what statements regarding vascular clamps are true? select all that apply - ANSWER-a. vascular clamps are designed to partiall occlude blood flow.
b.
... [Show More] vascular clamps are designed to totally occlude blood flow.
c. all vascular clamps are designed to hold vessels securely without trauma.
what incision is used for lumbar laminectomy - ANSWER-a. midline direcly over the appropriate lumbar spine
Franklin hardy with mulitple moles skin lesions - ANSWER-the perioperative nurse recognized his signs and symptoms of bupivicaine and lidocaine toxicity and began immediate treatment with airway support.
when cathing a female patient the periop nurse must locate the urethra. - ANSWER-mons pubis, labia majora, labia minora, clitoris, urethra, vaginal opening.
tui nyugen 32 year old hysteroscopy patient. What patient safety info relevant to hysteroscopy should be given to the receiving relief nurse before break? - ANSWER-a. a review of the amount of hyskon infused and fluid received back
b. a reminder to monitor for discrepancies over 500ml
which of the following is incorrect pertaining to the pancreas - ANSWER-a. the superior mesenteric artery lies anterior to its neck.
a number of screening tools have been developed for comprehensive geriatric assessment (CGA) - ANSWER-d. indentifying at-risk individuals
blunt force to the larnyz can result in fracture and impose immediate airway obstruction - ANSWER-a. assist the anesthesia provider with securing the airway while applying cricoid pressure
recommended long-term pain management in the elderly includes - ANSWER-c. opoid analgesics (low potential for addiction)
select the statement that most correctly matches a risk factor for adhesions with an appropriate preventitive strategy - ANSWER-c. patients with endometriosis may be best served with a laparoscopic approach
another name for the left colic flexure is - ANSWER-splenic flexure
which of the following is not typically visable in a PA chest radiograph - ANSWER-a. the interventricular septum
an exapmple of an indicaiton for liver transplantation would be - ANSWER-d. primary hepatic cancer
which of the following associations is correct - ANSWER-e. pancreatic cancer-rarely metastasizes
replantation is an attempt to reattach a completely amputated digit or other body part. good candidates for replantation are those with the following amputations - ANSWER-a. almost any body part of a child
what mechanisms do chest catheters and drainage systems use to remove fluid and air from the pleural cavity - ANSWER-c. expiratory pressure and gravity
study comparing tep and tapp techniques. - ANSWER-b. mesh infection rate was low with both techniques
d. there was no apparent difference in teh rate of hernia recurrence
upon palpating the anterior abdominal wall of a patient you notice an intense reflexive muscular contraction in the abdominal muscles which is not correct> - ANSWER-d. it is best observed when the patient is perfectly supine.
this tissue is concerned with the formation of red blood cells - ANSWER-c. red marrow
during a lap chole, the scrub person inspects the integrity of the insulation along the shaft. what nursing outcome is expected. the patient will be free from: - ANSWER-c. impaired skin integrity
which of the following associations is incorrect - ANSWER-c. left border of the heart-mainly left atrium
the most likely reason for avascular necrosis in an 80 year old woman following a hip fracture is that the - ANSWER-b. fracture split the neck of the femur longitudinally
while not as prevalent as arthoplasty of the shoulder, knee or hip, total elbow replacement is indicated for patients with traumatic lesions or excessive bone loss from rheumatic or degenerative arthritis. It may be used with or without pmma depending on the quality of the - ANSWER-d. Side plates, screws, and circumferential wires
In the following illustration, the arrow points to the: - ANSWER-a. left vagus nerve.
Identify the marginal boundaries of the breasts - ANSWER-c. Second to sixth rib and horizontally from the lateral edge of sternum to anterior axillary line
Which of the following is not correct pertaining to the cavernous sinus? - ANSWER-e. contains the mandibular division of the trigeminal nerve
The science of plastic and reconstructive surgery, which means to mold or create form and shape, improves appearance and body image through an understanding of: - ANSWER-b. the anatomy and biology of tissue
Which of the following is incorrect for the cricoid cartilage? - ANSWER-c. It is an attachment of the vocal ligaments
A familiarity with basic neurologic assessment tools gives the nurse the ability to perform a standardized neurologic exam that can be used preoperatively to establish a baseline assessment and postoperatively to establish a return to baseline or assess postoperative neurologic stability. 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-a. 15, 3
Marissa Walton is a 6-year-old girl with full-thickness burns involving both lower legs, circumferentially, excluding her feet, over less than 2% of her body surface area (BSA) and partial-thickness burns over less than 15% of her BSA, after her clothes caught fire during a camping trip when she stepped into the campfire. Based on the American Burn Association and the "Rule of Nines" classifications, Marissa's burns would be classified as ______________ with a burn surface area percentage of approximately ______________. - ANSWER-c. minor 9%
A direct inguinal hernia is located _____. - ANSWER-a. Inside Hesselbach's triangle
Following an argument with his wife in which a man backed through a glass storm door resulting in deep laceration of his buttocks, he is having great difficulty walking. To better understand the nature of his disability, you ask him to stand on one foot. By doing so, you are doing all of the following except: - ANSWER-d. evaluating the function of the gluteus maximus.
