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RASA First Assist Jumbo List (1)
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RASA First Assist Jumbo List (1)
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RASA First Assist Jumbo Listrisk management - ANS-____ is an integrated system developed by hospitals for the prevention
and control of areas of potential liability.
privilege - ANS-The right to perform certain activities within an institution is a _____.
find out what needs to take place to prevent a recurrence of the event. - ANS-When unexpected
events occur that have, or could have, compromised patient safety, a systematic investigatory
process takes place. Significant information is gained through this meticulous exploration. The
primary motive for carrying out a root cause analysis is to:
postoperative evaluations - ANS-As defined by the American College of Surgeons (ACS), the
surgical assistant may provide aid in all of the following functions that help the surgeon carry out
a safe operation with optimal results for the patient, EXCEPT _____.
consent - ANS-____ is a term that refers to permission being given for an action.
reckless disregard for the safety of another. - ANS-Criminal negligence is _____.
surgeon - ANS-Who is responsible for checking diagnostic tests, such as X-rays and CT scans,
to confirm the proper area or side before an incision is made?
a. state regulations
b. scope of practice
c. institutional policy
d. medical bylaws
e. regulatory compliance - ANS-Credentialing of AHPs (allied health professionals) is influenced
by? Select all that apply.
all of these - ANS-Which of the following reflects the basic values for health care practice?
beliefs - ANS-Ethics is an attempt to define right and wrong based upon ____.
Legal - ANS-Credentialing and granting of practice privileges is a _____ process
Penetrating; small entrance wound, puncture of the anterior wall of the sigmoid colon, no
disruption of vessels, and bullet not found in pelvis - ANS-Morbidity and mortality may be
greater with penetrating trauma because identification of injuries may be more difficult when
injuries are less obvious. In the case of an adult victim with a low-velocity, low-caliber gunshot
wound, at far range, of the anterior left quadrant of the lower abdomen, what is the MOI and
description of the possible injuries?
,Janice, age 70, scheduled for an emergency bowel resection with an ASA class IV - ANS-The
occurrence of perioperative mortality in geriatric surgical patients is influenced by several
evidence-based factors. Select the patient most at risk for perioperative mortality.
i, ii, iii, iv - ANS-Fluid and electrolytes play a key role in _____;
I:maintaining homeostasis
II:transporting oxygen
III:blood clotting
IV:maintaining temperature
Gently lift, not slide, the patient to and from the OR bed. - ANS-Age-related skin changes
include a thinning epidermis and decreased subcutaneous fat and elasticity. What special
consideration should the first assistant provide to avoid skin injuries?
Opioids and hypnotics - ANS-The immature blood-brain barrier and decreased protein binding in
infants increase their sensitivity to which group of drugs?
1 - ANS-For the greatest concentration of antibiotic prophylaxis, the infusion should end within
___ hours of incision?
identifying at-risk individuals. - ANS-A number of screening tools have been developed to
accurately establish biologic age. One tool, the Comprehensive Geriatric Assessment (CGA), is
a multidimensional evaluation that scrutinizes medications, functional ability, co-morbid
conditions, cognitive ability, mental function, nutritional status, and socioenvironmental factors.
In geriatric medical studies, the CGA has been valuable in providing a metric for describing
healthy aging and _____.
Phase II - ANS-Traumatic deaths may occur in three phases, or time frames. The first phase
occurs immediately after the injury, the second phase within the first 1 to 2 hours after the injury,
and the third phase occurs days to weeks after the injury. Approximately 30% of total fatalities
from trauma could be prevented with definitive trauma care, including appropriate and
aggressive resuscitation with rapid transport to an appropriate facility. Which phase, or
timeframe, of potential for trauma death, does this group represent?
Chronic obstructive pulmonary disease (COPD) - ANS-Preexisting pulmonary disease increases
the risk of perioperative pulmonary complications. Which condition presents the most significant
risk factor?
urinary tract infection - ANS-_____ is the most frequently acquired nosocomial infection.
All of the above - ANS-What non-antimicrobial strategies are important to decrease the risk of
postoperative infection?
, determine the potential for intravascular uptake of fluid or third spacing. - ANS-A 49-year-old
female long-distance runner with dysfunctional uterine bleeding was scheduled for a
hysteroscopy. During the procedure, sterile saline was used to expand the intrauterine
compartment and enhance visualization. The infiltration to the uterus and fluid collected as
drainage from the uterus was monitored. The first assistant was concerned that approximately
500 ml of fluid was unaccounted for. The motive for this surveillance was to:
Glucose - ANS-The brain and red blood cells relay almost exclusively on a steady supply of
_____ to function.
Sterile water from back table switched with heparinized saline - ANS-As the pediatric cardiac
team prepared to cannulate for a coarctation repair, their neonate patient presented with a
sudden dysrhythmia, ectopy, and failure to respond to digitalis. Point-of-care serum electrolyte
measurements revealed low potassium, sodium, and magnesium levels. On anesthesia
induction, only 35 minutes earlier, these values were at normal levels and the patient status was
secure. The electrolyte levels were treated to normal and the patient was cannulated and placed
on cardiopulmonary bypass. As the procedure continued the team pondered the cause to
prevent a recurrence. What possible event could have caused, or contributed to, this loss of
electrolytes?
A chest, pelvic, and four abdominal scans; collections of fluid and free air - ANS-Focused
assessment with sonography in trauma (FAST) may assist with diagnosis in difficult situations.
What group of scans is performed and what do they identify?
Do not cover open supplies and have the scrub nurse continually visually observe the room for
breaches in sterility. - ANS-What is the appropriate action if the doctor is delayed after the room
and instruments have been opened?
False - ANS-A hard bristle surgical hand brush should be used during a surgical scrub.
Selection of wound closure materials, dressings, and drains - ANS-There are many factors that
influence surgical wound healing. Some are helpful and some are beyond the scope of the
surgical team. Select the response below that reflects a factor with high influence over wound
healing and is within the control of the surgical team.
Contaminated wound, classification III - ANS-Jacob, a 62-year-old man, had surgery 6 days ago
for a ruptured diverticulum. What was the wound classification at the time of his emergency
surgery?
Keratin - ANS-Identify the primary substance that composes a layer of the epidermis, is
responsible for hardening nails and hair, and protects the body from fluid loss and invasion by
pathogens.
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