWER-moderate sedation / analgesia .anna lindeman - ANSWER-airplane cabin pressure and high elevations will cause severe enlargement of the gas bubble and increase intraocular pressure .another name for cardinal ligament - ANSWER-mackenrodt's ligament .another name for the left colonic flexure - ANSWER-splenic flexure .aortic root is located - ANSWER-at the junction of the origin of the ascending aorta and the left ventricle .appropriate action if the doctor is delayed after the room ad instruments have been opened - ANSWER-cover the instruments with a sterile drape and have the scrub nurse continually visually observe the room for breaches in sterility .appropriate intervention for preschool age children - ANSWER-allow them to play with their own mask and place on their stuffed bunny's face .appropriate nursing action in the event of a lost airway after anesthesia induction and before intubation - ANSWER-assist the anesthesia provider with securing the airway while applying cricoid pressure .appropriate steps to remove sterile gown - ANSWER-wipe gloves clean, untie side of gown, grasp gown at one shoulder seam .appropriate way to address a count discrepancy - ANSWER-we have a count discrepancy, we started with 70 sponges and find only 68, we are missing 2 sponges .area between the surgeon and the scrub person for passing sharps safely - ANSWER-neutral zone .arterial supply for the scalp - ANSWER-external carotid artery .ASPECT OF BONE HEALING THAT IS PRESERVED THROUGH INTRAMEDULLARY REAMING - ANSWER-maintenance of fracture hematoma .assessing pediatric trauma patient for level of consciousness - ANSWER-use a modified GCS for children .At a regional MH testing center Davis Washington is undergoing a muscle biopsy for suspected genetic predisposition to malignant hyperthermia. The anesthesia provider will provide light intravenous (IV) sedation while the surgeon infiltrates the biopsy site with a local anesthetic. This will facilitate Davis' tolerance of the procedure and minimize his risk for an MH episode. What is the current correct name for this anesthesia modality? - ANSWER-MAC .aubrey Scheel - ANSWER-explain the signs and symptoms of an incarcerated hernia and appropriate action .baby boy doe; achieve ad maintain normothermia - ANSWER-provide a radiant heat lamp during placement of monitoring lines and induction .benefit of patient undergoing SILS procedure - ANSWER-less post op pain .benefit to paramedian incision - ANSWER-decreased risk for hernia .benefit to patient undergoing SILS procedure - ANSWER-less post operative pain .best description of a successful skin graft outcome - ANSWER-the recipient site develops a new blood supply from the base of the wound .best practice for double gloving - ANSWER-the CDC endorses double gloving for all surgery and invasive procedures .best practice for keeping instruments free of blood and bioburden during procedure - ANSWER-wipe instruments with a sponge moistened with sterile water after each use .Biologically based therapies classified as therapeutic nutrition - ANSWER-diets of Dr.s Atkins, Pritikin, and Well .BLANK precautions apply to blood, all body fluids, secretions, and excretions regardless of - ANSWER-standard .blood at the urinary meatus when attempting to insert a catheter - ANSWER-discontinue catheter insertion .blood supply to the jejunum and ileum come entirely from branches of the - ANSWER-superior mesenteric artery .blood supply to the transverse colon - ANSWER-middle colic artery .bloodless plane that contains loose areolar tissue and permits mobility of scalp - ANSWER-subgleal space .bloodless plane that contains loose areolar tissue and permits mobility of scalp - ANSWER-subgleal space .bone graft sealed in a sterile labeled envelope from a tissue transplant company stores in a vacuum sealed freezer and monitored with an alarm - ANSWER-allograft .borders of the triangle of calot - ANSWER-hepatic duct, cystic duct, inferior edge of right lobe of the liver .both adenoids and tonsils consist of - ANSWER-lymphoid tissue .boundaries for skin prep for patient receiving liver transplant - ANSWER-neck to midthigh, bedline to bedline .boundary between buccal cavity and lingual cavity - ANSWER-teeth .brainstem consists of what three structures - ANSWER-midbrain, pons, medulla oblongata .branch of the left main coronary artery - ANSWER-circumflex coronary artery .burn patient; preparation performed before patient comes to OR - ANSWER-prewarm the OR to above the ambient high temp for adult .by what mechanism does chest catheters and drainage systems use to remove fluid and air from the pleural cavity - ANSWER-gravity .Caldwell-Luc - ANSWER-canine fossa of upper jaw .cancer in the urothelial layer of the bladder - ANSWER-inner .chain of three small articulating bones in the ear - ANSWER-malleus, incus, stapes .child is being pre oped for surgery and nurse notices mild myotonia congenita; appropriate risk reduction strategy would be - ANSWER-perform careful assessment of family hx to identify risk for developing MH .choose