A broad range of implant materials are used in plastic and reconstructive surgery. Select the implant that represents a biologic composition of a surgical implan - ANSWER-a. Autologous human tissue
A variety of implantable devices are used in aesthetic and reconstructive plastic surgery procedures. Tracking of these devices is critical to patient safety. Institutions must report any incident of death or serious injury relating to the use of a medical device. What regulatory agency, commission, or act mandates this process when medical devices fail or cause injury? - ANSWER-d. Safe Medical Device Act
All of the following may be associated with a "heart block" except: - ANSWER-a. section of the superior part of the thoracic sympathetic trunk.
A plain radiograph of a patient following a knife wound to the left side of his neck showed elevation of the left hemidiaphragm, narrowing of the left intercostals spaces, and displacement of the trachea to the left. You suspect: - ANSWER-b. pneumothorax due to knife penetration of the cervical pleura.
This tissue contains fat cells. - ANSWER-c. yellow marrow
When using the posterolateral incisional approach, which muscles are retracted anteriorly to expose the femoral fracture site - ANSWER-c. Vastus lateralis and vastus intermedius
What structure traverses the opening indicated by the arrow in the following figure? - ANSWER-c. Aorta
Non-union can be caused when bone graft isn't used to fill a bony deficit at the fracture site - ANSWER-true
Which of the following is incorrect pertaining to the hamstrings? - ANSWER-d. One of them is partially innervated by the common fibular division of the sciatic nerve.
Baby Boy Doe is a newborn found outside of the emergency department (ED). He is hypothermic and has several deep lacerations across his back, abdomen, and legs that will require surgical repair. He is transferred to the surgical bay of the ED and prepared for anesthesia induction. What risk reduction strategies are appropriate during the preanesthetic phase to achieve and maintain normothermia? - ANSWER-b. Provide a radiant heat lamp during placement of monitoring lines and induction
Trina Gasterson, a 7-year-old girl recovering from a successful kidney transplant, is visited by her perioperative nurse on her day of discharge. While they conversed, Trina's mother opened a bottle of herbal supplement tablets from a local nutrition and dietary supplement store, whose label the nurse recognized - ANSWER-a. Astragalus, licorice, and echinacea
When preparing for pars plana vitrectomy in the posterior segment, the perioperative nurse must be aware that a combined scleral buckling procedure may be necessary. Other important information the perioperative nurse should know before preparing the OR for the procedure includes the location of the ocular problem, the surgeon's plan to address the problem, and the instrumentation and biomedical equipment and devices to be used. Technologic advances in ophthalmic surgery require that perioperative nurses be familiar with complex biomedical equipment. A best practice, stated below, relevant to the safe use of complex equipment would be: - ANSWER-b. demonstrate competence with equipment and check each piece carefully before the patient arrives in the OR.
Herbal, orthomolecular, individual biologic therapies and special dietary treatments are encompassed in biologically based therapies. Which of the biologically based therapies listed below are classified as therapeutic nutrition? - ANSWER-a. The diets of Drs. Atkins, Pritikin, and Weil
Neuropathologic conditions requiring surgical intervention can be found in any age group. What are the most common problems requiring neurosurgical procedures in infants and children? - ANSWER-d. All of the options are correct.
