FREE Certified Registered Nurse First Assistant (AORN) Questions and Answers
In a continuous suture, which stitches are tied?
One uninterrupted length of suture is used to create a continuous suture. There are only two stitches that are connected together. To close tissue that requires a tight closure, such as on blood arteries to stop leaking, a continuous suture would be utilized. Other types of sutures include purse-string sutures, which enclose a circular wound opening, interrupted sutures, in which each stitch is tied separately, stays or retention sutures, which are used to reinforce the primary suture, and subcuticular sutures, in which the stitch is placed beneath the epidermis of the skin.
To determine the arterial blood flow to the hands during an evaluation, what test is used?
Allen's test is a diagnostic test used to assess the arterial blood flow to the hands, specifically to the radial and ulnar arteries. It is performed by compressing both the radial and ulnar arteries while the patient clenches their hand into a fist. The patient then opens their hand, and pressure is released from the ulnar artery while maintaining compression on the radial artery. The test evaluates the adequacy of collateral circulation in the hand and helps determine the patency of the ulnar artery. The color return in the hand is observed, and if the blood flow is restored within a few seconds, it indicates good collateral circulation. If the color return is delayed or absent, it suggests compromised blood flow and may indicate arterial insufficiency or occlusion.
Debridement of wounds:
Devitalized or dead tissue from a wound is removed during wound debridement. This is crucial to do in order to stop infection brought on by dead tissue. Debridement techniques include surgical wound debridement, biologic debridement (such as sterile maggot therapy), mechanical debridement (such as wet-to-dry dressings), chemical or enzymatic debridement (such as using a pharmaceutical version of collagenase), or autolytic debridement (such as using dressings to encourage the body to use its natural abilities to dissolve the dead tissue).
What is the process of repositioning the bladder flap peritoneum to the posterior cul-de-sac peritoneum known as?
Prolonged prone stance has the following risks:
The most frequent reason for perioperative visual loss is ischemic optic neuropathy (ION). When there is direct or indirect pressure on the eye's globe, the intraocular pressure might rise. When using the prone Trendelenburg posture, the prone position notably raises intraocular pressure. Additional risk factors include lengthy operations, which can lead to decreased optic nerve perfusion and excessive blood loss, as well as patient co-morbidities of diabetes, hypertension, and anemia. Since there is now no established cure for ION, prevention is essential.
Which of the following acts as warfarin's (Coumadin) counterbalance?
Warfarin has a remedy in vitamin K. An anticoagulant called warfarin prevents the actions of vitamin K on the coagulation factors II, XII, IX, and X. By vying for the same absorption sites required for vitamin K uptake, warfarin inhibits the activity of vitamin K within the liver. As a result, the liver's levels of vitamin K drop. Warfarin users may be recommended to reduce their consumption of foods high in vitamin K, such as broccoli, Brussels sprouts, and leafy greens. Heparin's antagonist is protamine sulfate.
The patient's nurse informed her that she should remain in bed following her needle liver biopsy. The patient questioned why she was required to remain in bed after the surgery. What is the patient to be taught by the nurse?
A liver biopsy carries a significant risk of bleeding or hemorrhage because of the liver's vascularity. Resting in bed can aid in both healing and injury prevention. Following the biopsy, the patient should lie on their right side for at least two hours and remain in bed for up to 12 hours. Recovery is anticipated to take one to two days, but pain at the incision site may linger for a few days and should be treated with a doctor-prescribed painkiller.