NSG 502 Exam 2 with correct answers
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Define -ectomy - correct answer✔✔- excision or removal of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: appendectomy
|||\\\ |||\\\
Define -lysis (surgical) - correct answer✔✔- destruction of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- electrolysis (hair removal)
|||\\\ |||\\\ |||\\\
Define -orrhaphy - correct answer✔✔- repair or suture of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: herniorrhaphy
|||\\\ |||\\\
Define -oscopy - correct answer✔✔- looking into
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: endoscopy
|||\\\ |||\\\
Define -ostomy - correct answer✔✔- creation of opening into
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: colonoscopy
|||\\\ |||\\\
Define -otomy - correct answer✔✔- cutting into or incision of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: tracheotomy
|||\\\ |||\\\
Define -plasty - correct answer✔✔- repair or reconstruction of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: mammoplasty
|||\\\ |||\\\
Define bypass - correct answer✔✔- surgery to provide a conduit past a blockage
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: coronary artery bypass surgery; gastric bypass surgery
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,Define rhino- - correct answer✔✔- nose|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: rhinoplasty (nose job)
|||\\\ |||\\\ |||\\\ |||\\\
Define tympano- - correct answer✔✔- ear drum (tympanic membrane)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: tympanostomy
|||\\\ |||\\\
Define thorac- - correct answer✔✔- chest
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: thoracentesis
|||\\\ |||\\\
Define pnemon- - correct answer✔✔- lungs
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: pneumonectomy
|||\\\ |||\\\
Define herni- - correct answer✔✔rupture/protrusion
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Define col- - correct answer✔✔- colon |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: colectomy
|||\\\ |||\\\
Define ileo- - correct answer✔✔- ilium|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: ileostomy
|||\\\ |||\\\
List critical parameters within the preoperative history and physical that have the potential to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
delay surgery: *infection unrelated to surgical procedure* - correct answer✔✔- check CBC for
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
elevated WBC |||\\\
- An impaired immune system can lead to delayed wound healing and an increased risk for
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
infections. |||\\\
,- Elective surgery may be canceled if the patient has an acute infection (e.g., sinusitis,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
influenza).
List critical parameters within the preoperative history and physical that have the potential to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
delay surgery: *coagulapathy from drugs or diseases* - correct answer✔✔- check INR/PT,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
aPTT
- gotta be able to control the bleeding as you cut someone open
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
three legal requirements of informed consent - correct answer✔✔- *adequate disclosure* of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
diagnosis, treatments, risks, probability of success, alternative treatments, alternative
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
prognoses
- *patient understanding* before sedation
|||\\\ |||\\\ |||\\\ |||\\\
- *gives consent voluntarily*
|||\\\ |||\\\ |||\\\
discuss legal implications of informed consent - correct answer✔✔- surgeon is ultimately
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
responsible
- nurse is witness to signature
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- nurse is advocate for patient understanding, implications, and no coercion
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- consent can be withdrawn at any time (even if signed)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- If the patient is a minor, unconscious, or mentally incompetent to sign the permit, a legally
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
appointed representative or responsible family member may give written permission |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- A true medical emergency may override the need to obtain consent.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
what is presumed consent? - correct answer✔✔a legislative framework in which citizens must
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
place their name on a national opt-out register, otherwise their consent for donating their
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
organs will be presumed. |||\\\ |||\\\ |||\\\
are emancipated minors able to consent to their own treatment? - correct answer✔✔yes
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, Discuss the importance of surgical site and time out in the preoperative checklist. - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔avoid a sentinel event by ensuring the following: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- correct patient
|||\\\ |||\\\
- correct surgery
|||\\\ |||\\\
- correct limb
|||\\\ |||\\\
- proper consent
|||\\\ |||\\\
Define general anesthesia - correct answer✔✔- loss of sensation with loss of consciousness
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- usually involves use of inhalation agents
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- no cough, gag, vomit, sns reflexes/responsiveness
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- *requires advanced airway management*
|||\\\ |||\\\ |||\\\ |||\\\
Define regional anesthesia - correct answer✔✔- loss of sensation to a region of body
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- no loss of consciousness
|||\\\ |||\\\ |||\\\ |||\\\
- blocks a specific nerve or group of nerves with local anesthetic
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: spinal, caudal, epidural anesthesia; peripheral nerve blocks
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Define moderate/deep sedation - correct answer✔✔- sedative, anxiolytic, and/or analgesic
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
drugs used |||\\\
- does not include inhalation agents
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- patients responsive and breathe without assistance
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- used for minor therapeutic procedures
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Describe use of the following perioperative equipment: incentive spirometer, sequential
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
compression device, leg exercises, breathing techniques; adapt these interventions to meet the |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
needs of the pediatric population. - correct answer✔✔- used to prevent atelectasis and clots,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
etc
- pediatric adaptations will go here if i remember to come back
