The process of decontamination should initially begin at what point?
Completion of the surgical procedure
Side effects the patient may encounter as a result of extracoproreal circulation include:
Inflammatory responses
00:08
01:10
After retracting the nerve roots during a lami...
side effects the patient may encounter as a result of extracoproreal circulation include
the process of decontamination should initially begin at w
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RNFA FINAL PRACTICE
The process of decontamination should initially begin at what point? - Answer
Completion of the surgical procedure
Side effects the patient may encounter as a result of extracoproreal circulation include: -
Answer Inflammatory responses
After retracting the nerve roots during a laminectomy, this structure is incised before
getting to the disc. - Answer Posterior longitudinal ligament
Of the following, which is not a symptom of compartment syndrome? - Answer
Moderate pain
Fibrocystic changes in the breast describe many different breast changes. These
changes affect almost all women at some time in their lives. Nipple discharge is more
commonly associated with benign lesions than with cancer; however, discharge is
usually significant only if it is spontaneous, persistent, and: - Answer bloody
Jan Stuyvesant, a perioperative nurse, was the scrub person during a robotic-assisted
laparoscopic cholecystectomy. She locked the robotic endoscissor into the adaptor on
the robotic arm and positioned the tip end into the trocar port in order for the surgeon to
dissect the cystic duct and artery, while the surgical assistant placed the clips on the
cystic duct and artery. As she reached across the sterile field to insert the
cholangiocatheter through the port, the anesthesia provider accidentally made contact
with the distal end of the catheter as he stood up to reach the monitor controls. The
contaminated end of the catheter touched the endoscopic clip applier, the endoscissor
connector that the surgeon was using, the glove of the assistant, and Jan's gown
sleeve. The surgeon ordered everyone to change their gown and gloves and covered
the port area with a sterile towel. What was the rationale for the surgeon to continue to
dissect and not change his attire? - Answer The surgeon was not in contact with the
sterile field because he worked from the robotic console.
The ability to maintain thermoregulation is compromised in elders because of changes
in the: - Answer vascular system
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? -
Answer Unknown substances may be present in these products.
Talia Mendelson, a 27-year-old patient who had a lumpectomy for early-onset breast
cancer, is now scheduled for infusion port insertion. Talia is very nervous because
during the previous lumpectomy, performed using a local anesthetic, she was not
entirely sedated. Talia tells the perioperative nurse that she was uncomfortable and
heard everything in the room, but admitted that she did not feel pain. The nurse
recognized Talia's anxiety related to the surgical intervention and prepared to implement
corrective actions in the OR. What nursing intervention best reflects one that would
,RNFA FINAL PRACTICE
ensure support or contribute to Talia realizing her expected outcome? - Answer Ensure
a quiet and calm environment of care
A 26-year-old female is rushed to the operating room after a primary and secondary
survey in the emergency department. She was hit by a small truck as she was riding her
bicycle through a busy intersection. She has sustained rib fractures and several
fractured transverse vertebral processes. Renal injury is suspected. As the
perioperative nurse prepares to insert a urinary catheter, she notices blood at the
urinary meatus. What should the nurse's next action be? - Answer Discontinue the
catheter insertion
Open parathyroidectomy is currently being replaced with less invasive and more
targeted techniques; however, the amount of parathyroid tissue that should be removed
remains controversial and relates to whether single or multiple glands are involved. A
portion of a gland must remain to: - Answer prevent hypocalcemia and its complications.
Which of the following supplies blood to the transverse colon? - Answer Middle colic
artery
Which of the following structures form the mouth? - Answer cheeks, the hard palate, the
mandible, and the tongue
The salivary glands produce saliva, which serves to moisten the mouth and initiate: -
Answer carbohydrate digestion.
Potential development of a direct inguinal hernia results from ___________and
__________weakening or tearing. - Answer Aponeurosis of transversus abdominus and
transversalis muscle
When the patient arrives in the ED, the trauma team initiates a primary assessment.
