Anesthesia and Surgical Precautions: A Comprehensive Guide, Exams of Advanced Education

Download Anesthesia and Surgical Precautions: A Comprehensive Guide and more Exams Advanced Education in PDF only on Docsity! RNFA Final Exam-with 100% verified solutions- 2024 _______Precautions apply to blood, all body fluids, secretions, and excretions (except sweat), regardless of whether they contain visible blood, mucous membranes, and non- intact skin. Standard Which of the following anesthetics may result in fasiculations for the patient? Succhinylcholine 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 control factor to protect the patient from hypothermia? b. set the ambient room temperature between 68° and 73° F A basic anesthesia monitoring device that is used during general anesthesia to confirm successful endotracheal tube placement and determine the presence of gas exchange is the: capnometer/end-tidal CO2 monitor The first step in the decontamination process is: Cleaning Which of the following requires at minimum, 2 patient identifiers on specimen labels? Joint Commission A 9-year-old diabetic with an insulin pump, has arrived in the OR for emergency repair of superficial facial and deep arm lacerations. The RNFA should consider which of the following options for energy-generated hemostasis? Bipolar Electrosurgery Unit During a hysteroscopy, sterile saline is used to expand the intrauterine compartment and enhance visualization. The perioperative nurse is concerned that approximately 500 ml of fluid was unaccounted for and alerted the surgeon and RNFA. The nurse's motive for this surveillance is to: Potential for Intervastation Which of the following statements reflects the location of the arcuate line? one third of the distance between the umbilicus and the symphysis pubis. 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? Replacing or tagging sponges and laparotomy instruments with RFID chips. The surgical hand scrub is designed to render the hands, nails, and arms 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: Ulnar Nerve Injury A type of suture to help eliminate tension on the primary suture line is known as: Retention Suture Identify the primary substance found in the epidermis that protects the body from fluid loss and invasion by pathogens. 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? Lipids When buried in tissue, silk loses its tensile strength after what period of time? 1 Year Guidelines from WHO focus on which of the following in the prevention of surgical site infections? 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 myocardial infarction, myocardial tamponade, and pulmonary embolism The ideal suture material is one that has handling characteristics such as: Pliability Which of the following patient modifiable factors can contribute to surgical site infections? Alcoholism Which anesthetic agent could not be given if an IV-only anesthesia plan was employed? Desflurane A type of monofilament suture that does not require the user to tie knots is known as: Barbed Which statement about surgical dressings is true? Surgical dressings cushion and protect the wound from trauma and gross contamination, and absorb drainage. A common dysrythmia seen after surgery is: Sinus Tachycardia The type of wound closure that occurs when approximation of the wound edges does not occur for 3 or more days after a surgical procedure. Third Intention 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? Right to Informed Consent A reverse cutting needle is preferred for ___________suturing. 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? Prednisone and a beta-agonist inhaler Surgical consents should be written at what level to meet health literacy needs of all patients? 5th Grade The tensile strength of lactic & glycolic acid polymers is sufficient for approximation of tissues for _____ weeks. 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? 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? 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? Silk Which of the following is correct regarding nonabsorbable sutures? Increased reactive properties in tissue An absolute contraindication for a cholecystectomy include: Uncontrollable Coagulopathy The filtering mechanism of the kidney is located within which region of the kidney? Renal Cortex Which of the following muscles are critical for stabilization of the knee joint? 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: Ventricular Arrythmias The left and right lobes of the liver are divided by the _____________. Falciform ligament Which of the following is not included in the retroperitoneal space? 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: Metabolic acidosis, hypothermia, hemodilution The largest part of the mammary gland rests on the _____. Pectoralis major muscle and serratus anterior Which of the following is the surgical goal for breast conserving surgery? 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? 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. Circumflex coronary artery The Doppler transducer is the most widely used instrument for vascular study. What statement regarding a Doppler is true? Water-soluble gel is needed when the Doppler is used on intact skin Damage to this area of the brain is often devastating and life-threatening because it can affect movement, senses, consciousness, perception, and cognition. Choose the correct answer from the following. Brainstem What is the term for the bloodless plane that contains loose areolar tissue and permits mobility of the scalp? Subgaleal space The brainstem consists of what three structures? Midbrain, pons, and medulla oblongata The IXth cranial nerve provides which of the following? taste to posterior 1/3 of tongue Suction applied directly to neural tissue can be harmful To prevent tissue damage, a ___________ should be placed between the neural tissue and the suction tip. Cottonnoid Changes to the elderly person's skeleton can present challenges to the intraoperative team. In terms of additional attention and care, what intervention can the intraoperative team provide? Position the patient using appropriate padding and joint protection devices. An important aspect to bone healing that is preserved through intramedullary reaming is which of the following? Maintenance of fracture hematoma Which of the following is a complication of patellectomy? Reduced knee extension Which of the following is not included in the terrible triad? PCL Tear The rotator cuff consists of which group of muscles? Supraspinatus, infraspinatus, teres minor, and subscapularis Which of the following regarding PMMA ( bone cement) is not an affect local tissue? Skin burns due to exothermic reaction Infants and children with severe gastroesophageal (GE) reflux can have life-threatening complications, including obstructive apnea, aspiration pneumonia, esophagitis, and failure to thrive. What is the name of the procedure, performed open or laparoscopically, that is designed to create a competent antireflux barrier? Nissen fundoplication Your 12-year-old patient is scheduled for a laparoscopic hernia repair. During the preoperative assessment, the RNFA notes mild myotonia congenita. Themmother states that she is worried about anesthesia because her husband's brother died many years ago when he became very feverish during surgery and they could not cool him. The RNFA's appropriate risk reduction strategy in this situation would be to: 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? Right Ventricle Which of the following is a contraindication to using autotransfusion as a blood replacement source? 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: 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? 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: Infundibulopelvic