nifa study guide
1 hour; 250-300 mmHg
continuous tourniquet pressure less than 1 hour on the upper extremity and less than 2 hours
on the thigh. Tourniquet pressure should not exceed the recommended maximum cuff pressure
limits of 300 to 350 mm Hg for the thigh and 250 to 300 mm Hg for the arm and the lower leg. -
ANS-The recommended length of time for inflation of an upper extremity tourniquet on a patient
under 50 years old is_______while the recommended pressure is _____.
2-3 - ANS-The tensile strength of lactic & glycolic acid polymers is sufficient for approximation of
tissues for _____ weeks.
3 - ANS-New synthetic polymers such as PDS provide wound support up to _____ months
32 - ANS-Pressure against the skin above ____mm hg interferes with tissue perfusion
A level III trauma center provides advanced cardiac life support (ACLS), surgery, stabilization,
and transfer, while a level IV only provides ACLS services before immediate transfer to a higher
level center - ANS-Which statement regarding level III and level IV trauma centers best
describes the difference between the two types of centers
Absorption - ANS-Tissue reaction characteristics that need considered when choosing suture
include
Airway anatomy changes in the elderly - ANS-The perioperative nurse should plan to remain
close to the elderly patient during induction because
Arteriosclerosis is a natural part of the aging process. - ANS-statement regarding risk factors for
developing vascular disease is true
Avoid placing specimens for frozen section in formalin. - ANS-Proper care and handling of
surgical specimens is imperative for correct diagnosis, treatment, and prognosis planning of the
patient. Select the response that best reflects correct specimen care and handling
Beta Blockers - ANS-Identify the class of medications that can increase the risk or severity of a
reaction to contrast media
bronchospasm; aspiration - ANS-On extubation, Daniel presented with coughing, wheezing,
dyspnea, use of accessory muscles, and tachypnea. Daniel is presenting with _______
probably caused by _______.
bundles of fiberoptic glass rods - ANS-The light transmission through an endoscope is achieved
by way of
Cardiac catherization - ANS-Definitive information about the extent and location of ischemic
heart disease can be obtained from which of the following tests
Cardiac catheterization unit and intensive care unit - ANS-A percutaneous method of instituting
femoral vein-femoral artery cardiopulmonary bypass (CPB) can be used for minimally invasive
(or conventional open) procedures and in emergency situations where the environment is not
conducive to traditional CPB methods. Select the areas where percutaneous CPB would be
indicated
Central venous line - ANS-Vascular access in pediatric patients may be established
intraoperatively for short-term (weeks) or long-term (months, years) use
Circumflex coronary artery - ANS-the correct branch of the Left main coronary artery
clinical aromatherapy - ANS-The child inhales the favorite flavor while drifting off to sleep. This
complementary therapy falls within the category of:
concentrate and conduct incoming sound waves into the external auditory canal. - ANS-he
external ear, which includes the auricle (or pinna) and external auditory canal, is composed of
cartilage covered with skin. The primary function of the auricle is to
consider and plan for the possibility of conversion to open thyroidectomy - ANS-A minimally
invasive video-assisted thyroidectomy (MIVAT) procedure relies on Miccoli instruments added to
the standard thyroid or neck dissection setup, a 30-degree endoscope, and an ultrasonic
(harmonic) scalpel with scissors to ligate and divide the vessels. An important risk reduction
strategy for any minimally invasive procedure would be
cutting taper - ANS-A needletype frequently used in microsurgery is
CVI is not life-threatening or limb-threatening - ANS-Patients with chronic venous insufficiency
(CVI) are not typically treated surgically as often as patients with arterial disease because:
daily when the areas are being used - ANS-Terminal cleaning and disinfection of the operating
room should be done
decreased risk for hernia - ANS-a possible benefit to the paramedian incision
Digital subtraction angiography - ANS-The diagnostic test that is performed to differentiate
between acute and chronic thrombosis
enetrating; small entrance wound, puncture of the anterior wall of the sigmoid colon, no
disruption of vessels, and bullet not found in pelvis - ANS-Morbidity and mortality may be
greater with penetrating trauma because identification of injuries may be more difficult when
injuries are less obvious. In the case of an adult victim with a low-velocity, low-caliber gunshot
wound, at far range, of the anterior left quadrant of the lower abdomen, what is the MOI and
description of the possible injuries
Esotropia - ANS-the correct term to describe the inward turning of one or both eyes
External oblique muscle - ANS-the surgeon makes an incision through which of the following to
access the cremaster muscle, inguinal canal, and cord structures
Furosemide (Lasix) 20-80 mg IV; monitor for hypotension and note extent of diuresis - ANS-With
injury to the brain, swelling may occur quickly, requiring aggressive decisions to manage
increasing intracranial pressure (ICP). What is an appropriate diuretic medication to give and
what nursing actions would be indicated for an older adult patient with traumatic brain injury,
increased ICP, and a history of congestive heart failure (CHF)
Great Vessels - ANS-Which of the following is not contained within the anterior mediastinum
Hyoid - ANS-When a thyroglossal duct cyst is present in an adult, it exists as a pretracheal
cystic pouch attached to what structure
Indications for the potential need for damage control surgery include hemodynamic instability,
hemorrhagic shock, coagulopathy, hypotension, tachycardia, tachypnea, inaccessible major
anatomic injury, concomitant major injury, and altered mental status - ANS-Which of the
following is an indication for damage control surgery
Interseed - ANS-a physical barrier used in the prevention of adhesions that can take up to 2
weeks to absorb
Leave the eyebrows and eyelashes intact to preserve facial appearance and expression. -
ANS-the statement that reflects a true special consideration for skin preparation before facial
surgery.
