Surgical Procedures: Questions and Answers for Medical Professionals, Exams of Nursing

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NIFA FINAL EXAM questions well

answered

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 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 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 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- 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- concern with large doses of ketamine - correct answer ✔✔respiratory depression patient having cardiac surgery, consider all of the following except: - correct answer ✔✔RBCcount? there are blank main coronary arteries which originate in the blank - correct answer ✔✔2, sinuses of valsalva most stable and rigid fixation of a fracture - correct answer ✔✔locked plating system NOT included in the retroperitoneal space - correct answer ✔✔spleen filtering mechanism if located in which region of the kidney - correct answer ✔✔renal cortex? damage to cranial nerve VII - correct answer ✔✔drooping of the corned of the mouth which lab values are indicative of acute pancreatitis resulting from blockage in the ampulla of vater - correct answer ✔✔amylase, lipase absolute contraindication for a cholecystectomy is - correct answer ✔✔uncontrolled coagulopathy ductal ectasia is difficult to distinguish from cancer because it presents with - correct answer ✔✔a hard irregular mass, nipple discharge, and enlarged axillary nodes wound classification for breast surgery - correct answer ✔✔clean

correct path of cardiac conduction system - correct answer ✔✔SA, AV< bundle of his, purkinjie fibers branch of the left main coronary artery - correct answer ✔✔circumflex coronary artery patient with CVI is not often treated surgically because - correct answer ✔✔CVI is not life threatening or limb threatening venous structure that prevents blood backflow - correct answer ✔✔semilunar intimal folds communication with anesthesia in cases involving facial nerves - correct answer ✔✔muscle relaxants, paralytic agents, and some local anesthetics must be avoided primary function of three thyroid hormones - correct answer ✔✔regulate energy metabolism absences of distinct teniae serves as visual landmark for - correct answer ✔✔upper margin of rectum lymphatics of small bowel and portions of colon are located in - correct answer ✔✔mesentary point of insertion for iliopsoas muscle - correct answer ✔✔lesser trochanter femoral hernias occur more frequently in - correct answer ✔✔women minimally invasive technique used to remove thyroid tumors deep in the mediastinum - correct answer ✔✔thoracoscopy colon wall has 5 layers which include - correct answer ✔✔mucosa possible benefit to paramedian incision - correct answer ✔✔decreased risk for hernia

transthoracic esophagectomy with lymph node dissection for cancer of esophagus; which approach - correct answer ✔✔upper midline abdominal and right thoracotomy burn patient; preparation performed before patient comes to OR - correct answer ✔✔prewarm the OR to above the ambient high temp for adult distinguishing characteristic of large intestine - correct answer ✔✔teniae coli, haustra, epiploic appendages 51 y/o male with hepatobiliary disease; pre op assessment includes - correct answer ✔✔review his chart for bleeding and coagulation times and platelet count boundaries for skin prep for patient receiving liver transplant - correct answer ✔✔neck to midthigh, bedline to bedline during kidney transplant prior to clamping vessels, drugs given - correct answer ✔✔heparin and mannitol hernias that occur in the heselbach's triangle - correct answer ✔✔direct inguinal hernia incision for removing cancerous testis - correct answer ✔✔midportion of scrotum correct statement regarding trigone of bladder - correct answer ✔✔forms the base of the bladder nerve supply for female pelvis comes from - correct answer ✔✔superior hypogastric plexus tear to the meningeal artery results in what kind of hematoma - correct answer ✔✔epidural bloodless plane that contains loose areolar tissue and permits mobility of scalp - correct answer ✔✔subgleal space

vessels of the circle of willis include - correct answer ✔✔posterior communicating artery cranial nerve responsible for pupillary reaction - correct answer ✔✔cranial nerve III primary divisions of nerve are known as - correct answer ✔✔rami disadvantage of harrington rods - correct answer ✔✔rod breakage is increased nerves in the lower extremity not commonly implicated in positioning related neuropathies - correct answer ✔✔popliteal use of PMMA can result in which adverse reaction - correct answer ✔✔transient hypotension ASPECT OF BONE HEALING THAT IS PRESERVED THROUGH INTRAMEDULLARY REAMING - correct answer ✔✔maintenance of fracture hematoma closed reduction is the treatment of choice for fractures because - correct answer ✔✔decreased opportunity for infection most commonly used pediatric premedication - correct answer ✔✔versed child is being pre oped for surgery and nurse notices mild myotonia congenita; appropriate risk reduction strategy would be - correct answer ✔✔perform careful assessment of family hx to identify risk for developing MH congenital anomaly that best reflects indications of fetal surgery - correct answer ✔✔congenital diaphragmatic hernia scoring range for GCS - correct answer ✔✔15, 3 pneumonic AMPLE - correct answer ✔✔allergies, medications, PMH, last meal, event leading to injury

