Radiation Safety, Wound Healing, and Anatomy in Health Care Surgery, Exams of Nursing

Download Radiation Safety, Wound Healing, and Anatomy in Health Care Surgery and more Exams Nursing in PDF only on Docsity! Highflier scoremore RNFA FINAL EXAM 2 (QUESTIONS WITH VERIFIED ANSWERS) GUARANTEEED PASS Which of the following best describes the semi-restricted surgical practice area? Used for communication of information between the surgical suite and the rest of the health care facility In health care settings, the primary occupational source of radiation exposure is: Scatter If a health care worker who works with radiation become pregnant, she should: Promptly inform the radiation safety officer When using a single drape for a lithotomy, the following instructions are correct, except: Place the drape so the edge is 2 inches from the perineum When updating the patient's support person during surgery, a nurse should: Discuss a projected time frame for completion of the surgery Safe injection practices: Include using one syringe per injection Highflier scoremore Preoperative assessment helps determine if patients are suitable candidates for outpatient orthopedic surgery. Based on the information provided, which of the following patients is the BEST candidate for orthopedic surgery in an ASC? A patient who needs a total hip replacement, is otherwise healthy, and has a short-term home care assistant When opening a sterile package, the LAST flap to be opened should be the flap: Closest to you As of the following wound healing complications are attributed to smoking except: Decreased blood viscosity A patient had the following lab values noted intraoperatively: pH <7.35, PCO2 <35 mmHg, HCO3<22mEq/L. This patient is in: Metabolic acidosis This classification of medication can affect wound healing in the surgical patient: Anticoagulants When choosing a suture needle for tissue such as peritoneum, dura, and subcutaneous tissue, the most appropriate choice is the _______ needle. Taper During a THA using the posterior lateral approach, the RNFA will dislocated the head of the femur using: Highflier scoremore The wound classification assigned by the CDC to breast surgery. Clean Identify the marginal boundaries of the breasts. Second to sixth rib and horizontally from the lateral edge of sternum to anterior axillary line Reduction mammoplasty is not indicated for which of the following? hyperthelia The RNFA with the vascular surgery service is preparing to discharge Mark Weston, a 51 yr old male who recently had endovascular surgery. He will be taking anticoagulation therapy for the next 12 weeks. What statement regarding anticoagulation therapy, that is relevant to Mark, is true? Do not use tools such as saws or hammers, which could lead to an accident. Pericardial tamponade includes which of the following signs or symptoms? Narrow pulse pressure Identify the venous structure that prevents blood back flow. Semilunar Intimal folds Velour grafts are impregnated with which of the following to ease handling without the need to preclot? Gelatin Highflier scoremore The blood is oxygenated in the lungs and returns to the left atrium through the pulmonary veins. Where does the blood flow after leaving the left atrium? Through the mitral valve into the left ventricle Which of the following documentation requirements is unique to vascular surgery? Clamp application and removal times Identify from the following, the correct branch of the left main coronary artery. Circumflex coronary artery What does the presence of bruit on auscultation of a blood vessel mean? Blood flow is disrupted Of the following ocular blocks, which carries the highest risk? Retrobulbar Block A portion of a parathyroid glands must remain for which of the following reasons? Prevent hypocalcemia and it's complications Select the set of symptoms that is most commonly associated with hypothyroidism Increased swearing, insomnia, tremor, and muscle weakness Highflier scoremore An important anatomical landmark in thyroid surgery is known as Poles A power drill and assorted roasting burrs are essential for middle ear surgery and some sinus procedures. During drill and power saw use, the scrub person keeps irrigation solution on the sterile field to Prevent clogging of the burr and contamination of the area with bone dust Which nodes in the lymphatic system are responsible for drainage from the mouth, lips, and external nose? Submandibular Fibrous bands of tissue found between abdominal structures that are not normally connected are known as Adhesions Choose the correct flow of bile from the gallbladder Cystic duct, common duct, ampulla of Vater, duodenum Select the statement that best reflects the functional components of the gastrointestinal tract The alimentary canal extends from the mouth to the anus Which of the following hernia types is considered a surgical emergency Highflier scoremore The head of the pancreas is fixed to which structure Duodenum The pantaloon hernia can best be described as A combination of direct and indirect hernia There are several risk factors associated with dehiscence. Which of the following can be controlled by the RNFA? Sutures placed too close together James Romano, a 68 year old