Medical Procedures and Surgical Anomalies, Exams of Nursing

Download Medical Procedures and Surgical Anomalies and more Exams Nursing in PDF only on Docsity! RNFA Final Exam Questions and Answers (Test Bank) (Question Bank) (2023-2024) _______Precautions apply to blood, all body fluids, secretions, and excretions (except sweat), regardless of whether they contain visible blood, mucous membranes, and nonintact skin. --------- CORRECT ANSWER ----- Standard Which of the following anesthetics may result in fasiculations for the patient? --------- CORRECT ANSWER ----- Succhinylcholine old diabetic with an insulin pump, has arrived in the OR for emergency repair lacerations. The RNFA should consider which of the --------- CORRECT ANSWER ----- and enhance visualization. The perioperative nurse is concerned that approximately 500 d RNFA. The nurse's motive Hypothermia has been shown to be a factor that may place the surgical patient at risk for infection and delayed healing. What intervention is an engineered co protect the patient from hypothermia? --------- ambient room temperature between 68° and 73° F successful endotracheal t is the: --------- CORRECT ANSWER ----- The first step in the decontamination process is: Cleaning ------ A 9-year CORRECT ANSWER ----- Potential for Intervastation Which of the following statements reflects the location of the arcuate line? --------- CORRECT ANSWER ----- one third of the distance between the umbilicus and the symphysis pubis. CORRECT ANSWER ----- A basic anesthesia monitoring device that is used during general anesthesia to confirm ube placement and determine the presence of gas exchange capnometer/end - tidal CO2 monitor --------- CORRECT ANSWER Which of the following requires at minimum, 2 patient identifiers on specimen labels? CORRECT ANSWER ----- Joint Commission - of superficial facial and deep arm following options for energy - generated hemostasis? Bipolar Electrosurgery Unit During a hysteroscopy, sterile saline is used to expand the intrauterine compartment ml of fluid was unaccounted for and alerted the surgeon an for this surveillance is to: --------- Laparoscopic procedures that emergently convert to open procedures place the patient at risk for unintentional retained surgical items (RSI). What risk reduction strategy could prevent RSI? --------- CORRECT ANSWER ----- Replacing or tagging sponges and laparotomy instruments with RFID chips. The surgical hand scrub is designed to render the hands, nails, and arms --------- CORRECT ANSWER ----- Surgically Clean The RNFA instructed the new anesthesia resident in the proper positioning of the arm and hands on the OR bed armboards. The resident was cautioned to avoid pressure on the elbow to prevent: --------- CORRECT ANSWER ----- Ulnar Nerve Injury A type of suture to help eliminate tension on the primary suture line is known as: --------- CORRECT ANSWER ----- Retention Suture Identify the primary substance found in the epidermis that protects the body from fluid loss and invasion by pathogens. --------- CORRECT ANSWER ----- Keratin When a patient absorbs an unsafe amount of local anesthetic into the bloodstream, a catastrophic outcome is possible. Treatment for LAST includes the use of which of the following? --------- CORRECT ANSWER ----- Lipids When buried in tissue, silk loses its tensile strength after what period of time? --------- CORRECT ANSWER ----- 1 Year Guidelines from WHO focus on which of the following in the prevention of surgical site infections? --------- CORRECT ANSWER ----- Use of Prophylactic Antibiotics To help visualize abdominal structures and to enhance safety during laparoscopic procedures, a pneumoperitoneum is created. After Veress needle confirmation, insufflation tubing is connected and the process begun. CO2 gas is used to insufflate the abdominal cavity at an ideal flow rate of ______ to achieve an ideal intra-abdominal pressure of ______. --------- CORRECT ANSWER ----- 9 L/min;14 to 16 mm Hg Due to the BMI of the patient, the case you are participating in was converted to open laparotomy. Your surgeon is uncertain as to which self retaining retractor is available within the facility. From the following, which is an appropriate suggestion? --------- CORRECT ANSWER ----- Bookwalter The safest and most commonly used method of sterilization is which of the following? --- ----- CORRECT ANSWER ----- Steam Sterilization Your patient was presented with the prepared informed consent form during the discussion with her surgeon concerning her scheduled surgery. Before signing the consent form, the patient informed the surgeon that they did not want any medical students or surgical residents performing any parts of the procedure other than assisting and did not want any photographs taken. The surgeon