This is a logical, orderly process of patient assessment for potential life threats. These
assessment activities are based on established protocols for advanced trauma life
support (ATLS). The mnemonic "ABCDE" is used, representing assessment of the
following: Airway, Breathing, Circulation, Disability, and Exposure. The D and E
represent what degree of investigation? - Answer D = a brief neurologic examination; E
= exposure to reveal all life-threatening injuries
What structure covers the spermatic cord and contracts to make the testicles ascend in
the scrotum? - Answer Cremaster muscle
Which of the following is not included in the group of tendons that comprise the rotator
cuff? - Answer Teres Major
The cranial meninges are composed of all except _____. - Answer Pericranial mater
,RNFA FINAL PRACTICE
Sara Gardiner is the perioperative nurse in the circulating role in OR 2, and is planning
for her three neurosurgical procedures for the day. She is explaining the basic
processes of the three procedures to the scrub person and double-scrubbed surgical
technology student: (1) a VP shunt insertion, (2) a reconstructive craniosynostosis for
an infant with severe deformity, and (3) exploration of a severe head injury with
increased intracranial pressure (ICP) to evacuate a hematoma and possible brain
tissue. To give the brain room to swell in the third procedure, the bone flap may need to
be sterile-wrapped and stored, for later replacement. Sara asks the student to name the
appropriate surgical approach to the brain for each of the procedures. She expects the
correct sequence to be: - Answer burr hole, craniectomy, and craniotomy.
Describe the boundaries of the surgical skin prep for the patient about to receive a liver
transplant. - Answer From the neck to midthigh; bedline to bedline
Total thyroidectomy is the removal of both lobes of the thyroid and all thyroid tissue
present. Total thyroidectomy is the desired surgical treatment for patients with: - Answer
thyroid cancer.
Which of the following describes a strangulated hernia? - Answer A persistent
incarceration with a compromised blood supply
The Glasgow Coma Scale (GCS) is commonly used to assess patients with brain injury
using three indicators of cerebral function: eye opening, verbal communication, and
motor response to verbal and noxious stimuli. Within the scoring range for the GCS, the
best possible score is _____ and the worst possible score is ______. - Answer 15; 3
What mouth structure is considered the boundary between the buccal cavity and the
lingual cavity? - Answer Teeth
Laryngoscopy is direct visual examination of the interior of the larynx by means of a
rigid, lighted speculum known as a laryngoscope to obtain a specimen of tissue or
secretions for pathologic examination. What risk reduction strategy should the
perioperative nurse employ in preparing for the conclusion of the procedure? - Answer
Maintain instrument setup until the patient leaves the OR.
Marissa Walton is transferred to the OR from the burn unit for debridement of the
partial-thickness burn areas and a dressing change under anesthesia. What important
preparation for the procedure will the perioperative nurse perform before Marissa
arrives in the OR? - Answer Prewarm the OR to above the ambient high temperature for
an adult.
FESS provides a more functional approach to treat sinus disease. FESS involves the
endoscopic resection of inflammatory and anatomic defects of the sinuses while
preserving natural function in a surgical procedure that is minimally invasive. From the
following, choose an important finding that should be communicated to the surgeon
immediately during this procedure. - Answer Encroachment of the orbit
, RNFA FINAL PRACTICE
Administration of cyclogyl should be used in caution with which of the following patient
groups? - Answer Patients on tricyclics
What drug can be used to reverse the effects of heparin ? - Answer Protamine sulfate
When assisting with an open inguinal hernia repair, the surgeon makes an incision
through which of the following to access the cremaster muscle, inguinal canal, and cord
structures? Choose the correct answer. - Answer External oblique muscle
Identify the type of fracture that has more than two fragments. - Answer Comminuted
Identify the correct path of the cardiac conduction system. - Answer From the SA node
to the AV node to the bundle of His to the Purkinje system
Transsphenoidal hypophysectomy (TSH) is performed with the patient administered a
general endotracheal anesthetic, combined with a local anesthetic. The surgical team
places the patient in a semisitting position, with the head against the headrest. A
transnasal or a sublabial incision can be used for rapid access to the sella turcica.
Select the diad (2) of conditions that would be appropriate indications for TSH. - Answer
Hypopituitarism and small pituitary tumors
Describe a pantaloon hernia. - Answer A combination direct and indirect hernia
In renal transplantation a kidney with __________ artery(ies) is preferred. - Answer
single
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)? - Answer Furosemide (Lasix) 20-80 mg IV; monitor for hypotension and
note extent of diuresis
The production of CSF occurs where? - Answer Choroid plexus of the ventricles
Select the true statement about antimetabolite drugs and their indications for use. -
Answer 5-Fluorouracil and mitomycin can both be administered topically to inhibit scars
and pterygium excision
Select the statement that best reflects the functional components of the gastrointestinal
(GI) tract. - Answer The alimentary canal extends from the mouth to the anus.
As the surgeon prepared to clamp and transect the bowel during a small bowel
resection for tumor, the scrub person transferred instruments from the Mayo stand to
the back table and prepared the sterile field for bowel isolation technique. The rationale
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