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Select from the following a medication that is used for PONV and has the potential to prolong the QT interval
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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) 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.
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:
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 16 th ed While the Fowler's position offers the best respiratory excursion for the patient, the patient is at higher risk for —————- because of dependent pooling in the hips and legs. - ✔✔Venous thromboembolism (VTE) Select the appropriate nursing action that supports hands free instrument passing and sharps safety. - ✔✔Create a neutral hands free area between the scrub person and surgeon with a basin or magnetic mat. The circulating nurse received a phone call from the emergency department and called sterile supply to assemble the instrument for an abdominal trauma case with possible aortic rupture. When the cart arrived, she saw the vascular set; however the most important instrument set was missing. What important set was needed for this procedure besides the vascular set? - ✔✔Basic laparotomy set Which of the following absorbable suture has the best tensile strength? - ✔✔Polydioxanone Miriam Glass is a 78 year old female scheduled for compression nail insertion of a left fractured hip. She was positioned for a spinal injection to induce spinal anesthesia. During the process, the anesthesia provider inadvertently inserted the spinal needle into the subarachnoid space, not noticing the error until the entire syringe of lidocaine was emptied into the patient. Miriam immediately experienced rapid onset of hypotension, bradycardia and apnea. Miriams unintentional condition is called ———— and now must be managed with—————-. - ✔✔Cardiogenic shock; ACLS protocol Which of the following do not need to be counted and documented. - ✔✔Vascular inserts pg 199 16 th Ed Infection control and prevention surveillance was underway in the cardiac intensive care unit because of an alarming prevalence of sternal wound infections. On postop day 2 , a patient develop d edema, redness and purulent exudate that appeared to be isolated to the subcutaneous plane above the sternum. What important criteria must be met to conclusively define this is a surgical site infection (SSI) - ✔✔Positive diagnosis of the SSI by the surgeon or attending physician
When applying the sterile drapes to create the sterile field on the patient, which of the following principles is most important? - ✔✔Drape the patient starting with the incision area and proceeding to the periphery.