agreed and crossed out those portions of the form. The patient initialed them prior to signing the consent. Your patient was exercising which patient right? --------- CORRECT ANSWER ----- Right to Informed Consent A reverse cutting needle is preferred for ___________suturing. --------- CORRECT ANSWER ----- Cutaneous Linda Gardner is highly allergic to latex and the anesthesia provider plans to give Linda prophylactic medications before anesthesia. What medications might be administered to Linda in the preoperative holding area? --------- CORRECT ANSWER ----- Prednisone and a beta-agonist inhaler Surgical consents should be written at what level to meet health literacy needs of all patients? --------- CORRECT ANSWER ----- 5th Grade The tensile strength of lactic & glycolic acid polymers is sufficient for approximation of tissues for _____ weeks. --------- CORRECT ANSWER ----- 2-3 A 193.18 kg patient is scheduled for surgery. Which of the following interventions will enhance this patient's safety during their perioperative experience? --------- CORRECT ANSWER ----- Use of an OR bed to accommodate patient weight and size. A 19-year-old male received an intravenous peripheral nerve block for an ORIF of an ankle fracture. The anesthesia provider injected a distal dorsal vein of the patient's right foot with 2% lidocaine, after placing a single cuffed pneumatic tourniquet around the upper thigh. The surgeon noticed that the cuff seemed to be deflating and anticipated that the patient would initially complain of which of the following? --------- CORRECT ANSWER ----- Metallic Taste in Mouth Which of the following suture choices would be best suited for intestinal anastamosis based on the qualities of excellent handling capability, high tensile strength that decreases after 1 year, and is not a true nonabsorbable suture? --------- CORRECT ANSWER ----- Silk Which of the following is correct regarding nonabsorbable sutures? --------- CORRECT ANSWER ----- Increased reactive properties in tissue An absolute contraindication for a cholecystectomy include: --------- CORRECT ANSWER ----- Uncontrollable Coagulopathy The filtering mechanism of the kidney is located within which region of the kidney? ------- - CORRECT ANSWER ----- Renal Cortex Which of the following muscles are critical for stabilization of the knee joint? --------- CORRECT ANSWER ----- Quadricep Femoris A patient does not disclose the use of ephedra to the anesthesiologist during the preoperative visit. If Halothane is used during the procedure, the patient is at an increased risk for: --------- CORRECT ANSWER ----- Ventricular Arrythmias The left and right lobes of the liver are divided by the _____________. --------- CORRECT ANSWER ----- Falciform ligament Which of the following is not included in the retroperitoneal space? --------- CORRECT ANSWER ----- Spleen When assisting with a trauma patient in the surgical setting, it is important for the RNFA to be aware of the "vicious triad" that can increase the risk for mortality. The triad includes: --------- CORRECT ANSWER ----- Metabolic acidosis, hypothermia, hemodilution The largest part of the mammary gland rests on the _____. --------- CORRECT ANSWER ----- Pectoralis major muscle and serratus anterior Which of the following is the surgical goal for breast conserving surgery? --------- CORRECT ANSWER ----- Removal of cancerous mass with a margin of normal tissue The RNFA with the vascular surgery service is preparing to discharge Mark Weston, a 51-year-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? --------- CORRECT ANSWER -- -- Do not use tools such as saws or hammers, which could lead to an accident. Identify from the following, the correct branch of the Left main coronary artery. --------- CORRECT ANSWER ----- Circumflex coronary artery The Doppler transducer is the most widely used instrument for vascular study. What statement regarding a Doppler is true? --------- CORRECT ANSWER ----- Water-soluble gel is needed when the Doppler is used on intact skin Disadvantage in the use of a shunt during CEA. --------- CORRECT ANSWER ----- Possible dislodging of debris with insertion. Audible facial nerve monitors (NIMS) are used intraoperatively during procedures in which the facial nerve is at risk for injury. Why is communication with the anesthesia provider important when assisting in procedures involve the facial nerve? --------- CORRECT ANSWER ----- muscle relaxants, paralyzing agents, and some local anesthetics must be avoided. A portion of a parathyroid gland must remain for which of the following reasons? --------- CORRECT ANSWER ----- prevent hypocalcemia and its complications. There are several risk factors associated with dehiscence. Which of the following can be controlled by the RNFA? --------- CORRECT