RNFA quiz 1B
A reverse cutting needle is preferred for _________________ suturing. - ANS-Cutaneous
A stitch that is tied and cut before placing another stitch is called: - ANS-Interrupted
After prepping the face, neck and upper chest for a radical neck dissection, the protective towels
around the prep site were removed. The RNFA applied the head drape and completed draping
the patient. During the preincision surgical time out, the fire risk score was determined to be
high. When the surgeon noticed an area on the neck that did not look prepped. She asked for
prep solution ona. Sponge and sponge forceps to complete the prep area, taking care not to
moisten the head drape. After handing off the used sponge forceps she asked for the scalpel.
What step was omitted in this process? - ANS-The new prep area was not given time to dry.
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: - ANS-Genitals, knees, toes, and eyes
From the following g, choose the correct statement regarding closed gloving - ANS-It can only
be used for the initial gloving
If a sterile glove becomes contaminated during the procedure, the best practice odor corrective
action is: - ANS-Reglove with assisted gloving technique
In addition to healthcare workers in surgery, emergency care and OB, children with spina bifida
and persons needing indwelling catheters seem to have a common risk factor for allergy
development to which of the following? - ANS-Latex
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. -
ANS-The cdc, the American college of surgeons and the American academy of orthopedic
surgeons support double gloving during invasive surgical procedures.
Pg 95 16 th Ed. Pg. 113 15th Ed.
It is important for the RNFA to be aware of the ESU safety hazard when assisting with
endoscopic surgery. Choose the correct answer from the following. - ANS-Insulation failure
Jacob Sutzkever had a temperature of 103 degree f and returned to the OR for the debridement
and washout of purple my drainage from his wound on postoperative day 3. What was wound
classification at the time of his debridement and washout surgery? - ANS-Infected wound
classification IV
, 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: - ANS-Respiratory depression
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 resultant
injury or harm could not be related to these lateral positions? - ANS-********look at pg 174 in
15th Ed and 173-174 in 16th Ed. ********
Malignant hyperthermia (MH) is a rare, multifaceted syndrome with an increased incidence in
individuals with central core diseases such as: - ANS-Congenital myopathies
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: - ANS-Alert the
anesthesia provider, reconnect thw tubing to cuff and inflate, and send the surgeon for the code
cart
New synthetic polymer such as PDS provide wound support up to ______ months - ANS-3
Pressure against the skin above_______mmHg interferes with tissue perfusion - ANS-32
Prolonged lithotomy positioning can result in neuropathies of the legs. The most frequently
injured nerves are the obturator, sciatic, femoral and __________ nerve, which can result in
injury from __________ - ANS-Common peroneal; direct compression from the stirrup bars
Rigo Vegas, a 24 year old tennis coach was scheduled as the first case for a knee arthroscopy.
He has a family history of anesthesia and surgical complications. He admitted to eating a
cheese steak and drinking 2 cans of beer the night before at 11:30 pm. On attempt at intubation,
it was evident that total muscle relaxation had not been had not been achieved. The circulating
nurse gently restrained Rigo's arms as he began to move and gag on the laryngoscopes. Rigo
vomited undigested stomach contents. Intubation was achieved and a NG tune was inserted
and connected to suction. Rigo experienced respiratory distress on extubation and was
transferred to ICU with acute respiratory distress syndrome. Based on his preanesthetic history,
aspiration could have been prevented by which measure? - ANS-The perioperative nurse
applying cricoid pressure during induction through intubation.
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