Surgical Technology, Principles, Unit 1, Pre-Operative Routine(proctored practice)

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Surgical Technology, Principles, Unit 1, Pre-Operative Routine
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Zusammenfassung der Ressource

Frage 1

Frage
Every patient coming in for surgery needs to have which done before surgery can take place?
Antworten
  • H&P;history and physical
  • H&H;hemoglobin and hematocrit
  • Both H&H and H&P
  • none

Frage 2

Frage
For minor surgical cases all that might need to be done is?
Antworten
  • H&H;hemoglobin and hematocrit
  • H&H and complete blood count
  • none
  • just a complete blood count

Frage 3

Frage
Which tests most often is associated with major surgery?
Antworten
  • H&H;hematocrit and homoglobin
  • H&P;history and physical
  • chemical profile and urinalysis
  • none

Frage 4

Frage
What is one of the most common and comprehensive blood panels available?
Antworten
  • drug screen
  • blood donation stats when giving blood
  • CBC/Chemistry profile
  • none of the above

Frage 5

Frage
What is best known measure of protein to iron compound in blood?
Antworten
  • red blood cell
  • blood oxygen ratio
  • hematocrit
  • hemoglobin

Frage 6

Frage
What is the protein molecule in red blood cells?
Antworten
  • O2;oxygen
  • hematocrit
  • hemoglobin
  • none of the above

Frage 7

Frage
What is expelled as we breath?
Antworten
  • oxygen
  • carbon monoxide
  • carbon dioxide
  • gasses

Frage 8

Frage
Normal values for hemoglobin in an average adult is?
Antworten
  • 12-16
  • 12-18
  • 14-18
  • 10-18

Frage 9

Frage
Normal values for hemoglobin in an adult women is?
Antworten
  • 12-18
  • 14-18
  • 12-16

Frage 10

Frage
Normal values for hemoglobin in an adult man is?
Antworten
  • 14-18
  • 12-16
  • 12-18
  • none

Frage 11

Frage
The measurement of packed cell volume of red blood cell is known as?
Antworten
  • hemoglobin
  • carbon dioxide
  • hematocrit
  • red blood cell count

Frage 12

Frage
The normal Hematocrit value for women is?
Antworten
  • 43-49%
  • 42-49%
  • 37-43%

Frage 13

Frage
The normal Hematocrit value for men is?
Antworten
  • 37-43%
  • 42-49%
  • 43-49%

Frage 14

Frage
What is best expressed as a percentage of total blood volume?
Antworten
  • hemoglobin
  • RBC or Red blood cell count
  • CO2 or carbon dioxide levels
  • hematocrit

Frage 15

Frage
White blood cells known as WBC's which help fight infection and are apart of our immune system are also known as?
Antworten
  • RBC's;red blood cells
  • neutrophils
  • leukocytes
  • monocyte

Frage 16

Frage
High white blood cell counts could mean?
Antworten
  • their is not enough oxygen in the blood to carry WBC's
  • their is no infection present
  • their is an active infection
  • cancer is spreading

Frage 17

Frage
IF a patient has to high of count of this then a surgical procedure will have to wait?(pick most suitable answer)
Antworten
  • monocytes
  • RBC's;red blood cells
  • WBC's;White blood cells
  • neutrophil

Frage 18

Frage
The normal count for White Blood Cells should be?
Antworten
  • 5k-11k cells per cubic mm
  • 4k-10k cells per cubic mm
  • 5k-10k cells per cubic mm
  • 5k-12k cells per cubic mm

Frage 19

Frage
CBC is known as?
Antworten
  • complete basic count
  • complete bacterial count
  • complete blood count

Frage 20

Frage
An erythrocyte is known as?
Antworten
  • white blood cell
  • neutrophil
  • red blood cell
  • monocyte

Frage 21

Frage
Red Blood Cells do what for the body?
Antworten
  • take oxygen out of the air
  • part of immune system to heal infection
  • transport oxygen
  • transport carbon dioxide

Frage 22

Frage
A Red Blood Cell count as part of a CBC test can help diagnose and monitor which diseases?
Antworten
  • kidney disease
  • bleeding problems
  • polycythemia
  • all of the above

Frage 23

Frage
Normal RBC count for women is?
Antworten
  • 4.2-4.8 million per mm
  • 4.5-5.5 million per mm
  • 4.1-4.8 million per mm

Frage 24

Frage
Normal RBC count for men is?
Antworten
  • 4.2-4.8 million per mm
  • 4.5-5.5 million per mm
  • 4.2-4.9 million per mm

Frage 25

Frage
Among the many functions of this value in the body are regulation of the heartbeat and function of the muscles?
Antworten
  • red blood cell count
  • white blood cell count
  • hematocrit
  • potassium