ANSWER ----- Sutures placed too close together The major arterial blood supply to the descending colon is provided by which of the following? --------- CORRECT ANSWER ----- Left Colic Artery Josh Tremain, a 28-year-old firefighter, sustained significant full-thickness burns when he fell through the roof of a burning building while fighting an explosive fire. What surgical treatments may Josh need? --------- CORRECT ANSWER ----- Debridement and monitoring of full-thickness skin regeneration Marissa Walton is transferred to the OR from the burn unit for debridement of the partial- thickness burn areas and a dressing change under anesthesia. What important preparation for the procedure should be performed before Marissa arrives in the OR? --- ------ CORRECT ANSWER ----- Prewarm the OR to above the ambient high temperature for an adult. The colon wall has five distinct layers that include which of the following ? --------- CORRECT ANSWER ----- Mucosa Before reaching the rectus abdominis muscle during surgical exposure, the surgeon must first progress through which of the following? --------- CORRECT ANSWER ----- Preperitoneal fat Identify the triad of anatomic sites of abdominal wall weakness with a potential for hernias. --------- CORRECT ANSWER ----- Inguinal canal, femoral rings, umbilicus RNFA's appropriate risk reduction strategy in this situation would be to: --------- CORRECT ANSWER ----- perform a careful assessment of family history to identify risk for developing malignant hyperthermia (MH) A patient presents to the OR with an injury to the anterior chest from blunt force trauma. The RNFA can expect damage to which of the following areas? --------- CORRECT ANSWER ----- Right Ventricle Which of the following is a contraindication to using autotransfusion as a blood replacement source? --------- CORRECT ANSWER ----- Blood contaminated with food, bowel contents, or antibiotic irrigation You examine a comatose patient in the emergency room. His wife relates that her husband was struck accidentally in his "temple" by a baseball. After an initial period of unconsciousness, he seemed to be okay but later became drowsy and comatose. You suspect that the patient is suffering from: --------- CORRECT ANSWER ----- An Epidural hematoma If the injury to the patient is a result of a violent crime, the team must give special attention to preservation of evidence during the course of patient care. When clothing is removed from the patient, why must it be placed and secured in a paper bag rather than a plastic bag? --------- CORRECT ANSWER ----- Plastic bags may trap moisture and allow mold growth, destroying evidence. During a MIS hysterectomy, this ligament is divided when an oophorectomy is included in the procedure: --------- CORRECT ANSWER ----- Infundibulopelvic During a THA using the posterior lateral approach, the RNFA will dislocate the head of the femur using: --------- CORRECT ANSWER ----- Flexion, adduction, external rotation An elevation of which lab values is indicative of acute pancreatitis resulting from a blockage in the Ampulla of Vater? --------- CORRECT ANSWER ----- Amylase, lipase There are disease processes that cause aortic aneurysms to develop. Which of the following is not noted within this list of causative disease processes? --------- CORRECT ANSWER ----- Rheumatic Fever Which of the following is contained within the carotid sheath? --------- CORRECT ANSWER ----- Vagus Nerve Inadvertent removal of the parathyroid glands may result in: --------- CORRECT ANSWER ----- Hypocalcemia Identify the fascia which is an extension of the internal oblique muscle and covers the spermatic cord. --------- CORRECT ANSWER ----- Cremaster When preoperatively assessing a patient for cardiac surgery, the RNFA should consider all of the following except: --------- CORRECT ANSWER ----- RBC Which of the following is included in the breast's sensory nerve supply? --------- CORRECT ANSWER ----- Cervical Plexus Pre-op markings to determine nipple positioning for reduction mammoplasty will be drawn on the patient's chest _____. --------- CORRECT ANSWER ----- While sitting upright Aneurysms may be caused by atherosclerosis, trauma, infection, or cystic medial degeneration. What presenting conditions will indicate that surgical intervention is necessary? --------- CORRECT ANSWER ----- Compromised circulation or danger of rupture Which of the following is the first major branch of the internal carotid artery? --------- CORRECT ANSWER ----- Opthalmic artery Identify the venous structure that prevents blood backflow. --------- CORRECT ANSWER ----- Semilunar intimal folds 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? --------- CORRECT ANSWER ----- Through the mitral valve into the left ventricle Select the structure of the