Med/Surg Exam 1 Questions with Correct
Answers
Preoperative nPhase n- nANS-Decision nfor nsurgery nis nmade nand nends nwhen nthe npatient
nis ntransferred nto nthe noperating nroom
Intraoperative nPhase n- nANS-Begins nwith nthe npatient's nentry ninto nthe noperating nroom
nand nends nwith nadmittance nto nthe npostanesthesia ncare nunite n(PACU) nor nrecovery
nroom
Postoperative nPhase n- nANS-Begins nwith nthe npatient's nadmittance nto nthe nPACU nand
nends nwith nthe npatient's ncomplete nrecovery nfrom nthe nsurgical nintervention
Elective nSurgery n- nANS-Suggested nand nscheduled, nno nforseen nill neffects nif npostponed
Urgent nSurgery n- nANS-Necessary nto nbe nperformed nwithin n1 nto n2 ndays n(ASAP)
Emergency nSurgery n- nANS-Performed nIMMEDIATELY; nlife nor nlimb nthreatening
,Ambulatory nAdmission n- nANS-Surgeries nare nperformed nthat nDONT nrequire nhospital
nadmission; nOutpatient nprocedure
Same nDay nAdmission n- nANS-Admission nof nsurgical npatients nto nthe nhospital non nthe
nday nof nsurgery
Early nAdmission n- nANS-Patient nthat nmay nhave nmultiple nand/or nsignificant
ncomorbidities nare nadmitted n1 nto n2 ndays nprior nto nsurgery nto nmaintain nor nprepare
Diagnostic nSurgery n- nANS-Surgical nexploration nthat nalows nhealth ncare nproviders nto
nconfirm ndiagnoses nex: nlaparotomy
Curative nSurgery n- nANS-Surgery nperformed nto nresolve na nhealth nproblem nby nrepairing
nor nremoving nthe ncause
• nEx. nLap nchole, nMastectomy, nHysterectomy
Palliative nSurgery n- nANS-Surgery nthat nimproves ncomfort nor nreduces nintensity nof
ndisease nsymptoms; nwill nnot nproduce ncure n(ex. ncolostomy, ndebridement nof nnecrotic
ntissue)
Cosmetic nSurgery n- nANS-Surgeries nspecific nin nthe nsurgical nrestoration nand
nreconstruction nof nbody nstructures n(ex. nrhinoplasty)
, Reconstructive nSurgery n- nANS-Surgery nperformed nto nimprove/restore na nclient's
nfunctional nability n
• nEx. nTotal nknee nreplacement, nFinger nreimplantation
Neuroendocrine nResponse n- nANS-SNS nstimulation n(stress nresponse) n= ncompensatory
nvasoconstriction n
Increased nHR nand nBP n(risk nfor nstroke, nbleeding)
Decreased nPeristalsis n(No nBowel nSounds, npain nmeds nnot neffective)
Hormonal nResponse n- nANS-Norepinephrine n= nincreased nHR
Aldosterone n= nincreased nfluid/Na n(decreased nUO)
Glucocorticoids n= nincreased nblood nsugar
Metabolic nResponse n- nANS-Relative nrate nof nstarvation
~Gluconeogenesis
~Fat nmetabolism
~Protein nbreakdown
~Negative nNitrogen nbalance
Healing n- nANS-Adequate nprotein nand nVitamin nC
Answers
Preoperative nPhase n- nANS-Decision nfor nsurgery nis nmade nand nends nwhen nthe npatient
nis ntransferred nto nthe noperating nroom
Intraoperative nPhase n- nANS-Begins nwith nthe npatient's nentry ninto nthe noperating nroom
nand nends nwith nadmittance nto nthe npostanesthesia ncare nunite n(PACU) nor nrecovery
nroom
Postoperative nPhase n- nANS-Begins nwith nthe npatient's nadmittance nto nthe nPACU nand
nends nwith nthe npatient's ncomplete nrecovery nfrom nthe nsurgical nintervention
Elective nSurgery n- nANS-Suggested nand nscheduled, nno nforseen nill neffects nif npostponed
Urgent nSurgery n- nANS-Necessary nto nbe nperformed nwithin n1 nto n2 ndays n(ASAP)
Emergency nSurgery n- nANS-Performed nIMMEDIATELY; nlife nor nlimb nthreatening
,Ambulatory nAdmission n- nANS-Surgeries nare nperformed nthat nDONT nrequire nhospital
nadmission; nOutpatient nprocedure
Same nDay nAdmission n- nANS-Admission nof nsurgical npatients nto nthe nhospital non nthe
nday nof nsurgery
Early nAdmission n- nANS-Patient nthat nmay nhave nmultiple nand/or nsignificant
ncomorbidities nare nadmitted n1 nto n2 ndays nprior nto nsurgery nto nmaintain nor nprepare
Diagnostic nSurgery n- nANS-Surgical nexploration nthat nalows nhealth ncare nproviders nto
nconfirm ndiagnoses nex: nlaparotomy
Curative nSurgery n- nANS-Surgery nperformed nto nresolve na nhealth nproblem nby nrepairing
nor nremoving nthe ncause
• nEx. nLap nchole, nMastectomy, nHysterectomy
Palliative nSurgery n- nANS-Surgery nthat nimproves ncomfort nor nreduces nintensity nof
ndisease nsymptoms; nwill nnot nproduce ncure n(ex. ncolostomy, ndebridement nof nnecrotic
ntissue)
Cosmetic nSurgery n- nANS-Surgeries nspecific nin nthe nsurgical nrestoration nand
nreconstruction nof nbody nstructures n(ex. nrhinoplasty)
, Reconstructive nSurgery n- nANS-Surgery nperformed nto nimprove/restore na nclient's
nfunctional nability n
• nEx. nTotal nknee nreplacement, nFinger nreimplantation
Neuroendocrine nResponse n- nANS-SNS nstimulation n(stress nresponse) n= ncompensatory
nvasoconstriction n
Increased nHR nand nBP n(risk nfor nstroke, nbleeding)
Decreased nPeristalsis n(No nBowel nSounds, npain nmeds nnot neffective)
Hormonal nResponse n- nANS-Norepinephrine n= nincreased nHR
Aldosterone n= nincreased nfluid/Na n(decreased nUO)
Glucocorticoids n= nincreased nblood nsugar
Metabolic nResponse n- nANS-Relative nrate nof nstarvation
~Gluconeogenesis
~Fat nmetabolism
~Protein nbreakdown
~Negative nNitrogen nbalance
Healing n- nANS-Adequate nprotein nand nVitamin nC