why must evidence be placed in a paper bag and not a plastic bag - correct answer ✔✔ mulitple trauma wound patient, what is appropriate for rapid preparation of this patient - correct answer ✔✔prep patient from suprasternal notch to mid thigh B why must evidence be placed in a paper bag and not a plastic bag - correct answer ✔✔plastic bags may trap moisture and allow mold growth, destroying evidence person responsible for marking the patient - correct answer ✔✔surgeon concept of risk management - correct answer ✔✔all of the above patient safety strategy that reduces medication errors - correct answer ✔✔tracing origin and insertion of all tubes and catheters contributing factors to friction and shearing - correct answer ✔✔transfer process from OR bed to stretcher most common pattern of hearing loss in older adults - correct answer ✔✔bilateral symmetric sensorineural skin injuries are often overlooked or not linked to surgery because - correct answer ✔✔injuries often have a delay in appearance the perioperative nurse - correct answer ✔✔all of the above JCAHO model of risk management includes - correct answer ✔✔all of the above cutting suture knots of non absorbable suture - correct answer ✔✔1/2 inch

most common complication following ACDF - correct answer ✔✔difficulty swallowing humidity levels in the OR range between - correct answer ✔✔40- complication that can occur as a result of rapid high pressure is - correct answer ✔✔hypotension dry time for most skin preps - correct answer ✔✔3-5 minutes structures located within the broad ligaments - correct answer ✔✔fallopian tubes, ureters, uterine vessels most common size needle for skin closure - correct answer ✔✔3/ one of the two strongest layers in tissue closure - correct answer ✔✔fascia aortic root is located - correct answer ✔✔at the junction of the origin of the ascending aorta and the left ventricle a reason for conversion of lap cholecystectomy to open - correct answer ✔✔inability to remove a stone from the CBD via ERCP must consider which of the following when decided treatment for breast cancer - correct answer ✔✔size of tumor absolute contraindication for cholecystectomy - correct answer ✔✔uncontrolled coagulopathies most common used incision for C section - correct answer ✔✔pfannensteil another name for the left colonic flexure - correct answer ✔✔splenic flexure

what structures comprise the medial border of Hesselbach's triangle - correct answer ✔✔lateral edge of the rectus abdominal muscle ligament that connects the laminae of the spine - correct answer ✔✔ligamentum flavum medication used in cardiac surgery to prevent spasms of vessels - correct answer ✔✔papaverine muscle critical in stabilization of knee joint - correct answer ✔✔quad borders of the triangle of calot - correct answer ✔✔hepatic duct, cystic duct, inferior edge of right lobe of the liver during a THA using the posterior lateral approach, the RNFA will dislocate the head of the femur using - correct answer ✔✔flexion, adduction, external rotation identify the fascia which is an extension of the internal oblique muscle and covers the spermatic cord - correct answer ✔✔cremaster technique primarily used for women having prophylactic mastectomy with immediate reconstruction - correct answer ✔✔nipple sparing patient uses ephedra, if halothane is used during procedure, patient is at risk for - correct answer ✔✔ventricular arrhythmias left and right lobes of the liver are divided by - correct answer ✔✔falciform ligament of the nerves associated with thyroid gland, which can be affected by compression resulting from enlarged left atrium - correct answer ✔✔NOT right recurrent left recurrent? positioning considerations for a patient undergoing TRAM flap reconstruction - correct answer ✔✔raise head of bed to low fowlers flex position to reduce stretching on abdominal donor graft wound site

