Chapter 3 and 4 Review Flashcards


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Clinical clearance quiz 2
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1

What is the name of the device used to test the blood of patients with diabetes for metabolic status?

glucometer

2

Which of the following religions typically prohibits its followers from receiving blood transfusions?

Jehovah's Witness

3

A patient undergoing bariatric surgery may require extra time for general anesthetic reversal because anesthetic agents may be accumulated in and slowly eliminated from what type of tissue?

adipose fat

4

which of the following needs identified by Maslow would likely be MOST prominent in a surgical mind?

safety

5

Placement of a rolled sheet or pad to elevate a pregnant patient's right hip, tilting the operating room table to the left with slight Trendlenburg, or both will shift the weight of the gravid uterus and relieve pressure from the:

abdominal aorta and vena cava

6

which of the following legislative rulings requires medical facilities to inform patients of their rights to choose the types and extent of medical care available and their legal right to advance directives?

Patient self- determination act

7

The term goldn hour refers to reduction of morbidity and morality of which type of patient population?

trauma victims

8

Diabetes mellitus is a disorder of which body system?

endocrine

9

Maslow's research produced a hierarchical structure of

human progression

10

Which of the following needs of the surgical patient is related to the identification and understanding of an individual's place in the universe and may include his or her view on theology, philosophy, or mythology?

spiritual

11

In what way can the surgical technologist who is setting up his or her back table and Mayo stand reduce an 18-month-old patient’s anxiety prior to induction of anesthesia?

Perform normal duties of preparation of the sterile field, keeping as quiet as possible for induction.Correct answer

12

Bariatric patients undergoing surgery and in the immediate postoperative period should have sequential compression devices applied to the lower extremities to prevent:

deep vein thrombosisCorrect answer

13

Under what circumstances would many hospitals rescind (invalidate) a “Do Not Resuscitate/Do Not Intubate” order?

A patient must undergo a therapeutic surgical procedure.

14

Denial, rationalization, regression, and repression are common forms of what type of mechanisms?

coping

15

Which physiological response to environmental temperature changes is missing or undeveloped in an infant of less than 6 months of age?

shivering

16

Which of the following diagnoses is currently used in most jurisdictions of the world to define a state of irreversible death?

whole brain death

17

What type of procedure or care provides a terminal patient with symptom relief or avoidance and improves quality of the remaining life expectancy?

palliative

18

Which of the following is NOT a form of advance directive?

- durable power attorney

- donation after cardiac death

- document of self- actualization

- do not resuscitate

document of self actualization

19

Which organ is responsible for the failure to produce insulin in a patient with type I diabetes

pancrease

20

For what type of research was Sister Callista Roy best known?

adaptation model

21

Which of the following is not one of the five stages of grief?

bargaining

22

What is the coping mechanism often seen in children reacting to trauma?

regression

23

Which position enhances a bariatric patient's total lung volume and aids in ventilation?

reverse Trendelenburg

24

Which of the following terms represents a positive physical and psychological state of a patient?

eustress

25

During which part of pregnancy would an abdominal surgery be considered safest for both mother and fetus?

second trimester

26

What is the chemical and physiological classification of insulin?

hormone

27

What is the most common type of shock seen in infants and children

septic shock

28

Which classification os antibiotics is contraindicated for use in neonates due to increased incidence of kernicterus?

sulfonamides

29

What is the number one cause of death in children ages 1 to 15 in the United states

accidents

30

Which of the following terms describes a set of therapies that preserve a patient's life when body systems are not functioning sufficiently?

life support

31

An emergency laparotomy would be the indicated treatment for all of the following postoperative bariatric surgery complications EXCEPT:

  1. gastric perforation
  2. thrombophlebitis
  3. abdominal catastrophe
  4. bowel strangulation

thrombophlebitis

32

Which type of general category of death would most likely generate high emotional trauma for family members and a need to follow protocols for preservation of evidence in the perioperative period?

accidental

33

What type of physiological measurement method is rarely done in a neonatal patient due to risk of anatomical trauma?

urethral catheterization for urinary output

34

What other condition frequently suffered by obese patients and discovered intraoperatively may be treated surgically in conjunction with a bariatric procedure?

cholelithasis

35

What is the usual cause of a clavicular fracture of a neonate during a vaginal delivery?

shoulder dystocia