Equipment and Supplies
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| Which graft must be obtained with a dermatone | Split-thickness mesh graft
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| a Cavitron is used for | Phacoemulsification
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| The power source for Hall's equipment is | Nitrogen
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| In what surgery would a small fragment compression set be used | Olecranon fracture
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| A permanent pacemaker operates on a pulse generator powered by | lithium
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| Air drill | Hill
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| Hypothermia is employed in cardiac surgery | to reduce oxygen comsumtion
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| NOT a component of a cardiopulmonary bypass system | Ventricular fibrilltor
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| Movement in a power instrument drills holes or insert screws, wires, or pins | Rotary Movement
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| The power source for the Drill is | Compressed nitrogen
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| The power source for air-powered dermatomes is | Compressed Nitrogen Air
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| Suction tubing should be processed in the following way | residual of distilled ware in lumen, steam sterilize, tubing coiled
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| The suction tip that is right angles and is used for small amounts of fluid such as in the brain | Ferguson-Frazier
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| Suction tip has an angle and is used in the mouth or throat | Yankauer
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| Each of the following steps can assist in the immediate determination of intraoperative blood loss EXCEPT | Complete Blood Count
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| When using a cell saver for autologous blood transfusion, the blood is suctioned through a double lumen tubing and is | Heparinized
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| During orthopedic surgery the suction tubing shoud be | cleared frequently
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| Which type of surgery would require several patent suction cannulas and suction often controlled by a foot pedal | Ear, nose, and throat (ENT)
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| When suctioning in neurosurgery a precaution taken is to | avoid applying vacuum directly on brain or neural tissue
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| A tourniquet is utilized | Only when hemorrhage is not controlled by other methods
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| The proper setting for a tourniquet applied to an arm is | 250-300 mm HG
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| Exsanguination of a limb before tourniquet inflation is accomplished with wraping the elevated extremity with | Esmarch
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| The amount of pressure used to inflate a tourniquet dependss on all of the following except | Depth of surgical incision
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| A regional block that uses the tourniquet is a | Bier Block
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| The tourniquet is contraindicated if | patient's circulation to distal part of extremity is poor
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| Which action drains venous blood during tourniquet application | Elevate extremity BEFORE tightening tourniquet
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| At what point should the surgeon be informed of the time of tourniquet application | After 1hr, then every 15min
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| When would the use of Esmarch be contrindicated | Patient has had recent injury Patient has had recent cast
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| Which agent is NOT used to inflate a pneumatic tourniquet | Nitrous oxide
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| A precaution necessary when using a pneumatic tourniquet is | Solution must be prevented from pooling under tourniquet
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| In which procedure would a tourniquet be contrindicated | Gangrenous toe amputation
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| The following statement regarding a grounding plate for electrosurgery is not true | The plate must be placed directly over bony prominence
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| A grounding pad is not required for the electrocautery in | a bipolar unit
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| The inactive electrode of the cautery is the | ground pad
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| The electrical circuit of the electrocautery when | current flows to generator to active electrode, through tissue, and back to generator via the INACTIVE electrode
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| Why must the electorcautery tip be kept clean | To ensure electrical contact effectiveness
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| In electrosurgery, "buzzing" refers to | coagulation of cessel via metal instrument touching the active electrode
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| which electrode unit provides precise control of the coagulated area | Bipolar
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| Which condition is MOST acceptable when using electrocautery | Ground pad placed close to operative site
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| The active electrode on the electrocautery is the | TIP
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| A cautery would not be used | in neck or nasopharynx surgery if nitrous oxide is used (might cause fire or explosion)
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| Why are only moist sponges utilized during electrocautery use | to prevent fire
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| Fulguration is utilized primarilly in _______ surgery | Transurethral resection (TUR) and prostate operations
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| When working in the bladder, why is more or higher electrical current necessary during cautery use | More current is needed when working in solution
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| Fulguration via the resectoscope is accomplised by the use of a ____ tip | electrode
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| A direct visualization of the common bile duct is done by meand of a | choledochoscope
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| Fiberoptic lighting is | a cool light
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| Complications can occur during endoscopy such as | bleeding perforation
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| An endoscopy procedure that does not require a sterile set up is | bronchoscopy
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| All are precautions when handling fiberoptic cables EXCEPT | cables are only gas sterilized
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| Fiberoptic cable integrity is questionable when | dark spot are evident