fine needle aspiration of suspicious breast in males - correct answer ✔✔aspirate fluid is cytologically examined incision for a modified radical mastectomy - correct answer ✔✔oblique elliptical incision with lateral extension towards axilla patients with acute arterial insufficiency present with 6 Ps; occlusion can be result of which condition - correct answer ✔✔rupture of an unstable atherosclerotic plaque desirable characteristic that influences surgeon's choice of graft - correct answer ✔✔hypoallergenic discharge planning for patient who underwent endovascular surgery going home on anticoagulation therapy - correct answer ✔✔do not use tools such as saws or hammers which could lead to an accident first major branch of the internal carotid artery - correct answer ✔✔ophthalmic artery velour grafts are impregnated with which of the following - correct answer ✔✔gelatin statement regarding doppler is true - correct answer ✔✔water soluble gel is needed when the doppler is used on intact skin AAAs occur primarily in what area - correct answer ✔✔between renal arteries and the aortic bifurcation correct branch of the left main coronary artery - correct answer ✔✔circumflex coronary artery documentation requirement unique to vascular surgery - correct answer ✔✔clamp application and removed times presence of a bruit on auscultation of a blood vessel - correct answer ✔✔blood flow is disrupted

boundary between buccal cavity and lingual cavity - correct answer ✔✔teeth which surgical approach reduces morbidity and mortality in removal of an acoustic tumor - correct answer ✔✔translabryinthine approach patient schedule for nasal surgery using epinephrine; what should be considered - correct answer ✔✔cardiac history patient scheduled for thyroidectomy, which tray should be readily available - correct answer ✔✔trach tray which ocular blocks carries the highest risk - correct answer ✔✔retrobulbar block UPPP is performed to relieve OSA and snoring; common indications for UPPP - correct answer ✔✔o saturation below 80, apnea index worse than 20 benefit to patient undergoing SILS procedure - correct answer ✔✔less post operative pain hernia that involves both a direct and indirect hernia - correct answer ✔✔pantaloon hernia which is NOT a risk factor for developing ventral hernias - correct answer ✔✔male gender innervation of the lungs is part of what system - correct answer ✔✔autonomic blood supply to the jejunum and ileum come entirely from branches of the - correct answer ✔✔superior mesenteric artery blood supply to the transverse colon - correct answer ✔✔middle colic artery rationale for technique in tumor removal/cancer procedures is - correct answer ✔✔prevent mechanical metastasis

the renal artery and vein enter the kidney o the medial side through a concave area known as the - correct answer ✔✔hilum best description of a successful skin graft outcome - correct answer ✔✔the recipient site develops a new blood supply from the base of the wound statement about the liver, pancreas, and spleen that is true - correct answer ✔✔all three are solid organs and are very vascular "triangle" anotomic landmark that is knowns by the 3 C's - correct answer ✔✔Calot's most common complication of Meckel's diverticulum - correct answer ✔✔GI bleeding layer before reaching the rectus abdominis muscle - correct answer ✔✔scarpa's fascia structures located in the inguinal canal - correct answer ✔✔spermatic cord and round ligament cancer in the urothelial layer of the bladder - correct answer ✔✔inner the inner thoracic lymph nodes can also be a channel for - correct answer ✔✔spread of metastasis the mediastinal surface of the lungs contains a structure known as - correct answer ✔✔hilum the adrenal glands can be located by their shapes, which are - correct answer ✔✔triangular, crescent most commonly injured intra-abdominal organ in blunt trauma - correct answer ✔✔spleen statement that best reflects the functional components of the GI tract - correct answer ✔✔alimentary canal extends from the mouth to the anus

The mesh-plug open hernia repair technique is indicated for which type(s) of hernias? - correct answer ✔✔recurrent indirect inguinal hernias how much of the entire circulating blood volume do the kidneys process - correct answer ✔✔1/ Incision for open cholecystectomy - correct answer ✔✔right subcostal perineal glands that secrete mucus - correct answer ✔✔bartholin glands potential risk associated with pneumoperitoneum - correct answer ✔✔gas embolus into an exposed blood vessel during the procedure fibrous bands of tissue found between abdominal structures not normally connected - correct answer ✔✔adhesions practice designed to prevent unique MIS problem - correct answer ✔✔direct coupling physical barrier used in prevention of adhesions that can take up to two weeks to absorb and is indicated in most open procedures - correct answer ✔✔NOT seprafilm interceed? triad of anatomic sites of abdominal wall weakness with a potential for hernias - correct answer ✔✔inguinal canal, fermoral rings, umbilicus treatments for a fire fighter who experienced full thickness burns - correct answer ✔✔debridement and allograft placement during initial healing benefit to paramedian incision - correct answer ✔✔decreased risk for hernia most common non emergent surgery in USA - correct answer ✔✔cholecystectomy