retired teacher, presents for surgical intervention of recently diagnosed bladder cancer. He states the cancer is located in the urothelial layer. As the RNFA you realize this is ________layer of the bladder Inner The most commonly injured Intraabdominal organ in blunt trauma is the Spleen The mesh plug open hernia repair technique is indicated for which types of hernias Recurrent indirect inguinal hernias The liver, pancreas, and spleen share many similarities. Select the statement about these organs that is true All three are solid organs and very vascular Highflier scoremore From the following, choose a hernia type that is common in children and frequently disappears spontaneously Umbilical hernia An example of a potential risk associated with pneumoperitoneum would be gas embolus into an exposed blood vessel during the procedure. Femoral hernias occur more frequently in which group of individuals Females The renal artery and vein enter and exit the kidney the medical side of the organ through a concave area known as the Hilum Select the triad of the boundaries of Hesselbach triangle Inguinal ligament, rectus abdominis muscle, deep epigastric vessels Which of the following is a triangle anatomic landmark in surgical removal of the gallbladder and may be remembered by the 3 Cs Calot's Choose the correct statement regarding the trigone of the bladder Highflier scoremore Forms the base of the bladder An orchiopexy is the surgical placement and fixation of the testicles in a normal anatomic position in the scrotal sac. If the testis fails to descend into the scrotum during gestation, it is considered undescended. Which statement regarding indications for orchiopexy is true All testes that are undescended after 1 year require surgical placement in the scrotum Which of the following describes a hydrocele It refers to excess fluid within the tunica vaginalis Which of the following layers of the uterus contains the lymphatics Myometrium The ovarian artery is a branch of which vessel Aorta While removing a cancerous testis, the surgeon will typically initiate the incision in which of the following locations Just above the inguinal ring Select the statement about the prostate that best reflects its location, size, and weight The prostate sits below the base of the bladder, is 4 cm at the base, and weighs 20 to 30 grams Highflier scoremore Bone graft that is sealed in a sterile labeled envelope from a tissue transplant company and stored in a vacuum sealed freezer and monitored with an alarm would be considered an Allograft The recommended length of time for inflation of an upper extremity tourniquet on a patient under 50 is ________ while the recommended pressure is 1 hr; 250-300 mmHg Which of the following regarding PMMA is not an affect on local tissue? Skin burns due to exothermic reaction Which of the following is the instrument of choice in removing a foreign body from an infant or child airway Rigid bronchoscope The most commonly fractured carpal bone is the Scaphoid Metastatic cancer to the spine can occur in the thoracic spine, lumbar spine, and cervical spine area. Select the statement that best reflects a therapeutic goal for a metastatic tumor of the spine Preservation of neurologic function Highflier scoremore The use of PMMA can result in adverse patient reactions. Which of the following is considered an adverse patient reaction Transient hypotension While not as prevalent as arthroplasty of the shoulder, knee, or hip, total elbow replacement is indicated for patients with traumatic lesions or excessive bone loss from arthritis. The prosthesis may be used with or without PMMA. If PMMA is not used, what replacement product, element, or substance is used? Autologous bone graft Harrington rods are often used in scoliosis surgery. Of the following, which is a disadvantage of Harrington rods? Rod breakage is increased Surgeons use open reduction and internal fixation when they are unable to reduce a fracture using closed reduction and skeletal traction is not indicated. What would be an advantage for an ORIF rather than closed? Direct observation and verification of fracture alignment Which of the following represents the correct attachment of the capsule of the knee joint Upper end of the fibula and distally to the condyles of the femur The connective tissue that covers all bones and supplies nutrients is known as Periosteum Highflier scoremore An important aspect to bone healing that is preserved through intermedullary reaming is Maintenance of fracture hematoma Identify the type of fracture that has more than two fragments comminuted Which of the following is not included in the terrible triad PCL tear What part of the hip are the hemispherical reamers used on Acetabulum Closed reduction is the treatment of choice for fractures because of Decreased opportunity for infection Changes to the elderly persons skeleton can present challenges to the intraoperative team. In terms of additional attention and care, what intervention can the team provide Position the patient using appropriate padding and joint protection devices After retracting the nerve roots during a laminectomy, this structure is invited before getting to the disc Posterior longitudinal ligament