A 73-year-old patient with diabetes was admitted for below the
knee amputation of his right leg. Removal of his right leg is an
example of which type of surgery?
A. Palliative
B. Diagnostic
C. Reconstructive
D. Ablative Correct Answers D. Ablative
Ablative is a type of surgery where an amputation, excision of
any part of the body, or removal of a growth and harmful
substance is performed.
A patient is on postoperative day 2 after a nephrectomy. What is
the most effective way to increase her peristalsis?
a. Ambulation
b. An enema
c. Encouraging hot liquids
d. Administering a laxative Correct Answers a. Ambulation
Encouraging activity (turning every 2 hours, early ambulation)
assists GI activity.
A patient is transferred from the operating room to the recovery
room after undergoing an open reduction and internal fixation
(ORIF) of his left ankle. Which is the first assessment to make?
A. Check ankle dressings for hemorrhage.
B. Check airway for patency.
C. Check intravenous site.
, D. Check pedal pulse. Correct Answers B. Check airway for
patency.
Evaluation of the patient follows the ABCs of immediate
postoperative observation: airway, breathing, consciousness, and
circulation.
Frequent assessment of a postoperative patient is essential. What
is one of the first signs and symptoms of hemorrhage?
A. Increasing blood pressure
B. Decreasing pulse
C. Restlessness
D. Weakness, apathy Correct Answers C. Restlessness
pulse that increases and becomes thready combined with a
declining blood pressure, cool and clammy skin, reduced urine
output, and restlessness may signal hypovolemic shock.
In which situation might surgery be delayed?
A. The patient has taken Dilantin today.
B. An illegible signature is on the consent form.
C. The patient is still taking anticoagulants.
D. The admission office is unable to confirm insurance
coverage. Correct Answers C. The patient is still taking
anticoagulants.
All medications should be cancelled before surgery, except for
drugs such as phenytoin (Dilantin). Anticoagulant therapy
increases the threat of hemorrhage and may be a cause for delay.