Chapter 3 and 4 Review
What is the name of the device used to test the blood of patients with diabetes for metabolic status?
glucometer
Which of the following religions typically prohibits its followers from receiving blood transfusions?
Jehovah's Witness
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
which of the following needs identified by Maslow would likely be MOST prominent in a surgical mind?
safety
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
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
The term goldn hour refers to reduction of morbidity and morality of which type of patient population?
trauma victims
Diabetes mellitus is a disorder of which body system?
endocrine
Maslow's research produced a hierarchical structure of
human progression
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
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
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
Under what circumstances would many hospitals rescind (invalidate) a “Do Not Resuscitate/Do Not Intubate” order?
A patient must undergo a therapeutic surgical procedure.
Denial, rationalization, regression, and repression are common forms of what type of mechanisms?
coping
Which physiological response to environmental temperature changes is missing or undeveloped in an infant of less than 6 months of age?
shivering
Which of the following diagnoses is currently used in most jurisdictions of the world to define a state of irreversible death?
whole brain death
What type of procedure or care provides a terminal patient with symptom relief or avoidance and improves quality of the remaining life expectancy?
palliative
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
Which organ is responsible for the failure to produce insulin in a patient with type I diabetes
pancrease
For what type of research was Sister Callista Roy best known?
adaptation model
Which of the following is not one of the five stages of grief?
bargaining
What is the coping mechanism often seen in children reacting to trauma?
regression
Which position enhances a bariatric patient's total lung volume and aids in ventilation?
reverse Trendelenburg
Which of the following terms represents a positive physical and psychological state of a patient?
eustress
During which part of pregnancy would an abdominal surgery be considered safest for both mother and fetus?
second trimester
What is the chemical and physiological classification of insulin?
hormone
What is the most common type of shock seen in infants and children
septic shock
Which classification os antibiotics is contraindicated for use in neonates due to increased incidence of kernicterus?
sulfonamides
What is the number one cause of death in children ages 1 to 15 in the United states
accidents
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
An emergency laparotomy would be the indicated treatment for all of the following postoperative bariatric surgery complications EXCEPT:
thrombophlebitis
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
What type of physiological measurement method is rarely done in a neonatal patient due to risk of anatomical trauma?
urethral catheterization for urinary output
What other condition frequently suffered by obese patients and discovered intraoperatively may be treated surgically in conjunction with a bariatric procedure?
cholelithasis
What is the usual cause of a clavicular fracture of a neonate during a vaginal delivery?
shoulder dystocia