left ventricular wall - ANS-The mitral valve is anchored to the
Lens - ANS-35% of the refractive power of the eye is credited to which part of the eye
ligate, suture, and close tissue. - ANS-Suture can be used for more than repairing tissue.
limiting exposure to latex - ANS-Latex allergy reaction is best prevented by
Mydriatic drugs, such as phenylephrine, dilate the pupil. - ANS-Miotics and mydriatics produce
opposite effects on the pupil of the eye. Select the most appropriate statement about miotic and
mydriatic drugs
Narrow pulse pressure - ANS-Pericardial tamponade includes which of the following signs or
symptoms
Pectoralis major muscle and serratus anterior - ANS-he largest part of the mammary gland rests
on the
Percutaneous transluminal angioplasty - ANS-An interventional radiology procedure used to
open a blocked or narrowed blood vessel as a result of atherosclerosis
Polydioxanone - ANS-Which of the following absorbable suture has the best tensile strength
Positive diagnosis of the SSI by the surgeon or attending physician - ANS-On postoperative day
2, a patient developed 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 as surgical site infection (SSI)?
primary hepatic cancer - ANS-An example of an indication for liver transplantation would be
Radionuclide imaging - ANS-the semi-invasive diagnostic test that illustrates heart wall motion
and blood flow through the heart and quantifies cardiac function
Rami - ANS-Primary divisions of a nerve are known as
reduces bacterial levels in the outer ear - ANS-The external ear canal lining
restlessness, apprehension, irritability, confusion, nausea, slow pulse rate, seizures,
dysrhythmias, and rising blood pressure may be suggestive of TURP syndrome, - ANS-TURP
syndrome is often seen during the intraoperative period. Signs and symptoms exhibited by
patients include
review chart for bleeding and coagulation times and the platelet count. - ANS-Pt with
hepatobiliary disease, The perioperative nurse, during the preoperative assessment, questions
and examines the patient for signs and symptoms of jaundice, petechiae, and lethargy and:
Right jugular and right femoral - ANS-A vena cava filter (Greenfield filter) maintains a patent
vena cava but prevents pulmonary emboli (PE) by trapping the emboli at the apex of the device.
This procedure may be performed in the OR, radiology suite, or ICU for critical patients
Standard - ANS-Precautions apply to blood, all body fluids, secretions, and excretions (except
sweat), regardless of whether they contain visible blood, mucous membranes, and nonintact
skin.
sterile mineral oil, tongue blades, and a mesher dermatome - ANS-The perioperative nurse
preparing for a procedure where STSGs will be taken to cover several large burn areas will
need to have available:
Structures that traverse the inguinal canal enter it from the abdomen by the internal ring, a
natural opening in the transversalis fascia - ANS-Describe the internal inguinal ring
Subgaleal space - ANS-What is the term for the bloodless plane that contains loose areolar
tissue and permits mobility of the scalp
Superior hypogastric plexus - ANS-The nerve supply for the female pelvis comes from the
autonomic nerves that enter the pelvis through the
Superior hypogastric plexus - ANS-The nerve supply for the female pelvis comes from the
autonomic nerves that enter the pelvis through the
Sutures placed too close together - ANS-There are several risk factors associated with
dehiscence. Which of the following can be controlled by the RNFA
Temporal lobe - ANS-The cerebellar tentorium supports which structures of the cerebral
hemispheres
The McVay or the Cooper ligament repair - ANS-Which two similar hernia repair approaches
reestablish the integrity of the transversalis fascia and simultaneously reestablish and
strengthen the posterior inguinal floor by sewing the transversalis fascia to the Poupart
ligament?
The unit is soaked in NS & antibiotic solution, never lubricated. - ANS-During
ventriculoperitoneal shunt placement,
Through the mitral valve into the left ventricle - ANS-he blood is oxygenated in the lungs and
returns to the left atrium through the pulmonary veins. Where does the blood flow after leaving
the left atrium
Thyroglossal duct cysts - ANS-The most common congenital cyst found in the neck is
Tracheostomy - ANS-The perioperative nurse must be prepared for which additional procedure
when head and neck surgery is performed?
Translabyrinthine approach - ANS-which surgical approach reduces the morbidity and mortality
in removal of an acoustic tumor
Trigeminal-vagal response caused by pressure on the globe or retrobulbar block -
ANS-Oculocardiac reflex (OCR) is an intraoperative emergency that can occur during eye
surgery. Select the definition of the response and contributing factor(s)
Two sulci of particular anatomic importance during surgery are: (1) the lateral sulcus, or sylvian
fissure, which divides the temporal lobe from the frontal and parietal lobes, and (2) the central
sulcus, or fissure of Rolando, which separates the frontal from the parietal lobe - ANS-Which of
the following sulci is of particular anatomic importance during surgery?
Unknown substances may be present in these products. - ANS-Because herbal products are so
readily available and have such widespread media attention, many people think that they can
safely self-medicate. Why should the public be aware and educated about dietary supplements
and potential harmful effects
using long instruments through a regular thyroid incision. - ANS-Access to the substernal
compartment is typically facilitated by:
Vertebral arteries --- supplies the occipital lobe - ANS-Which of the following associations is
incorrect pertaining to the blood supply of the brain
Weight-bearing activities and joint movement prevent cartilage from becoming thin or damaged -
ANS-Which of the following is an important statement regarding the prevention of degenerative
orthopedic conditions
When a weakening or a tear in the aponeurosis of the transversus abdominis and the
transversalis fascia occurs, - ANS-The potential for development of a direct inguinal hernia is
