Med Surg Exam 1 Questions with Correct Answers.

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