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)
... [Show More] prochlorperazine
d) scopolamine patch
A) droperidol
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
Pruritus, edema, erythema, and vesicles that develop 6 to 48 hours after exposure
The strength layer of the skin is found in the
Dermis
Two monitoring techniques used by anesthesia that have improved morbidity and mortality include:
Pulse ox and capnography
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:
Delayed primary sutured closure
Which of the following is not an advantage to the use of silk suture
Memory
The stapler designed to close the end of a hollow organ is called
EEA
Which anesthetic agent could not be given if an IV-only anesthesia plan was employed
Desflurane
The process of decontamination should initially begin at what point?
Completion of the surgical procedure
Which statement about surgical dressings is true
A) surgical dressing maintain tension on the suture line to prevent dehiscence
B) surgical dressings cushion and protect the wound from trauma and gross contamination and absorb drainage
C) surgical dressings protect surrounding drapes, linen and clothing from contamination
D) surgical dressings cover the wound to maintain moisture to promote granulation
B) surgical dressings cushion and protect the wound from trauma and gross contamination and absorb drainage
Risk factors for PONV should be assessed preoperatively. Which of the following is a risk factor for PONV.
Female gender
Guidelines from the WHO focus on which of the following in the prevention of SSI's?
Use of antibiotics
The death of microorganisms occurs in stream sterilization as a result of which process?
Denaturation and coagulation of enzyme proteins
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?
Replacing or tagging sponges and laparotomy instruments with RFID chips
The name of the fascia that separates the anterior rectum from the vagina in females is called the:
Rectovaginal fascia
The area between the surgeon and the scrub person designed for passing sharps safely is referred to as the:
Neutral zone
The new general surgery fellow placed the three rep at ports for the laparoscopic appendectomy. The procedure was completed without incident; however, on postoperative day 1, the patient demonstrated signs and symptoms of sepsis. What might have been the unusual occurrence that could have resulted in patient sepsis.
Inadvertent trocar puncture through the bowel on insertion.
The patient stated that her mouth, lips, and tongue were numb and prickly feeling and she had a metallic taste after receiving local anesthesia for a procedure. The anesthesia provider suspected that the patient had————and responded by———-.
A toxic overdose of local anesthetic; monitoring and increasing the flow rate of IV saline
Which of the following medications is a specific depolarizinf muscle relaxant than can produce generalized fasciculations?
Succinylcholine
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:
The entire team stops and focuses attention together.
Which member of the surgical team can be held liable in litigation for retained foreign bodies
The entire team
Which statement best explains the mechanism of action of general anesthetic agents?
Inhibition of synaptic transmission of nerve impulses
Sherry Ames is an endoscopy nurse in a busy free standing ambulatory surgery center. She is an RN with additional documented competency in providing an anesthesia modality to healthy patients having screening colonoscopies, bronchoscopies and upper GI endoscopes. This modality will allow this patient population. To tolerate potentially uncomfortable-procedures while maintains their own airway and be easily aroused from light sleep. Sherry is competent and legally qualified to provide which modality of anesthesia?
Conscious sedation/analgesia
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?
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
The incidence of intraoperative awareness (IOA) may increase in high risk patient populations. From the following, choose the group that is considered high risk for IOA
Cardiac surgery patients
The RNFA instructed the new anesthesia resident in the proper positioning of the arm and hand on the OR bed arm boards. The resident was cautioned to avoid pressure on the elbow to prevent:
Ulnar nerve injury
Surgical site infections (SSI) are most often caused by gram-positive cocci and may arise from the patients own endogenous sources. The most frequently identified microorganisms cultured from SSIs is:
Staphylococcus aureus
Select the statement below that best reflects the effects of hypothermia in the perianesthesia period.
Shivering can increase the need for oxygen by 300% to 400%
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.
Verify informed consent for blood, verify patient identification and blood type and unit number against blood tag and requisition slip with second licensed person, sign slips.
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?
Myocardial infarction, myocardial tamponade and pulmonary embolism.
The Joint Commission suggests that surgical consent be written at what level to meet health literacy needs of all patients?
5th grade level
The physiologic effects resulting from the inhalation is gaseous anesthetic agents and intravenous infusions of anesthetic drugs inhibit several areas of the central nervous system. The process by which they occur are explained by several proposed theories. Which of the options describes a plausible anesthetic mechanism of action?
Synaptic transmission of nerve impulse in the CNS is inhibited.
Which of the following is corrected regarding chromium salt coating on surgical gut suture?
**??Speeds the absorption of the suture in the tissue??** says pg 177 in 16th ed [Show Less]