NIFA FINAL EXAM 558 STUDY GUIDE QUESTIONS
WITH CORRECT ANSWERS
peripheral nerve block for ankle ORIF would complain if which symptom - Correct Answer metallic taste in mouth positioning arms correctly to avoid pressure on the elbow to prevent - Correct Answer ulnar nerve injury positioning device for bariatric patients prior to intubation - Correct Answer upper body ramp depolarizing muscle relaxant that produces generalized fasciculations - Correct Answer succinylcholine hemostatic device offers rapid and secure method of clamping, metal and MRI compatible - Correct Answer ligating clip positioning device for head cases - Correct Answer mayfield head positioner suture permanently attached at the end of the needle referred to as - Correct Answer swaged overpressurization can lead to - Correct Answer hypercarbaria most commonly used local anesthetic - Correct Answer lidocaine double gloving - Correct Answer the american college of surgeons endorses double gloving for all surgery and invasive procedures anesthesia that lets patients maintain their own airway and be easily aroused from sleep - Correct Answer moderate sedation / analgesia who requires two patient identifiers on specimen labels - Correct Answer JCO 1 / 4
factor with high influence on wound healing that the surgical team can control - Correct Answer tissue handling patient at highest risk for hypothermia in perianesthesia phase - Correct Answer 3 week old neonate for cardiac anomaly suture best suited for intestinal anastomosis - Correct Answer vicryl trailing a new insuflation system, over-pressurization leads to - Correct Answer hypercarbia process of decontamination begins when - Correct Answer at completion of the surgical procedure which injury is NOT related to a patient being placed in the lateral position - Correct Answer compression of abdominal cavity primary substance found in epidermis that protects body from fluid loss and invasion of pathogens - Correct Answer keratin correct statement regarding closed gloving - Correct Answer closed gloving can only be used for initial gloving what measure can be taken to prevent aspiration based on patient's history - Correct Answer cricoid pressure during induction on factor that describes high incidence of musculoskeletal disorders among surgical techs and nurses
- Correct Answer the cumulative effect of repeated patient handling events q
allergic contact dermatitis with natural rubber latex - Correct Answer puritis, edema, erythema and visicles 6-48 hours after exposure patient reports latex allergy, carries epi pen and beta-agonist inhaler - Correct Answer true latex allergy 2 / 4
191.18 kg patient scheduled for surgery; interventions to enhance patient safety - Correct Answer use of an OR bed to accommodate patient weight and size risk reduction strategy to reduce sharps injury - Correct Answer passing sharp items using neutral / hands free techniques instead of passing hand to hand self retaining retractor for large patient - Correct Answer bookwalter silk loses tensile strength after what period of time - Correct Answer 1 year physical characteristic of suture - Correct Answer knot strength appropriate steps to remove sterile gown - Correct Answer wipe gloves clean, untie side of gown, grasp gown at one shoulder seam practice for sponge, sharp, and instrument counts follows: - Correct Answer institutional policy laparoscopic trocars placed by resident; unusual occurance that could lead to sepsis - Correct Answer inadvertent trocar puncture through bowel on insertion risk factor for PONV - Correct Answer FEMALE GENDER source of radiation in OR - Correct Answer C arm ideal suture material is one that has handling characteristics such as - Correct Answer pliability NOT a characteristic of silk suture - Correct Answer memory risk reduction strategy to reduce RSI - Correct Answer replacing or tagging sponges and laparotomy instruments with RFID chips skin injuries related to shearing occur when the patient is in what position - Correct Answer trendelenburg 3 / 4
intracorporeal suture technique uses suture tying process analogous to - Correct Answer instrument tying health professionals should employ which strategy to reduce risk of allergic reaction to latex - Correct Answer use powder free gloves that have low levels of protein and chemical allergens patient right regarding consent - Correct Answer right to informed consent patient has numb and tingly mouth, lips and tongue, and metallic taste after peripheral nerve block - Correct Answer a toxic overdose to local anesthetic, monitoring and increasing flow rate in IV saline select the intervention that is an engineered control factor to protect patient from hypothermia - Correct Answer set ambient room temp between 68-73
CO2 gas is used to insufflate to: - Correct Answer 9 L/min, 14-16 mm Hg
treatment for LAST includes - Correct Answer lipids correct order of removal for soiled sterile attire - Correct Answer gown, gloves, mask sponge counts should be performed - Correct Answer before the procedure, before closure of each body cavity, before wound closure, at skin closure suture that helps eliminate tension of primary suture line - Correct Answer retention tensile strength of lactic and glycolic acid polymers is sufficient for how many weeks - Correct Answer 2-3 concern with large doses of ketamine - Correct Answer respiratory depression patient having cardiac surgery, consider all of the following except: - Correct Answer RBCcount?
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