teniae coli consist of how many longitudinal bands of muscle - correct answer ✔✔ 3 correct flow of bile from the gallbladder - correct answer ✔✔cystic duct, common duct, ampulla of vater, duodenum each lunch contains how many segments - correct answer ✔✔3? page 855 when removing a cancerous testis, incision will be - correct answer ✔✔just above the inguinal ring pelvic floor consist of which muscle group - correct answer ✔✔levator ani and coccygeal muscles structure that supports the uterus and contains uterine artery and vein - correct answer ✔✔cardinal ligaments which describes a hydrocele - correct answer ✔✔refers to an excess of fluid within the tunica vaginalis of the scrotum which statement about the prostate best reflects its location, size and weight - correct answer ✔✔the prostate sits below the base of the bladder, is 4 cm at the base and weighs 20-30 grams ovarian artery is a branch of which vessel - correct answer ✔✔aorta nerve supply for the female pelvis comes from the autonomic nerves that enter the pelvis through the - correct answer ✔✔superior hypogastric plexus which layer or the uterus contains the lymphatics - correct answer ✔✔myometrium signs of symptoms of TURP syndrome - correct answer ✔✔seizures

cranial nerve that, if injured in surgery, results in vocal cord paralysis - correct answer ✔✔x singular bones in the cranial cavity - correct answer ✔✔frontal, ethmoid, sphenoid, occipital trigeminal nerve provides motor innervation for which muscle group - correct answer ✔✔muscle of mastication

• correct answer ✔✔ bloodless plane that contains loose areolar tissue and permits mobility of scalp - correct answer ✔✔subgleal space dura fold that separates right and left cerebral hemispheres - correct answer ✔✔falx cerebri brainstem consists of what three structures - correct answer ✔✔midbrain, pons, medulla oblongata which sulci is of particular anatomic importance during surgery - correct answer ✔✔lateral sulcus What part of the hip are the hemispherical reamers used on? - correct answer ✔✔acetabulum potential for limb shortening and malformation when the fracture line involes the - correct answer ✔✔epiphyseal plate The part of the femur that is most susceptible to fracture in conjunction with osteoporosis is: - correct answer ✔✔femoral neck good candidates for replantation are those with the following amputations - correct answer ✔✔almost any body part of a child intervention provided for elderly patient's skeleton - correct answer ✔✔position the patient using appropriate padding and joint protection devices

which of the following regarding PMMA is NOT an effect on local tissue - correct answer ✔✔skin burns due to exothermic reaction postoperative infection in any joint replacement is - correct answer ✔✔usually catastrophic young children are predisposed to increased vagal tones which can be induced by - correct answer ✔✔painful stimuli such as eye surgery or abdominal retraction procedure designed to create a competent antireflux barrier - correct answer ✔✔nissen which is not included in the terrible triad - correct answer ✔✔PCL tear if PMMA is not used, what replacement product, element, or substances is - correct answer ✔✔autologous bone graft during a total hip, the instrument used to access the femoral canal is - correct answer ✔✔box osteotome ? (p. 723) during lumbar laminectomy, residual bleeding can be controlled using - correct answer ✔✔bipolar bayonet forceps structure located within the cancellous bone that is important for weight bearing and providing strength to withstand stresses placed on the bone - correct answer ✔✔trabeculae length of time for inflation of an upper extremity tourniquet on a patient under 50 years old - correct answer ✔✔1 hour, 250-300 mmHg bone graft sealed in a sterile labeled envelope from a tissue transplant company stores in a vacuum sealed freezer and monitored with an alarm - correct answer ✔✔allograft