where the hypothalamus is located - ANSWER-along the floor of the third ventricle .Chromium salt coating on surgical gut suture: - ANSWER-should be rinsed from the suture before use in eye cases .class III nonabsorbable sutures include - ANSWER-multifilament wire .class of medications that can increase the risk of severity of a reaction to contrast media - ANSWER-beta blockers .closed reduction is the treatment of choice for fractures because - ANSWER-decreased opportunity for infection .Closed thoracostomy will require: - ANSWER-chest catheters and water-seal drainage .CO2 flow rate of () and pressure of () - ANSWER-9 L/min; 14-16 mmHg .CO2 gas is used to insufflate to: - ANSWER-9 L/min, 14-16 mm Hg .colon wall has 5 layers which include - ANSWER-mucosa .combined kidney-pancreas transplant; what instruments is the scrub person unlikely to need during the procedure - ANSWER-laparoscopic instruments are not needed .commonly implicated in SAH, the vessels of the circle of willis include - ANSWER-posterior communicating artery .communication with anesthesia in cases involving facial nerves - ANSWER-muscle relaxants, paralytic agents, and some local anesthetics must be avoided .complex biomedical equipment - ANSWER-use the device according to the manufacturer's directions and test for proper performance before the patient enters the OR .complication of patellectomy - ANSWER-reduced knee extension .complication of thyroidectomy that included an extended thyroid dissection - ANSWER-pneumothorax .complication that can occur as a result of rapid high pressure is - ANSWER-hypotension .concept of risk management - ANSWER-all of the above .concern with large doses of ketamine - ANSWER-respiratory depression .concern with large doses of ketamine - ANSWER-respiratory depression .congenital anomaly that best reflects indications of fetal surgery - ANSWER-congenital diaphragmatic hernia .connective tissue that covers all bone and supplies nutrients - ANSWER-periosteum .consequence of acute exposure to ionizing radiation - ANSWER-dermatitis .contraindication to using autotransfusion as a blood replacement source - ANSWER-blood contaminated with food, bowel contents, or antibiotic irrigation .contributing factors to friction and shearing - ANSWER-transfer process from OR bed to stretcher .correct attachment of the capsule to the knee joint - ANSWER-upper end of the fibular and distally to the condyles of the femur .correct branch of the left main coronary artery - ANSWER-circumflex coronary artery .correct flow of bile from the gallbladder - ANSWER-cystic duct, common duct, ampulla of vater, duodenum .correct order of removal for soiled sterile attire - ANSWER-gown, gloves, mask .correct path of cardiac conduction system - ANSWER-SA, AV< bundle of his, purkinjie fibers .correct rationale for not using methylene blue as a skin marker in the neurosurgical OR - ANSWER-methylene blue produces an inflammatory reaction in CNS tissue .correct regarding non-absorbable suture - ANSWER-increased reactive properties in tissue .correct specimen care and handling - ANSWER-avoid placing specimens for frozen section in formalin .correct statement regarding closed gloving - ANSWER-closed gloving can only be used for initial gloving .correct statement regarding trigone of bladder - ANSWER-forms the base of the bladder .cranial nerve responsible for pupillary reaction - ANSWER-cranial nerve III .cranial nerve that, if injured in surgery, results in vocal cord paralysis - ANSWER-x .cryosurgery can be used to treat cancers of the - ANSWER-lung .cutting suture knots of non absorbable suture - ANSWER-1/2 inch .damage to cranial nerve VII - ANSWER-drooping of the corned of the mouth .Dan clements - ANSWER-polyglactin .Definitive information about the extent and location of ischemic heart disease can be obtained from which of the following tests - ANSWER-cardiac catheterization .depolarizing muscle relaxant that produces generalized fasciculations - ANSWER-succinylcholine .describe the internal inguinal ring - ANSWER-a natural opening in the transversalis fascia .desirable characteristic that influences surgeon's choice of graft - ANSWER-hypoallergenic .device used during anesthesia to confirm successful endotracheal tube placement and gas exchange - ANSWER-capnometer .difference between open aortic aneurysm repair and EVAR - ANSWER-the prosthetic endograft or stent graft is introduced into the aneurysm through a surgically exposed femoral artery .disadvantage of harrington rods - ANSWER-rod breakage is increased .discharge planning for patient who underwent endovascular surgery going home on anticoagulation therapy - ANSWER-do not use tools such as saws or hammers which could lead to an accident .distinguishing characteristic of large intestine - ANSWER-teniae coli, haustra, epiploic appendages .documentation requirement unique to vascular surgery - ANSWER-clamp application and removed times .double gloving - ANSWER-the american college of surgeons endorses double gloving for all surgery and invasive procedures