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| A sterilant that is used on endoscopes that is bactericidal, fungicidal, and sporicidal in 20-30 minutes processing time is | Peracetic acid
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| Whis statement is true regarding a STERIS system for endoscope sterilization | Only one scope or a few instruments can be processed in a cycle
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| The endoscope that provies a view of the middle of the thorax, between the two pleural sacs is | Mediastinoscope
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| Loupes are used for | Magnification
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| Resolving power of an operating microscope means | The ability to discern detail
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| Which item in the optical lens system is responsible for magnification | Oculars Objective lens
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| The range of focal length of the objective lenses in the operating microscope is | 100-400mm
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| A continuously variable magnification system is afforded to the eye by the | zoom lens with foot control
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| The purpose of the "SLIT" lamp in eye surgery is | defining depth perception
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| The operating microscope that visually ploys fiberoptics for its ligth source is | Coaxial illuminators
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| Care of the microscope would include all of the following EXCEPT | Damp dust lenses with detergent-disinfectant before use
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| The purpose of the beam splitter in an operating microscope is to | coincide the assistan's field of view with the surgeon's
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| The colpomicroscope afford a view of the | Cervix
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| the procedure employing the use of a self retaining laryngoscope and microscope is called a | suspension microlaryngoscopy
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| The binocular microscope provides stereoscopic vision. This refers to | The view afforded by double eyepieces
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| Which magnifying powers are available for the microscope eyepieces? | 10x,12.5x,16x,and 20x
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| Which procedure is inappropriate when caring for optic lenses | Oil or fingerprints are removed by soaking in solvent for 10min and drying with a cotton ball
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| The OR bed may have a metal crossbar between the two upper sections which may be raised to elevate the | kidney gallbladder
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| Which item is also known as an airplane support | Double arm board
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| Operative accessibility in thyroid surgery may be aided by the use of an | shoulder bridge
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| In which position would shoulder braces be indicate | Extreme Trendelenburg
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| A precaution necessary when using the kidney rest is | to press firmly but not too tightly against body to pad well to place the longer rest beneath iliac crest
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| Chest rolls (bolsters) | Facilitate respiration
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| A laser plume is composed of | Carbonized particles, water, and odor
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| When using lasers, nonreflective instrumentation | decrease accidental direct reflection of the laser beam to another area
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| which laser emission is primarly absorbed in tissue by hemogloblin or melanin | Argon
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| The fire extinguisher of choice for a laser fire is a | Halon
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| In a surgical procedure employing the use of the laser, prep solution on the patient's skin should be pat-dried because | pooled fluids can retain laser heat and subsequetly burn tissue
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| laser surgery performed in the rectal area should be preceded by | suctioning of lower bowel to remove methane gas
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| Ebonization refers to | coating of instruments to decrease reflectivity
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| The use of each of the following items are measures employed to reduce laser-induced injuries EXCEPT | plastic vaginal and rectal speculums
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| When utilizing the laser, occupational esposure to surgical smoke via the skin, eye, and mucous membranes is best minimized by the use of | universal precautions
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| Which specialty would employ the use of a slit lamp and the laser | Opthalmic
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| The following statements regarding lasers are true EXCEPT | laser unit is in "ON" position during entire case
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| The lase used most commonly for retinal detachment, tear, or hole is | Argon
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| The tunable dye laser used to disintegrate kidney stones is the | Candela
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| A device used to correct and counteract internal bleeding conditions and hypovolemia ia a | MAST (Medical Antishock Trouser)
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| Placement of a Levin would be in the | stomach
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| The dressing used after nasal surgery | mustache
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| Seamless tubular cotton that stretches to fit a contour and is used for padding is called a | stockinette
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| which case would require the use of cottonoid strips | Laminectomy
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| An item used for padding that has smooth and clingy layers is called | Webril
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| Rectal packing is made of | Petroleum-treated gauze
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| An elastic adhesive bandage is | Elastoplast
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| A dissecting sponge that is a small roll of heavy cotton tape is | kitner
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| A dissecting sponge made of gauze to dissect or absorb fluid is called | Peanut
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| A temporary biologic dressing | Porcine
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| Which procedure would not require a pressure dressing | Hysterectomy
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| A sponge that is cotton-filled gauze with a cotton thread attached is a | tonsil
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| Patties are | moistened with saline
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| which of the following can be a supplement to a subcuticular closure | steri strips