trachea that is a landmark during bronchoscopy. --------- CORRECT ANSWER ----- Carina During a stapedotomy, it is important to save which of the following nerves that control taste on the anterior 2/3's of the tongue? --------- CORRECT ANSWER ----- Chorda tympani nerve Skin grafting provides an effective way to cover a wound if vascularity is adequate, infection is absent, and hemostasis is achieved. Skin from the donor site is detached from its blood supply and placed in the recipient site. The best description of a successful skin graft outcome is: --------- CORRECT ANSWER ----- the recipient site develops a new blood supply from the base of the wound. The most common complication of Meckel's diverticulum is: --------- CORRECT ANSWER ----- GI Bleeding Which of the following is not a reason to convert a case from laparoscopic to an open abdominal case? --------- CORRECT ANSWER ----- Lack of warmer for insufflation gas The absence of distinct teniae serves as a visual landmark for what abdominal structure? --------- CORRECT ANSWER ----- Upper margin of the rectum What structures are located in the inguinal canal ? --------- CORRECT ANSWER ----- Spermatic cord / Round ligament The teniae coli consist of how many longitudinal bands of muscle.along the length of the colon? --------- CORRECT ANSWER ----- 3 A benefit to the patient undergoing SILS procedure which of the following? --------- CORRECT ANSWER ----- Less postoperative pain The incision used specifically for an open appendectomy is known as: --------- CORRECT ANSWER ----- McBurney The patient is placed in what position for open cholecystectomy? --------- CORRECT ANSWER ----- Supine From the following, which is a possible benefit to the paramedian incision? --------- CORRECT ANSWER ----- decreased risk for hernia Which of the following is the most common non-emergent abdominal surgery in the U.S.? --------- CORRECT ANSWER ----- Cholecystectomy Closed thoracostomy will require which of the following? --------- CORRECT ANSWER -- -- chest catheters and water-seal drainage Fibrous bands of tissue found between abdominal structures that are not normally connected are known as: --------- CORRECT ANSWER ----- Adhesions The mesh-plug open hernia repair technique is indicated for which type(s) of hernias? -- ------- CORRECT ANSWER ----- Recurrent Indirect inguinal hernias During robotic hysterectomy, the patient is placed in steep trendelenburg position. Which of the following is complication that can result from extended surgical time when the patient is in steep trendelenburg? --------- CORRECT ANSWER ----- increased intracranial pressure Of the following, which is not included in the 5 P's of compartment syndrome? --------- CORRECT ANSWER ----- Pulses Hesselbach triangle describes the location of the hernia. Which of the following structures compromise the medial border of the triangle? --------- CORRECT ANSWER - --- Lateral edge of the rectus abdominus muscle Nipple discharge is more commonly associated with benign breast lesions than with cancer; however, discharge is usually significant only if it is spontaneous, persistent, and: --------- CORRECT ANSWER ----- Bloody Select the statement that best describes fine needle aspiration of a suspicious breast mass. --------- CORRECT ANSWER ----- The aspirate fluid is cytologically examined Velour grafts are impregnated which of the following to ease handling without the need to preclot? --------- CORRECT ANSWER ----- Gelatin Abdominal aortic aneurysms (AAAs), which account for most aneurysms, occur primarily in what area? --------- CORRECT ANSWER ----- between the renal arteries and the aortic bifurcation The internal mammary arteries are frequently used as grafts during coronary bypass surgery. Where are they located? --------- CORRECT ANSWER ----- They branch from the subclavian arteries An interventional radiology procedure used to open a blocked or narrowed blood vessel as a result of atherosclerosis is a(n): --------- CORRECT ANSWER ----- Angioplasty Select the procedure that is designed for the relief of pharyngeal obstruction. --------- CORRECT ANSWER ----- Tonsillectomy The supraglottis, glottis, and the subglottis represent three portions of which structure of the throat? --------- CORRECT ANSWER ----- Larynx In renal transplantation a kidney with __________ artery(ies) is preferred. --------- CORRECT ANSWER ----- Single The phrenic nerve innervates which structure? --------- CORRECT ANSWER ----- The Diaphragm Select the statement that best reflects the functional components of the gastrointestinal (GI) tract. --------- CORRECT ANSWER ----- The alimentary canal extends from the mouth to the anus. The gastric veins drain into which vein? --------- CORRECT ANSWER ----- Portal Vein The transverse colon ends at the _____. --------- CORRECT ANSWER ----- splenic flexure Select the triad of the boundaries of the Hesselbach triangle. --------- CORRECT ANSWER ----- Inguinal ligament, rectus abdominis muscle, deep epigastric vessels Blood supply to the jejunum and the ileum come entirely from branches of the: --------- CORRECT ANSWER ----- Superior mesenteric artery An indication for liver transplantation would be: --------- CORRECT ANSWER ----- Primary Hepatic Cancer Which nodes in the lymphatic system are responsible for drainage from the mouth, lips, and external nose? --------- CORRECT ANSWER ----- Submandibular The most commonly injured intra-abdominal organ in blunt trauma is the: --------- CORRECT ANSWER ----- Spleen James Romano, a 68-year-old retired school 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 --------- CORRECT ANSWER ----- Inner The liver, pancreas, and spleen share many similarities. Select the statement about these organs that is true. --------- CORRECT ANSWER ----- All three are solid organs and very vascular The kidneys are highly vascular organs. Approximately how much of the entire circulating blood volume do the kidneys process at any one time? --------- CORRECT ANSWER ----- One fifth While removing a cancerous testis, the surgeon will typically initiate the incision in which of the following locations? --------- CORRECT ANSWER ----- just above the internal ring Which of the following describes a hydrocele? --------- CORRECT ANSWER ----- It refers to excess fluid within the tunica vaginalis of the scrotum What is commonly used to retract the spermatic cord to repair defects in the floor and internal ring of the inguinal canal? --------- CORRECT ANSWER ----- Penrose Drain There are 8 bones that form the cranial cavity. Four of the bones are paired and four are singular. Choose the correct list of singular bones from the following. --------- CORRECT ANSWER ----- Frontal, ethmoid, sphenoid, occipital A tear to the middle meningeal artery, often caused by a blow to the head, results in the formation of a ___________hematoma. --------- CORRECT ANSWER ----- Epidural The production of CSF occurs where? --------- CORRECT ANSWER ----- Choroid plexus of the ventricles Commonly implicated in SAH, the vessels of the Circle of Willis include: --------- CORRECT ANSWER ----- Posterior communicating artery Which of the following is true regarding CSF in the brain? --------- CORRECT ANSWER ----- The fluid does not play a significant role in supplying nutrition to the structures it bathes Of the following, which is not a symptom of compartment syndrome? --------- CORRECT ANSWER ----- Moderate Pain Replantation is an attempt to reattach a completely amputated digit or other body part. Good candidates for replantation are those with the following amputations: --------- CORRECT ANSWER ----- almost any body part of a child. 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 a/an: --------- CORRECT ANSWER ----- Allograft A herniated disc most commonly occurs in which section of the vertebral column? -------- - CORRECT ANSWER ----- Lumbar After retracting the nerve roots during a laminectomy, this structure is incised before getting to the disc. --------- CORRECT ANSWER ----- Posterior longitudinal ligament Femoral neck fractures are more common in women than men for which of the following reasons? --------- CORRECT ANSWER ----- Osteoporosis Fire blankets should NOT be used in the operating room because they --------- CORRECT ANSWER ----- are made of wool, which can catch fire in an oxygen-enriched environment, can cause wound contamination or move instruments at the surgical site, can trap fire next to or under a patient Which of the following procedures for isolation technique, also known as bowel technique or contamination technique, is NOT recommended? --------- CORRECT ANSWER ----- a health care facility should develop and follow standardized procedures for bowel isolation technique to reduce errors and improve efficiency among perioperative team members For minors who work with radiation, the annual dose limit is: --------- CORRECT ANSWER ----- 10% of adult dose limits The humidity levels of the OR should range between _____% and ______%. --------- CORRECT ANSWER ----- 30-70 The RNFA can anticipate this type of case being scheduled for a patient with a history of a malignant tumor in the distal transverse colon. Choose the correct procedure. -------- CORRECT ANSWER ----- Left hemicolectomy The aortic root is located: --------- CORRECT ANSWER ----- At the junction of the origin of the ascending aorta and the left ventricle The RNFA must be aware of structures with structures when assisting. One such example is knowing which structures are located within the broad ligaments. Select the correct group of structures. --------- CORRECT