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Exam 4 Ch. 17 Surgery Flashcards | StudBud
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Exam 4 Ch. 17 Surgery
Exam 4 Ch. 17 Surgery
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Test your knowledge on different types of surgical procedures and their purposes
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Questions
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Answers
1
Which one dries secretions and reduces the risk of vomiting & helps to prevent aspiration during general anesthesia?
Benzodiazepines
Antiemetics
Opioids
Anticholinergics
2
No bowel sounds, failure to pass gas and abdominal distention are all signs of?
Gastroenteritis
Constipation
Paralytic ileus
Peritonitis
3
Pt ID band and allergy band must be placed during preparation for surgery.
False
True
4
The re-opening of a surgical wound is called...
Evisceration
Hematoma
Dehiscence
Fistula
5
What type of soap should the pt use prior to surgery?
Castile soap
Organic soap
Antiseptic soap
Exfoliating soap
6
What device is used to promote lung expansion and get O2 out to the small alveoli?
Incentive spirometer
Nebulizer
CPAP machine
Pulse oximeter
7
If a pt is a minor, the parent/guardian must sign the consent form.
False
True
8
Early ambulation has been found to reduce the respiratory complications greatly.
False
True
9
Which pt is generally in surgery longer and are higher risk for complications?
Patient with strong immune system
Patients having cosmetic procedure
Patients over the age of 30
Patients with obesity
10
A diagnostic surgery is used to make an accurate diagnosis and involves the removal and study of tissue
False
True
11
Direct teaching by the LPN helps to lessen anxiety and reduces surgical complications.
True
False
12
The leaking of cerebrospinal fluid at the puncture site is thought to cause
Intracranial hemorrhage
Post-spinal headache
Meningitis
Spinal cord compression
13
What do electrolyte imbalances cause?
Pulmonary embolism
Resistant to infections
Immediate weight loss
Cardiac dysrhythmias
14
If low O2 sat, what should the LPN instruct pt to do?
Hold their breathe
Lie down and rest
Drink a glass of water
Cough and deep breathe
15
Which of the following instructions is most important to a patient with a Jackson-Pratt drain?
Fully re-collapse the reservoir before replacing the drain plug
Empty and measure the drainage once a week
Keep the bulb inflated with air at all times
Remove the drain once the drainage stops completely
16
Ablative surgery is performed to
Restore function or structure to damaged tissue
Removal of organ
Restore function lost because of congenital defects
Remove diseased tissue
17
If the wound appears to be healed after approximately 10 days, then it is completely healed.
False
True
18
How many hours after removal of urinary catheter should the nurse report no urinary output?
Not a cause for concern
4 - 6 hrs
6 - 8 hrs
2 - 4 hrs
19
A combination of drugs, used for general anesthesia, is known as...
Regional anesthesia
Local anesthesia
Balanced anesthesia
Conscious sedation
20
You should monitor and report the effects of pain meds after 30 - 60 minutes.
False
True
21
Informed consent includes three things EXCEPT:
Assessment of patient understanding
Guarantee of pain-free experience
Voluntary participation
Disclosure of treatment provided
22
A medical "hand-off" is best described as:
The transfer of billing information between departments
The process of ordering medications for a patient
The act of discharging a patient from the hospital
The transfer of primary responsibility of care from one unit to another
23
Diuretics cause fluid overload
True
False
24
When body organs protrude through an open wound is called...
Dehiscence
Evisceration
Hematoma
Fistula
25
One day of bed rest equals three days of recovering strength
False
True
26
Palliative surgery
Removal of an organ
Relieves symptoms or improve function
Used to make an accurate diagnosis
Performed to improve ones appearance
27
Explaining the procedure and risks to the pt is the LPN's responsibility.
False
True
28
To detect impending shock, the patients vitals should be monitored every
Every hour
30 to 60 minutes
10 to 20 minutes
5 to 15 minutes
29
When do signs and symptoms of infection usually develop?
Several weeks after
1 to 2 days after
Immediately
3 to 5 days after
30
AFTER surgery the patient could have a sore throat and raspy voice from the ET tube.
True
False
31
Atelectasis is the term used to describe...
Infection of the alveoli
Collapse of alveoli
Buildup of fluid in the lungs
Inflammation of the lungs
32
Rings can be secured with tape prior to surgery.
True
False
33
Nail polish should be removed prior to surgery because...
It interferes with O2 readings
It prevents capillary refill check
It attracts more bacteria
The operating room lights can melt the polish
34
Your pt complains of a "pop" and there is visible dehiscence, what should you do?
Encourage the patient to walk to decrease tension
Cover wound with a normal saline saturated dressing
Apply direct pressure to the wound
Reapproximate the wound edges with tape
35
Post-op patients should be encouraged to increase which 2 types of food to promote wound healing?
Complex carbs and protein
Dairy and Vitamin D foods
Sugary and fatty foods
Hi-fiber and low-sodium
36
What should you check postoperative if BP drops and HR increases?
Blood glucose level
Dressings for signs of bleeding
Oxygen saturation
Pain level
37
Who typically oversees the OR?
Surgical technologist
Circulating nurse
Surgeon
Anesthesiologist
38
Reconstructive or restorative surgery
Restores a patients appearance
Restores function or structure to damaged tissue
Restores a patients ambulation
Restores function lost due to a birth defect
39
Procurement for transplant restores function lost
False
True
40
Bowel prep serves three purposes EXCEPT:
Prevent post-operative distention
Reduces the risk of infection
Enhances patient comfort during surgery
Prevents post-operative constipation
41
Exploratory Laparotomy involves:
Relieving symptoms or improves ones function
Improving a person's appearance
Involves the removal of an organ
Involving an open incision or small incisions
42
When does the surgeon typically mark the site for the procedure?
Postoperative period
Intraoperative period
During patient recovery
Preoperative period
43
A patient should go NPO when?
After midnight
2 hours before the procedure
Only if the surgery is longer than 4 hours
Never
44
Constructive surgery restores function lost due to a birth defect
True
False
45
Malignant hyperthermia, a RARE life-threatening complication due to certain drugs, is characterized by all EXCEPT:
Hypotension
Increased body temperature
Cyanosis
Bradycardia
46
Fatty tissue has poor blood supply therefore slowing the healing process
False
True
47
The _______ requires that agencies develop guidelines to "hand-off" a patient from one care unit to another.
National Institutes of Health
Food and Drug Administration
Center for Disease Control and Prevention
The Joint Commission
48
The most important nursing interventions are all of the following EXCEPT:
Encouraging deep-breathing
Maintaining NPO
Encouraging coughing
Frequent re-positioning
49
Which herbal supplement does NOT increase risk for bleeding?
Ginger
Valerian Root
Turmeric
Ginkgo
50
Which is a normal urine output?
100 mL/hr
30 mL/hr
10 mL/hr
60 mL/hr
51
Which patient can give informed consent?
Mentally incompetent
A minor with their parent
Confused patient
Pt under the influence
52
Malignant hyperthermia is a COMMON life-threatening complication that occurs in response to surgery.
False
True
53
Wound infection, malnutrition, obesity and dehydration all increase the risk of dehiscence.
True
False