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| A protective skin coating is accomplished with | tincture of benzoin
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| A dressing that is held in place by long structures ends crisscrossed and tied is called a | Stent
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| the smallest diameter on a French scale is a | 3
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| a stab wound is a separate small incision | close to operative site
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| A tube placed into the tympatic membrane to facilitate aeration is the | Maryngotomy tube
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| a common size chest tube is | 30 Fr
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| what type of catheter would facilitate the removal of small gallstones | Fogarty
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| A catheter commonly used in a gastrostomy is a | Mushroom
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| which is NOT a type of ureteral catheter tip | Pezzar
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| the drain that has a reservoir creating negative pressure to facilitate drainage is a | Hemovac
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| All of the following statements are true of ureteral catheters EXCEPT that they | provide direct visualization of the bladder
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| Long-term or temporary ureteral drainage can be accomplished with a | stent
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| a central venous catheter is usually inserted into the | external jugular vein
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| which of the following is not used for URETHRAL dilation | Hegar dilators (Cervix)
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| a closed-wound suction system works by | Negative-pressure vacuum
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| why is a 30-cc bag foley used after a transurethral resection (TUR) of the prostate | Hemostasis
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| the tube that collects bronchial washings | Lukens
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| Balloon angioplasty is accomplished with the use of a ______ catheter | Gruntzig
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| A pezzer is a | a mushroom catheter
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| the tree lumens of a foley are used for inflation, drainage, and | continuous irrigation
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| an image intensifier | converts the X-RAY beam into a fluoroscopic optical image
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| extracorporeal circulation refers to circulation | of blood outside the body
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| the scoring system that assesses an infant's condition after birth is called a | Apgar
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| which procedure records the electrical activity of the brain | electroencephalogram
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| an X-RAY image is called a | reontgenogram
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| Immobilization of the hip joints after surgery is accomplished by the use of | abduction pillow
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| all of the following are true of disposable chest drainage units except | aids in reestablishing positive pressure in the intrapleural space
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| which factor is not accomplished by chest drainage | positive pressure reestablishment
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| a cast applied from the hip to the head, which is used to immobilize cervical fractures is the | Minerva Jacket
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| a motorized device whose action prevents venous stasis and reduces risk of deep-vein clotting in high risk patients | sequential pneumatic compression boots
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| which synthetic mesh may be used in the presence of infection | Mersiline
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| Mersiline mesh | can be steam sterilized ONCE, if unused but not soiled
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| a common donor site for an autogenous bone graft | ILIUM
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| the patient coming to the OR with rupture of esophageal varices may have _______ in place to control bleeding | Sengstaken-Blakemore
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| Either a Foley, Mallecot , Pezzer, or mushroom catheter can be inserted for | gastrotomy
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| the risk of come biopsy are minimized by using the | CO2 laser
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| stereotactic surgery takes place in the | BRAIN
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| A blood flow detector is a | Doppler
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| a secondary video monitor is referred to as a | SLAVE
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| Which catheter facilitates the infusion of chemotherapeutic drugs | Hickman
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| Total parenteral nutrifion (TPN) | maintains patient's nutrition
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| An Ambu bag is a | breathing bag
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| A blood warmer is used | to maintain 89f-105f temperature
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| which is the most necessary item for a blood transfusion | blood filter
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| each are measures to prevent heal loss in newborn, infant, or children in the OR except | hypothermia blanket is prepared
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| a setup that would include a 1000-cc bag of normal saline, sterile IV tubing, an IV pole, and a pressure bag is | choledochoscopy (visualization of common bile duct)
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| a laminaria tent is used to | dilate cervix
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| in which procedure would be a radiant warmer be found | cesarean section
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| the C-arm employs the use of | fluoroscope
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| Equate the radiation exposure in fluoroscopy as compared to that of single x-ray | 10:1
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| A PCA pump affords | patient-controlled pain relief
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| an example of a passive drain | Penrose
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| which drain is specifically used for drainage of bile | T-tube
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| an example of a suction drain is | HEMOVAC and JACKSON PRATT
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| What drain would commonly be used following a total hip arthroplasty | HEMOVAC
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| A water seal drainage system restores pressure to the thoracic cavity | NEGATIVE
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| When using a water seal drainage system, the collection unit must remain | BELOW the level of chest tube
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