RASA First Assist Jumbo List
(c and d) - ANS-Eschar buildup on the active electrode ESU tip impedes the desired current
flow and can tear tissue, causing rebleeding and serve as a foreign body
if deposited in the wound. Appropriate methods to remove debris from the tip include:
a) Scraping the non-coated ESU tip carefully with the scalpel
b) Soaking the coated ESU tip in sterile water
c) Wiping with moist sponge to clean non-stick coated ESU tips
d) Abrasive electrode cleaning pad to remove eschar from non-coated electrodes
e) Electrode tips should not be cleaned. They should always be replaced if there is a buildup of
eschar.
1 - ANS-For the greatest concentration of antibiotic prophylaxis, the infusion should end within
___ hours of incision?
1: Stirrups are checked before use to ensure they are securely fastened to the side rails of the
OR bed.
2: With the patient supine, the legs are raised simultaneously and abducted to expose the
perineal region.
3: The legs are placed in stirrups to maintain this position.
4: The thighs are elevated to the appropriate degree for the planned procedure.
5: The sacral area is padded with a gel or foam pad.
6: The leg section of the OR bed is removed and the leg section platform is lowered. -
ANS-Number the sequence of steps for positioning a patient in lithotomy position.
15 minutes - ANS-How long should the patient be monitored after deflation of the pneumatic
tourniquet?
3-5 minutes - ANS-What is determined to be the appropriate time for a surgical hand scrub,
depending on the manufactures written directions?
32 mm Hg. - ANS-Positioning devices should be used according to the original equipment
manufacturer's instructions to reduce the capillary interface pressure to
below:
32 mm Hg. - ANS-Positioning devices should be used according to the original equipment
manufacturer's instructions to reduce the capillary interface pressure to below:
32 mm Hg. - ANS-Positioning devices should be used according to the original equipment
manufacturer's instructions to reduce the capillary interface pressure to below:
A and B - ANS-Direct complications of a knot coming untied are:
,a. Evisceration
b. Dehiscence
c. Loss of assisting opportunities
d. Infection
a and b - ANS-Direct complications of a knot coming untied are:
a. Evisceration
b. Dehiscence
c. Loss of assisting opportunities
d. Infection
A chest, pelvic, and four abdominal scans; collections of fluid and free air - ANS-Focused
assessment with sonography in trauma (FAST) may assist with diagnosis in difficult situations.
What group of scans is performed and what do they identify?
a patient-sized forced air-warming blanket on top of the OR bed surface - ANS-Pediatric,
geriatric, and physiologically compromised patients have impaired thermal regulatory
mechanisms that place them at risk for hypothermia. The OR bed should be prepared before
patient arrival by placing:
A self-retaining retractor post clamped to the OR bed rail and tightened against the patient's
side - ANS-Albert Janson, a 325-pound patient, is scheduled for a 6-hour abdominal surgery.
The surgical assistant is concerned about the risk for pressure
injury because of the weight of the patient's body pressing against the surface of the OR bed for
a long surgery. Which of these other factors may
also produce pressure?
A self-retaining retractor post clamped to the OR bed rail and tightened against the patient's
side - ANS-Albert Janson, a 325-pound patient, is scheduled for a 6-hour abdominal surgery.
The surgical assistant is concerned about the risk for pressure injury because of the weight of
the patient's body pressing against the surface of the OR bed for a long surgery. Which of these
other factors may also produce pressure?
A toxic overdose of local anesthetic; monitoring and increasing the flow rate of IV saline -
ANS-As the patient emerged from the propofol, she stated that her mouth, lips, and tongue were
numb and prickly feeling and she had a metallic taste. The anesthesia provider suspected that
the patient had ________ and responded by _________.
a, b, c, d - ANS-Qualities of suture that effect selection are:
a. Absorption rate
b. Tensile strength
c. Ease of handling
d. Tissue reactivity
, A. common peroneal nerve
B. superficial peroneal nerve
C. sural nerve
D. deep peroneal nerve - ANS-In the following view of the right leg, match the correct nerve to
the identified letter.
a. Decreases postoperative scarring that could lead to stenosis.
c. Sterilizes tissue from the heat generated at the laser-tissue impact site.
d. Allows a shift to more ambulatory surgery procedures. - ANS-Select the statements that best
reflect the benefits of laser surgery for the surgical services department. SELECT ALL THAT
APPLY.
a. Decreases postoperative scarring that could lead to stenosis.
b. Reduces operative and anesthesia time.
c. Sterilizes tissue from the heat generated at the laser-tissue impact site.
d. Allows a shift to more ambulatory surgery procedures.
a. metallic taste
c. tinnitus
d. numbness of tongue - ANS-Symptoms of toxicity of anesthetics include: SELECT ALL THAT
APPLY.
a. state regulations
b. scope of practice
c. institutional policy
d. medical bylaws
e. regulatory compliance - ANS-Credentialing of AHPs (allied health professionals) is influenced
by? Select all that apply.
a. True - ANS-Silk loses up to 20% in tensile strength when wet.
Absorbable - ANS-The suture creating the greatest tissue reaction is _____.
Advance the laser fiber at least 1 cm beyond the tip of the endoscope within operator's view. -
ANS-Lasers, dependent on their wavelength, can produce absorption, reflection, transmission,
and scatter. The effect of scatter does not have any therapeutic benefit at this time and can be
destructive to both staff and instruments. Select a safety measure that would prevent
inadvertent scatter of laser energy during a surgical procedure.
agents to disinfect and eliminate most, if not all, pathogenic microbes - ANS-Both sterilization
and disinfection describe the elimination of microbial contamination and the achievement of a
state suitable for patient care in select situations. However, disinfection differs from sterilization
in that the process for disinfection uses:
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