advantage of an open rather than closed reduction technique - correct answer ✔✔direct observation and verification of fracture alignment complication of patellectomy - correct answer ✔✔reduced knee extension one cause of avascular necrosis - correct answer ✔✔decreased blood supply to the femoral head most commonly fractures carpal bone - correct answer ✔✔scaphoid rotator cuff consists of which group of muscles - correct answer ✔✔supraspinatus, infraspinatus, teres minor, subscapularis femoral neck fractures are more common in women than men because of - correct answer ✔✔osteoporosis what event needs to take place before a cervical collar can be removed - correct answer ✔✔a cervical radiograph is obtained to rule out injury to the neck contraindication to using autotransfusion as a blood replacement source - correct answer ✔✔blood contaminated with food, bowel contents, or antibiotic irrigation what group of scans is performs and what do they identify - correct answer ✔✔chest, pelvic, and four abdominal scans; collections of fluid and free air laceration on the neck that involves the lower trachea; which structure can be involved - correct answer ✔✔brachiocephalic artery blood at the urinary meatus when attempting to insert a catheter - correct answer ✔✔discontinue catheter insertion injury to the anterior chest from blunt force trauma, damage to what area - correct answer ✔✔right ventricle

device used during anesthesia to confirm successful endotracheal tube placement and gas exchange - correct answer ✔✔capnometer statement about surgical dressings - correct answer ✔✔cushion and protect the wound from trauma and gross contamination, and absorb drainage abdominal trauma case; instrument set needed besides a vascular set - correct answer ✔✔laparotomy set technique that minimizes drag and wear on the suture material and needle - correct answer ✔✔double armed response to a patient experiencing laryngospasm for longer than 1 minute - correct answer ✔✔suctioning, IV succ, reintubation correct specimen care and handling - correct answer ✔✔avoid placing specimens for frozen section in formalin The linea alba extends from _____ to the _____ - correct answer ✔✔above the xiphoid process to the pubis correct regarding non-absorbable suture - correct answer ✔✔increased reactive properties in tissue which of the following pressure points are included in an assessment to prevent pressure injury - correct answer ✔✔genitals, knees, toes, and eyes injury can be avoided by tucking the draw sheet () the arm and under the () - correct answer ✔✔over, the body which is true about the use of liquids in the OR - correct answer ✔✔skin prepping solutions can cause chemical burns

surgery to repair ruptured diverticulum has a wound classification of - correct answer ✔✔contaminated wound; class III best practice for keeping instruments free of blood and bioburden during procedure - correct answer ✔✔wipe instruments with a sponge moistened with sterile water after each use instillation of local anesthetic into the subarachnoid space - correct answer ✔✔spinal anesthesia appropriate way to address a count discrepancy - correct answer ✔✔we have a count discrepancy, we started with 70 sponges and find only 68, we are missing 2 sponges surgical consents should be written on what grade level - correct answer ✔✔5th area between the surgeon and the scrub person for passing sharps safely - correct answer ✔✔neutral zone patient most likely to have a true latex allergy - correct answer ✔✔patient with spina bifida most commonly used method of sterilization - correct answer ✔✔steam sterilization which anesthetic could NOT be given if IV only anesthesia was planned - correct answer ✔✔desflurane lithotomy position; most frequently injured nerves are the obturator, sciatic, femoral and (), which can result in injury from () - correct answer ✔✔common peroneal; direct compression from the stirrup bars 9 y/o diabetic patient with insulin pump comes for surgery; what should be considered - correct answer ✔✔bipolar MH is a rare, multifaceted syndrome with an increased incidence in patients that exhibit - correct answer ✔✔congenital myopathies

uses of suture - correct answer ✔✔ligate, suture, and close tissue medication used for PONV that has potential to prolong QT interval - correct answer ✔✔droperidol BLANK precautions apply to blood, all body fluids, secretions, and excretions regardless of - correct answer ✔✔standard which is NOT an event that would adversely affect pulse ox reading - correct answer ✔✔hypertension most common method to prevent hypothermia is through the use of - correct answer ✔✔forces air warming blankets suture best suited for intestinal anastomosis based on handling capability, high tensile strength that decreases after 1 year and is not a true non-absorbable - correct answer ✔✔silk an appropriate combined function for a laparoscopic instrument would be - correct answer ✔✔blunt dissection with the smooth rounded edge of the closed endoscopic scissors when applying sterile drapes, which principle is most important - correct answer ✔✔drape the patient starting with the incision area and proceed to the periphery the most significant consideration when caring for pediatric patients that is not of concern when caring for adult patients - correct answer ✔✔from birth onward, the child is in a continual state of development and physiologic change the roof of the inguinal canal consists of the () while the () makes up the major support for the floor of the inguinal canal - correct answer ✔✔external oblique aponeurosis, transversalis aponeurosis and fascia many urologic procedures involve "end organs" and which med should be avoided - correct answer ✔✔epinephrine

