Author Question: A student nurse observing in the operating room notes that the functions of the Certified Registered ... (Read 78 times)

mpobi80 · **on:** Jun 25, 2018

A student nurse observing in the operating room notes that the functions of the Certified Registered Nurse First Assistant (CRNFA) include which activities? (Select all that apply.)

a. Dressing the surgical wound
b. Grafting new or synthetic skin
c. Reattaching severed nerves
d. Suctioning the surgical site
e. Suturing the surgical wound

Question 2

The circulating nurse reviews the day's schedule and notes clients who are at higher risk of anesthetic overdose and other anesthesia-related complications. Which clients does this include? (Select all that apply.)

a. A 75-year-old client scheduled for an elective procedure
b. Client who drinks a 6-pack of beer each day
c. Client with a serum creatinine of 3.8 mg/dL
d. Client who is taking birth control pills
e. Young male client with a RYR1 gene mutation

millet · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, D, E
The CRNFA can perform tasks under the direction of the surgeon such as suturing and dressing surgical wounds, cutting away tissue, suctioning the wound to improve visibility, and holding retractors. Reattaching severed nerves and performing grafts would be the responsibility of the surgeon.

Answer to Question 2

ANS: A, B, C, E
People at higher risk for anesthetic overdose or other anesthesia-related complications include people with a slowed metabolism (older adults generally have slower metabolism than younger adults), those with kidney or liver impairments, and those with mutations of the RYR1 gene. Drinking a 6-pack of beer per day possibly indicates some liver disease; a creatinine of 3.8 is high, indicating renal disease; and the genetic mutation increases the chance of malignant hyperthermia. Taking birth control pills is not a risk factor.