RNFA course 1 period quiz
—————— Precautions apply to blood, all body fluid, secretions and excretions (except
sweat) regardless of whether they contain visible blood, mucous membranes and not intact skin.
- ANS-Standard
A common dysrhythmia seen after surgery is: - ANS-Sinus tachycardia
A type of monofilament suture that does not require the user to the knots is known as -
ANS-Barbed
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
Guidelines from the WHO focus on which of the following in the prevention of SSI's? - ANS-Use
of antibiotics
Hypotension is a blood pressure reading that is 20% less than the patients normal baseline
pressure. Hypovolemia is the most common cause of postoperative hypotension; however,
hypotension may also be caused by cardiac dysfunctions. Which of the following cardiac
conditions will present with hypotension? - ANS-Myocardial infarction, myocardial tamponade
and pulmonary embolism.
Infection control and prevention surveillance was underway in the cardiac intensive care unit
because of an alarming prevalence of sternal wound infections. On postop day 2, a patient
develop d edema, redness and purulent exudate that appeared to be isolated to the
subcutaneous plane above the sternum. What important criteria must be met to conclusively
define this is a surgical site infection (SSI) - ANS-Positive diagnosis of the SSI by the surgeon or
attending physician
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
Jacob Sutzkever, 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? - ANS-Contaminated
wound, classification III (counted wrong per NIFA grade. Look at page 250 on 16th Ed.) only
other answer would be infected wound classification IV
, 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
Many factors have contributed to the evolution and progressive growth of ambulatory surgery.
Select three anesthetic agents that promote fast induction, rapid emergence and minimal side
effects and have been credited as a significant factor in this trend. - ANS-Sevoflurane, propofol,
desflurane
Miriam Glass is a 78 year old female scheduled for compression nail insertion of a left fractured
hip. She was positioned for a spinal injection to induce spinal anesthesia. During the process,
the anesthesia provider inadvertently inserted the spinal needle into the subarachnoid space,
not noticing the error until the entire syringe of lidocaine was emptied into the patient. Miriam
immediately experienced rapid onset of hypotension, bradycardia and apnea. Miriams
unintentional condition is called ———— and now must be managed with—————-. -
ANS-Cardiogenic shock; ACLS protocol
Risk factors for PONV should be assessed preoperatively. Which of the following is a risk factor
for PONV. - ANS-Female gender
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.
Select all the injuries or conditions that reflect probable child abuse or neglect - ANS-Severe
injuries inconsistent with the history
Select 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
Select the appropriate nursing action that supports hands free instrument passing and sharps
safety. - ANS-Create a neutral hands free area between the scrub person and surgeon with a
basin or magnetic mat.
Select the appropriate order for administering blood and blood products. Verify informed
consent for blood, separate blood bag from identification slips, sign slips, verify identification
numbers and expiration dates with second licensed person, verify patient with blood tag and
requisition slips. - ANS-Verify informed consent for blood, verify patient identification and blood
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