RNFA quiz 1B study guide with complete solutions.Marvin Deloitte, a 19 year-old male, received in intravenous peripheral nerve block (PNB/Bier block) for an ORIF of about ankle fracture. The anesthesia provider injected a a distal dorsal vein of Marvin's right foot with 2% lidocaine, after placing ...
received in intravenous peripheral nerve block pnbbier block for an orif of about ankle fracture the anesthes
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RNFA quiz 1B
Marvin Deloitte, a 19 year-old male, received in intravenous peripheral nerve block
(PNB/Bier block) for an ORIF of about ankle fracture. The anesthesia provider injected a
a distal dorsal vein of Marvin's right foot with 2% lidocaine, after placing a single cuffed
pneumatic tourniquet circumferentially around Marvins upper thigh. The surgeon looked
through the OR window to check on anesthesia progress as he scrubbed at the sink
outside of the OR. The circulating nurse had the leg elevated and was prepping the
ankle. The surgeon noticed that the cuff seemed to be deflating and that the anesthesia
provider was turned away from the patient. The circulating nurse also noticed the
movement under the protective towel placed over the cuff, and saw the tourniquet
tubing fall to the floor. The nurses first response should be: - Answer Alert the
anesthesia provider, reconnect thw tubing to cuff and inflate, and send the surgeon for
the code cart
The perioperative nurse visited Mr. Jennings in the ICU the next day and noticed
abrasions on the elbow. Mr. Jennings told her that the ICU nurses had difficulty pulling
him back up in bed every time he slid down toward the bottom and he was not able to
be much help in moving himself. The skin injury was probably the result of which
physical force - Answer A friction from the elbows rubbing over the sheets when slid up
in the bed.
Malignant hyperthermia (MH) is a rare, multifaceted syndrome with an increased
incidence in individuals with central core diseases such as: - Answer Congenital
myopathies
David Reese, a 14 year-old patient with marked scoliosis, is in prone position with gel
rolls, gel pads, and pillows for a spinal fusion Before the skin is begun, the perioperative
nurse should check the positioning for pressure areas of the: - Answer Genitals, knees,
toes, and eyes
A reverse cutting needle is preferred for _________________ suturing. - Answer
Cutaneous
The installation of a local anesthetic into the subarachnoid space is termed: - Answer
Spinal anesthesia
Susie Reynolds, a 9 year old softball player, has arrived in the OR for emergency repair
of superficial facial and deep arm lacerations when she ran into the chain link fence
during practice. The perioperative nurse discovers that Susie has an insulin pump that
should remain connected during the short procedure. The RNFA should consider which
of the following options for energy generated hemostasis? - Answer Bipolar
electrosurgery unit
Lateral, lateral chest and lateral kidney positions all place pressure on structures of the
dependent side: ears, shoulder, ribs, hips, greater femoral head, knees and ankles. The
potential for injury to the patient is significant, based on these pressure areas. Which
, RNFA quiz 1B
resultant injury or harm could not be related to these lateral positions? - Answer
********look at pg 174 in 15th Ed and 173-174 in 16th Ed. ********
Which of the following regarding specimen labeling is a regulatory requirement? -
Answer Biohazard information pg 32 15th Ed pg 27 16th Ed.
Which of the following is a major infectious risk for healthcare workers? - Answer
Hepatitis B
The ideal suture material is one that has handling characteristics such as: - Answer
Pliability
The perianesthesia nurse completes a systematic and comprehensive secondary
assessment of the patient (e. g. Head to toe assessment or major body systems
approach). Select the response that best reflects the parameters of a comprehensive
respiratory assessment. - Answer Rate, rhythm and breath sounds
Ketamine is a short acting induction and IV or IM maintenance agent. Patients are able
to maintain their airways. It is a suitable agent to use with small children and burn
patients. The concerns with this agent is that in large doses it may cause: - Answer
Respiratory depression
Tissue reaction characteristics that need considered when choosing suture include: -
Answer Absorption
Sandra Williams was presented with the prepared informed consent form during the
discussion with her surgeon concerning her scheduled vaginal assisted laparoscopic
hysterectomy. She demonstrates and verbalized that she understood al of the tenets of
the procedure, risks, expected outcome, complications and procedural process. Before
she signed the consent form, she informed the surgeon that she did not want any
medical students or surgical residents performing any parts of the procedure other than
assisting and did not want any photographs of her body taken. The surgeon agreed and
she crossed out those portions of the form and initialed them before she signed. Sandy
was exercising her: - Answer Right to informed consent
What vaccine should healthcare workers receive if they are caring for
immunocompromised patients? - Answer Inactivated influenza vaccine
Sponge counts should be performed at the time of permanent relief of either the scrub
person or the circulating nurse, and __________________ - Answer Pg 25 16th Ed
In several studies, it was determined that the risk of contamination and subsequent
infection to the wearer can be reduced by wearing two pair of sterile surgical gloves, as
opposed to wearing one pair. Select the correct statement that refers to double gloving
in terms of best practice. - Answer The cdc, the American college of surgeons and the
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