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Define -ectomy - correct answer✔✔- excision or removal of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: appendectomy
|||\\\ |||\\\
Define -lysis (surgical) - correct answer✔✔- destruction of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- electrolysis (hair removal)
|||\\\ |||\\\ |||\\\
Define -orrhaphy - correct answer✔✔- repair or suture of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: herniorrhaphy
|||\\\ |||\\\
Define -oscopy - correct answer✔✔- looking into
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: endoscopy
|||\\\ |||\\\
Define -ostomy - correct answer✔✔- creation of opening into
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: colonoscopy
|||\\\ |||\\\
Define -otomy - correct answer✔✔- cutting into or incision of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: tracheotomy
|||\\\ |||\\\
Define -plasty - correct answer✔✔- repair or reconstruction of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: mammoplasty
|||\\\ |||\\\
Define bypass - correct answer✔✔- surgery to provide a conduit past a blockage
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: coronary artery bypass surgery; gastric bypass surgery
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,Define rhino- - correct answer✔✔- nose|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: rhinoplasty (nose job)
|||\\\ |||\\\ |||\\\ |||\\\
Define tympano- - correct answer✔✔- ear drum (tympanic membrane)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: tympanostomy
|||\\\ |||\\\
Define thorac- - correct answer✔✔- chest
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: thoracentesis
|||\\\ |||\\\
Define pnemon- - correct answer✔✔- lungs
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: pneumonectomy
|||\\\ |||\\\
Define herni- - correct answer✔✔rupture/protrusion
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Define col- - correct answer✔✔- colon |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: colectomy
|||\\\ |||\\\
Define ileo- - correct answer✔✔- ilium|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: ileostomy
|||\\\ |||\\\
List critical parameters within the preoperative history and physical that have the potential to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
delay surgery: *infection unrelated to surgical procedure* - correct answer✔✔- check CBC for
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
elevated WBC |||\\\
- An impaired immune system can lead to delayed wound healing and an increased risk for
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
infections. |||\\\
,- Elective surgery may be canceled if the patient has an acute infection (e.g., sinusitis,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
influenza).
List critical parameters within the preoperative history and physical that have the potential to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
delay surgery: *coagulapathy from drugs or diseases* - correct answer✔✔- check INR/PT,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
aPTT
- gotta be able to control the bleeding as you cut someone open
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
three legal requirements of informed consent - correct answer✔✔- *adequate disclosure* of
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
diagnosis, treatments, risks, probability of success, alternative treatments, alternative
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
prognoses
- *patient understanding* before sedation
|||\\\ |||\\\ |||\\\ |||\\\
- *gives consent voluntarily*
|||\\\ |||\\\ |||\\\
discuss legal implications of informed consent - correct answer✔✔- surgeon is ultimately
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
responsible
- nurse is witness to signature
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- nurse is advocate for patient understanding, implications, and no coercion
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- consent can be withdrawn at any time (even if signed)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- If the patient is a minor, unconscious, or mentally incompetent to sign the permit, a legally
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
appointed representative or responsible family member may give written permission |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- A true medical emergency may override the need to obtain consent.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
what is presumed consent? - correct answer✔✔a legislative framework in which citizens must
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
place their name on a national opt-out register, otherwise their consent for donating their
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
organs will be presumed. |||\\\ |||\\\ |||\\\
are emancipated minors able to consent to their own treatment? - correct answer✔✔yes
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, Discuss the importance of surgical site and time out in the preoperative checklist. - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔avoid a sentinel event by ensuring the following: |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- correct patient
|||\\\ |||\\\
- correct surgery
|||\\\ |||\\\
- correct limb
|||\\\ |||\\\
- proper consent
|||\\\ |||\\\
Define general anesthesia - correct answer✔✔- loss of sensation with loss of consciousness
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- usually involves use of inhalation agents
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- no cough, gag, vomit, sns reflexes/responsiveness
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- *requires advanced airway management*
|||\\\ |||\\\ |||\\\ |||\\\
Define regional anesthesia - correct answer✔✔- loss of sensation to a region of body
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- no loss of consciousness
|||\\\ |||\\\ |||\\\ |||\\\
- blocks a specific nerve or group of nerves with local anesthetic
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- ex: spinal, caudal, epidural anesthesia; peripheral nerve blocks
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Define moderate/deep sedation - correct answer✔✔- sedative, anxiolytic, and/or analgesic
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
drugs used |||\\\
- does not include inhalation agents
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- patients responsive and breathe without assistance
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- used for minor therapeutic procedures
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Describe use of the following perioperative equipment: incentive spirometer, sequential
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
compression device, leg exercises, breathing techniques; adapt these interventions to meet the |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
needs of the pediatric population. - correct answer✔✔- used to prevent atelectasis and clots,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
etc
- pediatric adaptations will go here if i remember to come back
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
