Exam (elaborations)
RNFA course 1 period quiz (1
RNFA course 1 period quiz (1
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RNFA course 1 period quizSelect from the following a medication that is used for PONV and has the potential to prolong
the QT interval
a) droperidol
b) dolasteran
c) prochlorperazine
d) scopolamine patch - ANS-A) droperidol
Allergic reactions to latex range from skin disease to asthma and anaphylaxis that can result in
chronic illness, disability, career loss, hardship and death. What types of signs and symptoms
would be indicative of an allergic contact dermatitis response to contact with natural rubber latex
- ANS-Pruritus, edema, erythema, and vesicles that develop 6 to 48 hours after exposure
The strength layer of the skin is found in the - ANS-Dermis
Two monitoring techniques used by anesthesia that have improved morbidity and mortality
include: - ANS-Pulse ox and capnography
Jacob Sutzkever is a 62 year old man who had surgery 6 days ago for a ruptured diverticulum.
He is back in the OR for a debridement and washout. Jacobs fever has subsided and the
drainage is clear. The surgeon will continue with wet to dry dressings and schedules Jacob to
return to the OR in 3 days for: - ANS-Delayed primary sutured closure
Which of the following is not an advantage to the use of silk suture - ANS-Memory
The stapler designed to close the end of a hollow organ is called - ANS-EEA
Which anesthetic agent could not be given if an IV-only anesthesia plan was employed -
ANS-Desflurane
The process of decontamination should initially begin at what point? - ANS-Completion of the
surgical procedure
Which statement about surgical dressings is true
A) surgical dressing maintain tension on the suture line to prevent dehiscence
B) surgical dressings cushion and protect the wound from trauma and gross contamination and
absorb drainage
C) surgical dressings protect surrounding drapes, linen and clothing from contamination
D) surgical dressings cover the wound to maintain moisture to promote granulation - ANS-B)
surgical dressings cushion and protect the wound from trauma and gross contamination and
absorb drainage
, Risk factors for PONV should be assessed preoperatively. Which of the following is a risk factor
for PONV. - ANS-Female gender
Guidelines from the WHO focus on which of the following in the prevention of SSI's? - ANS-Use
of antibiotics
The death of microorganisms occurs in stream sterilization as a result of which process? -
ANS-Denaturation and coagulation of enzyme proteins
Laparoscopic procedures that emerge toy convert to open procedures place the patient at risk
for unintentional retained foreign objects (RFO). What new and evolving risk reduction strategy
could prevent RFO's and frustrating, time consuming miscount adventures at the end of these
procedures? - ANS-Replacing or tagging sponges and laparotomy instruments with RFID chips
The name of the fascia that separates the anterior rectum from the vagina in females is called
the: - ANS-Rectovaginal fascia
The area between the surgeon and the scrub person designed for passing sharps safely is
referred to as the: - ANS-Neutral zone
The new general surgery fellow placed the three rep at ports for the laparoscopic
appendectomy. The procedure was completed without incident; however, on postoperative day
1, the patient demonstrated signs and symptoms of sepsis. What might have been the unusual
occurrence that could have resulted in patient sepsis. - ANS-Inadvertent trocar puncture through
the bowel on insertion.
The patient stated that her mouth, lips, and tongue were numb and prickly feeling and she had a
metallic taste after receiving local anesthesia for a procedure. The anesthesia provider
suspected that the patient had————and responded by———-. - ANS-A toxic overdose of
local anesthetic; monitoring and increasing the flow rate of IV saline
Which of the following medications is a specific depolarizinf muscle relaxant than can produce
generalized fasciculations? - ANS-Succinylcholine
Sara was positioned, prepped and draped following general endotracheal anesthesia induction.
The team assembled around Sara and the sterile field to perform the time out as described in
the WHO surgical checklist. Successful employment of the time out can only be ensured when: -
ANS-The entire team stops and focuses attention together.
Which member of the surgical team can be held liable in litigation for retained foreign bodies -
ANS-The entire team
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