When preparing an adult for flexible bronchoscopy, what patient considerations must the nurse keep in mind? - ANSWER-d. all of the above
Both ears provide stereophonic hearing that gives us very specific hearing capabilities. Binaural hearing makes it possible for: - ANSWER-a. determination of the source location of sounds
This orthopedic diagnosis is a complex deformity that is diagnosed prenatally through ultrasound or at birth. It may occur unilaterally or bilaterally and may be idiopathic or one in a combination of other syndromes with associated anomalies. The general characteristic for all cases includes inversion of the foot such that the anterior foot is located in the typical position of the posterior foot; often there is a deep crease in the midfoot. Select the orthopedic diagnosis. - ANSWER-b. Clubfoot
Denise Michaelson, a 46-year-old woman with an early-stage second primary cancer in her left breast, has elected to have a bilateral mastectomy with saline implants. She has requested that the surgeon also revise a small unsightly scar on her right knee and pierce her ears. While Denise's breast tumor could be treated with an excisional biopsy, she has decided to have a mastectomy of both breasts, which is considered an appropriate preemptive (preventative) surgery for a woman of her age with two primary cancers of the breast. The saline implant insertion surgery is considered a _______________ procedure, the scar revision is considered a ___________ procedure, and the ear piercing is considered a _______________ procedure. - ANSWER-d. reconstructive, cosmetic and cosmetic
Marvin Townsend is a 29-year-old man with paraplegia caused by spinal cord injury from a diving accident 4 years ago. He is transported into the trauma ED after being hit by a car as he was crossing the street in his wheelchair. He has a possible rupture of his liver and is scheduled for surgery. The perioperative nurse, on response to the trauma call, meets him in the ED to conduct a preoperative assessment and prepare for his procedure. Marvin tells the nurse that he is latex-sensitive because he was told that as a spinal cord injured person he should always be considered latex-allergic. An appropriate risk reduction strategy for Marvin's latex sensitivity/allergy would be to: - ANSWER-b. alert the OR and postoperative recovery areas of his latex allergy, check the setup for latex-containing items, and replace those items with non-latex alternatives
During the preoperative nursing assessment in the ambulatory surgery receiving unit, the nurse notices bruises and abrasions in various stages of healing on her patient's abdomen, arms, and breasts. In a quiet and respectful manner the nurse said, "The staff at our facility are concerned about your safety. We know that many things can happen in our lives that affect our mental and physical health." This technique is an appropriate method of establishing a sense of __________ with the patient while conveying caring and concern. - ANSWER-b. normalizing
Of the three salivary glands, which one is the largest? - ANSWER-d. Parotid
Jordan Gribbins, a 69-year-old pipe smoker with a history of cardiac disease and atrial rhythm disturbance, is scheduled for a supratentorial craniotomy and is securely positioned in a semisitting position. The perioperative nurse and anesthesia provider have discussed the anesthesia plan and Mr. Gribbin's surgical and anesthesia risks, and agree that he is at risk for venous air embolism (VAE). Sequential compression devices have been placed on both legs. Pulmonary lines have been placed and the nurse has prepared an area for preparation of TEE (transesophageal electrocardiography), if needed. During the procedure, Mr. Gribbins reacted with decreases in arterial pressure and end-tidal CO2. Precordial "washing machine" sounds emanated from the Doppler. What should the perioperative nurse anticipate as a possible next response? - ANSWER-c. Reposition the patient in left lateral decubitus position to entrap air in the right atrium.
Select the name of the procedure that the patient in the picture is positioned for - ANSWER-c. Stereotactic brain biopsy
Identify the dura fold that separates the right and left cerebral hemispheres. - ANSWER-c. Falx cerebelli
All of the following are true of the mediastinum except: - ANSWER-?b. it contains the lungs
Specific malignant conditions that may require splenectomy include all EXCEPT _____. - ANSWER-d. Carcinoma of left kidney
Steven Morganstein, a 51-year-old male with hepatobiliary disease, is scheduled for surgery. The perioperative nurse, during the preoperative assessment, questions and examines the patient for signs and symptoms of jaundice, petechiae, and lethargy and: - ANSWER-a. reviews his chart for bleeding and coagulation times and the platelet count
Wilber Johnson, an 84-year-old retired musician of Jamaican descent, was seen by his family practice physician for urinary problems. His physician performed a digital rectal exam (DRE), which was abnormal, ordered a PSA, and referred him to a urologist. Wilber's PSA was 12 ng/ml. His transrectal prostatic biopsy was positive. The biopsy specimen determined a Gleason score of 10 and his AUA score was D2. Based on this clinical diagnostic information, what is the best surgical treatment plan for Wilber? - ANSWER-d. No surgery. Wilber is not a candidate for surgery
What type of drainage is placed in the comm [Show Less]