the surgeon asks you why she is not removing the posterior part of the patient's thyroid gland - correct answer ✔✔so that the patient does not develop hypocalcemia select an example of a long term use vascular access - correct answer ✔✔central venous line which indicator would not prompt the surgeon to perform a neck dissection for benign or small malignant tumors? - correct answer ✔✔increased salivation which is not a complication of stent placement - correct answer ✔✔sclerosis of the two muscle groups, how many are represented in each eye - correct answer ✔✔four recti muscles and two oblique muscles the purpose of triple endoscopy is usually diagnostic. a critical role of the periop nurse during this complex diagnostic procedure is - correct answer ✔✔identifying, containing, and labeling all specimens accurately an appropriate nursing action by the female nurse would be - correct answer ✔✔maintain shoshana's privacy and convey empathy and positive regard for her culture extravasation; select the appropriate corrective treatment action - correct answer ✔✔apple warm or cold compress the patient scheduled for a stapedotomy will typically not have a surgical diagnosis of - correct answer ✔✔tympanic membrane rupture? ICD patches; what nursing action would be appropriate during this procedure - correct answer ✔✔be prepared for emergency intervention of there is excessive bleeding identify the purpose of colon resection surgery - correct answer ✔✔relieve an obstruction

which of the following is not included in the bony pelvis - correct answer ✔✔ileum select the true statement about dacryocystorhinostomy (DCR) - correct answer ✔✔DCR establishes a new passageway for tear drainage into the nasal cavity which of the following is not contained in the anterior mediastinum - correct answer ✔✔Great Vessels describe the internal inguinal ring - correct answer ✔✔a natural opening in the transversalis fascia an appropriate protective intervention is reflected in which true statement about patient positioning in vascular surgery - correct answer ✔✔the nurse should protect the patient's vulnerable neurovascular bundles from compression overactive thyroid conditions; which has an increased risk of development that can lead to premature death - correct answer ✔✔atrial fibrillation combined kidney-pancreas transplant; what instruments is the scrub person unlikely to need during the procedure - correct answer ✔✔laparoscopic instruments are not needed nipple discharge is more commonly associated with benign lesions than with cancer; however, discharge is usually significant only if it is spontaneous, persistent, and - correct answer ✔✔bloody benefit of patient undergoing SILS procedure - correct answer ✔✔less post op pain an example of an amphiarthrotic joint is - correct answer ✔✔intervertebral joints what is an appropriate risk reduction strategy to prepare the bioprosthetic valve for implantation - correct answer ✔✔rinse according to the biovalve manufacturer's instructions the correct branch of the left main coronary artery - correct answer ✔✔circumflex coronary artery

select the true statement about application and operation of the pneumatic tourniquet - correct answer ✔✔cuffs should overlap a minimum of 3 inches and a maximum of 6 inches the brainstem consists of which structures - correct answer ✔✔midbrain, pons, medulla oblongata which organization has strict guidelines for tracking implant devices - correct answer ✔✔FDA the IXth cranial nerve provides - correct answer ✔✔sensation to the tonsils a long bone fracture in a child can have devastating consequences... - correct answer ✔✔epiphyseal plate which intervention is age appropriate for toddlers - correct answer ✔✔give only simple choices and involve them in actions when possible a tear in the meningeal artery results in the formation of () hematoma - correct answer ✔✔epidural which hemostatic agent should be available for all cranial and spinal cord operations - correct answer ✔✔bone wax nursing consideration is significant relative to submandibular surgery - correct answer ✔✔avoid local anesthetics on the sterile field if identification of major nerves will take place the duodenum receives bile under what conditions - correct answer ✔✔gallbladder contracts and the hepatopancreatic sphincter relaxes nursing intervention to reduce the risk of a thyroid storm - correct answer ✔✔provide a quiet, calm atmosphere and help the patient relax, comfort measures, cooling blanket minimally invasive technique to remove parathyroid tumors deep from the mediastinum - correct answer ✔✔thoracoscopy