ANSWER ----- Fallopian tubes, ureters, uterine vessels When choosing a suture needle for tissue such as peritoneum, dura, and subcutaneous tissue, the most appropriate choice is the ___________needle. --------- CORRECT ANSWER ----- Taper The RNFA should be aware of the possibility that a laparoscopic case could become an open case. A reason for this conversion in a cholecystectomy would be for which of the following reasons? --------- CORRECT ANSWER ----- Inability to remove a stone from the CBD via ERCP All of the following wound healing complications are attributed to smoking except: -------- CORRECT ANSWER ----- Decreased blood viscosity Suture should be selected based on which of the following? --------- CORRECT ANSWER ----- Ease of handling Due to excellent healing results with minimal scarring, which suturing technique is commonly chosen for plastic surgery? --------- CORRECT ANSWER ----- Intradermal A patient has the following lab values noted intraoperatively. pH < 7.35, PCO2<35 mmHg, HCO3 < 22 mEq/L. This patient is in: Select one: --------- CORRECT ANSWER ----- Respiratory Acidosis A medication often used in cardiac surgery to prevent spasms of vessels is: --------- CORRECT ANSWER ----- Papaverine Injury to this particular layer of vascular tissue can initiate spasm and thrombosis. Which layer must the RNFA be especially careful when handling? --------- CORRECT ANSWER ----- Endothelium Which of the following allows for the most stable and rigid fixation of a fracture? --------- CORRECT ANSWER ----- Locked plating system During a prolonged carotid surgery, the RNFA places the retractors improperly. Which of the following complications can occur as a result of damage to cranial nerve VII -------- CORRECT ANSWER ----- Drooping of the corner of the mouth Prepping for an abdominal hysterectomy that may include the cervix should be performed in what order? --------- CORRECT ANSWER ----- Dirty to Clean Margaret Slayton, a 52-year-old woman with a history of left mastectomy is scheduled for TRAM flap reconstruction. The perioperative nurse gently moved Margaret's arms into the abducted position on the armboards in preparation for positioning. What other considerations must be made for positioning the patient undergoing this procedure? ----- --- CORRECT ANSWER ----- Raise the head of the bead to low Fowler's flex position to reduce the stretching on the abdominal donor graft wound site Reduction mammoplasty is not indicated for which of the following? --------- CORRECT ANSWER ----- Hyperthelia What description of the incision will the RNFA provide to a patient scheduled for a modified radical mastectomy? --------- CORRECT ANSWER ----- An oblique elliptic incision with lateral extension toward the axilla Identify the marginal boundaries of the breasts --------- CORRECT ANSWER ----- Second to sixth rib and horizontally from the lateral edge of sternum to anterior axillary line When selecting a vascular graft for a vascular bypass or replacement, which of the following is a desirable characteristic that influences the surgeon's choice of graft? ------- - CORRECT ANSWER ----- Hypoallergenic From the following, which is not a complication of stent placement? --------- CORRECT ANSWER ----- Sclerosis The right and left coronary arteries originate in the corresponding sinuses of Valsava which are located ____________. --------- CORRECT ANSWER ----- Posterior to the cusps of the aortic valve What does the presence of bruit on auscultation of a blood vessel mean? --------- CORRECT ANSWER ----- Blood flow is disrupted Patients with acute arterial insufficiency with occlusion usually present with the onset of the six P's: sudden severe pain, pulselessness, paresthesia, paralysis, pallor, and poikilothermia (coolness) of an extremity. This occlusion can be the result of which condition? --------- CORRECT ANSWER ----- Rupture of an unstable atherosclerotic plaque A power drill and assorted rotating 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: --------- CORRECT ANSWER ----- prevent clogging of the burr and contamination of the area with bone dust. During a surgical procedure to excise a malignant thyroid gland, the surgeon asks you why she is not removing the posterior part of the patient's thyroid gland. Your correct response is: --------- CORRECT ANSWER ----- so that the patient does not develop hypocalcemia Select the set of symptoms that is most commonly associated with hypothyroidism. ------ --- CORRECT ANSWER ----- Dry skin, edema, constipation, and depression Postoperative hoarseness, obstructed airway, or paralysis of the vocal cords is a serious complication of thyroid surgery. During surgery, care is taken to identify and protect which nerve? --------- CORRECT ANSWER ----- Recurrent laryngeal nerve