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The nerve supply for the female pelvis comes from the autonomic nerves that enter the pelvis through the - correct answer Superior hypogastric plexus Which of the following is an important statement regarding the prevention of degenerative orthopedic conditions - correct answer Weight-bearing activities and joint movement prevent cartilage from becoming thin or damaged The cerebellar tentorium supports which structures of the cerebral hemispheres - correct answer Temporal lobe the surgeon makes an incision through which of the following to access the cremaster muscle, inguinal canal, and cord structures - correct answer External oblique muscle a physical barrier used in the prevention of adhesions that can take up to 2 weeks to absorb - correct answer Interseed Tissue reaction characteristics that need considered when choosing suture include - correct answer Absorption The diagnostic test that is performed to differentiate between acute and chronic thrombosis - correct answer Digital subtraction angiography 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 - correct answer enetrating; small entrance wound, puncture of the anterior wall of the sigmoid colon, no disruption of vessels, and bullet not found in pelvis With injury to the brain, swelling may occur quickly, requiring aggressive decisions to manage increasing intracranial pressure (ICP). What is an appropriate diuretic medication to give and what nursing actions would be indicated for an older adult patient with traumatic brain injury, increased ICP, and a history of congestive heart failure (CHF) - correct answer Furosemide (Lasix) 20-80 mg IV; monitor for hypotension and note extent of diuresis Because herbal products are so readily available and have such widespread media attention, many people think that they can safely self-medicate. Why should the public be aware and educated about dietary supplements and potential harmful effects - correct answer Unknown substances may be present in these products. a possible benefit to the paramedian incision - correct answer decreased risk for hernia An example of an indication for liver transplantation would be - correct answer primary hepatic cancer he largest part of the mammary gland rests on the - correct answer Pectoralis major muscle and serratus anterior During ventriculoperitoneal shunt placement, - correct answer The unit is soaked in NS & antibiotic solution, never lubricated. Patients with chronic venous insufficiency (CVI) are not typically treated surgically as often as patients with arterial disease because: - correct answer CVI is not life-threatening or limb-threatening 35% of the refractive power of the eye is credited to which part of the eye - correct answer Lens Oculocardiac reflex (OCR) is an intraoperative emergency that can occur during eye surgery. Select the definition of the response and contributing factor(s) - correct answer Trigeminal-vagal response caused by pressure on the globe or retrobulbar block The perioperative nurse must be prepared for which additional procedure when head and neck surgery is performed? - correct answer Tracheostomy The perioperative nurse preparing for a procedure where STSGs will be taken to cover several large burn areas will need to have available: - correct answer sterile mineral oil, tongue blades, and a mesher dermatome the correct term to describe the inward turning of one or both eyes - correct answer Esotropia The nerve supply for the female pelvis comes from the autonomic nerves that enter the pelvis through the - correct answer Superior hypogastric plexus which surgical approach reduces the morbidity and mortality in removal of an acoustic tumor - correct answer Translabyrinthine approach Pt with hepatobiliary disease, The perioperative nurse, during the preoperative assessment, questions and examines the patient for signs and symptoms of jaundice, petechiae, and lethargy and: - correct answer review chart for bleeding and coagulation times and the platelet count. The external ear canal lining - correct answer reduces bacterial levels in the outer ear Miotics and mydriatics produce opposite effects on the pupil of the eye. Select the most appropriate statement about miotic and mydriatic drugs - correct answer Mydriatic drugs, such as phenylephrine, dilate the pupil. Vascular access in pediatric patients may be established intraoperatively for short-term (weeks) or long-term (months, years) use - correct answer Central venous line What is the term for the bloodless plane that contains loose areolar tissue and permits mobility of the scalp - correct answer Subgaleal space Pericardial tamponade includes which of the following signs or symptoms - correct answer Narrow pulse pressure Which statement regarding level III and level IV trauma centers best describes the difference between the two types of centers - correct answer A level III trauma center provides advanced cardiac life support (ACLS), surgery, stabilization, and transfer, while a level IV only provides ACLS services before immediate transfer to a higher level center A percutaneous method of instituting femoral vein-femoral artery cardiopulmonary bypass (CPB) can be used for minimally invasive (or conventional open) procedures and in emergency situations where the environment is not conducive to traditional CPB methods. Select the areas where percutaneous CPB would be indicated - correct answer Cardiac catheterization unit and intensive care unit Which two similar hernia repair approaches reestablish the integrity of the transversalis fascia and simultaneously reestablish and strengthen the posterior inguinal floor by sewing the transversalis fascia to the Poupart ligament? - correct answer The McVay or the Cooper ligament repair Identify the class of medications that can increase the risk or severity of a reaction to contrast media - correct answer Beta Blockers The recommended length of time for inflation of an upper extremity tourniquet on a patient under 50 years old is_______while the recommended pressure is _____. - correct answer 1 hour; 250-300 mmHg continuous tourniquet pressure less than 1 hour on the upper extremity and less than 2 hours on the thigh. Tourniquet pressure should not exceed the recommended maximum cuff pressure limits of 300 to 350 mm Hg for the thigh and 250 to 300 mm Hg for the arm and the lower leg. the statement that reflects a true special consideration for skin preparation before facial surgery. - correct answer Leave the eyebrows and eyelashes intact to preserve facial appearance and expression. A minimally invasive video-assisted thyroidectomy (MIVAT) procedure relies on Miccoli instruments added to the standard thyroid or neck dissection setup, a 30-degree endoscope, and an ultrasonic (harmonic) scalpel with scissors to ligate and divide the vessels. An important risk reduction strategy for any minimally invasive procedure would be - correct answer consider and plan for the possibility of conversion to open thyroidectomy he external ear, which includes the auricle (or pinna) and external auditory canal, is composed of cartilage covered with skin. The primary function of the auricle is to - correct answer concentrate and conduct incoming sound waves into the external auditory canal. Describe the internal inguinal ring - correct answer Structures that traverse the inguinal canal enter it from the abdomen by the internal ring, a natural opening in the transversalis fascia The perioperative nurse should plan to remain close to the elderly patient during induction because - correct answer Airway anatomy changes in the elderly The child inhales the favorite flavor while drifting off to sleep. This complementary therapy falls within the category of: - correct answer clinical aromatherapy Which of the following sulci is of particular anatomic importance during surgery? - correct answer Two sulci of particular anatomic importance during surgery are: (1) the lateral sulcus, or sylvian fissure, which divides the temporal lobe from the frontal and parietal lobes, and (2) the central sulcus, or fissure of Rolando, which separates the frontal from the parietal lobe
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