Frage 26

Frage
Normal values of patassium are?
Antworten
  • 3.5-5.0 meq/l
  • 3.4-5.0 meq/l
  • 2.5-5.0 meq/l

Frage 27

Frage
Normal sodium values should fall in this area?
Antworten
  • 125-145 meq/l
  • 130-145 meq/l
  • 135-145 meq/l

Frage 28

Frage
What is the cheif electrolyte in interstitial fluid and regulated the total amount of water in the body?
Antworten
  • red blood cells
  • hemoglobin
  • sodium
  • potassium

Frage 29

Frage
BUN stands for?
Antworten
  • blood urine nitrogen
  • blood urea nitris
  • blood urea nitrogen

Frage 30

Frage
Increased BUN levels suggest?
Antworten
  • to much urine in the body
  • impaired blood flow
  • impaired kidney function

Frage 31

Frage
Low BUN levels are ?
Antworten
  • cause of infection and concern
  • cause of to much urine in body
  • cause of to little water in body
  • usually not a cause of concern

Frage 32

Frage
what is a chemical waste product in the blood that passes through the kidneys to be filtered and eliminated in urine?
Antworten
  • creatine
  • carbon dioxide
  • creatinine
  • urine

Frage 33

Frage
What is examined for color, specific gravity and pH?
Antworten
  • urinalysis
  • hemoglobin test
  • blood cell test

Frage 34

Frage
Normal pH ranges of urine should be?
Antworten
  • 4.6-8.0
  • 3.6-8.0
  • 2.6-8.0

Frage 35

Frage
The ratio of the density of a substance to the density of another substance?
Antworten
  • pH of urine
  • specific gravity
  • urinalysis

Frage 36

Frage
This organ plays an important part of maintaining pH levels of the body?
Antworten
  • liver
  • gallbladder
  • kidney
  • ureters

Frage 37

Frage
Preadmission Procedures may include?
Antworten
  • blood may be typed and cross matched
  • chest x-ray
  • EKG
  • all of the above

Frage 38

Frage
Written Instructions, Preoperative Teaching, Informed Consent and Anesthesia Visit are part of what?
Antworten
  • post operative procedure
  • intraoperative procedure
  • preoperative procedure
  • preadmission procedure

Frage 39

Frage
Blood type and cross match, chest xrays, EKG and Diagnostic procedures are apart of what?
Antworten
  • preoperative procedure
  • intraoperative procedure
  • postoperative procedure
  • preadmission procedure

Frage 40

Frage
Which written instructions should patients follow before surgery?
Antworten
  • No food or fluids 8 hours before surgery
  • medications should be decided by attending physician
  • instructions of hospital
  • attending nurse
  • all jewelry needs to be removed

Frage 41

Frage
Check what is discussed during Preoperative Teaching.
Antworten
  • What instruments will be used during procedure
  • what to expect in the recovery room
  • importance of managing pain
  • any complications to expect
  • health insurance to ensure adequate post care

Frage 42

Frage
An Informed Consent should answer which of the following questions?
Antworten
  • what is planned for the patient for the procedure?
  • why do you want to do this procedure?
  • What things do I have to worry about?
  • what things do I not have to worry about?
  • are their any other alternatives to this plan?

Frage 43

Frage
Check which exceptions are allowed for Informed Consent,
Antworten
  • managing nurse
  • head surgeon
  • a great surgical technician who knows their damn stuff
  • hospital administrator
  • the courts

Frage 44

Frage
Check what is covered during the preoperative anesthesia assessment visit?
Antworten
  • History and physical
  • expectations with anesthedia
  • patients health insurance provider
  • type of anesthesia

Frage 45

Frage
Check what the patient must do before leaving for the O.R..
Antworten
  • don clean hospital gown
  • remove prosthetics, dentures, jewelry
  • put on surgical cap for hair
  • clean feet and hands with antimicrobial soap
  • relax for 15 minutes in upright position
  • have ted hoes put on if needed for venous stasis

Frage 46

Frage
Antibiotics are administered how man hours before procedure?
Antworten
  • 2 hours
  • 1 and half hours
  • 1 hour
  • 50 minuites

Frage 47

Frage
Before Patient leaves for the O.R. which things are done?
Antworten
  • Preoperative medication administered
  • History and Physical dictated
  • Lab tests done and placed in chat all with in normal range
  • all of the above

Frage 48

Frage
Preanesthesia may refer to?
Antworten
  • anesthesia visit
  • anesthesia check list
  • preoperative holding room

Frage 49

Frage
Check what may happen in preoperative holding room?
Antworten
  • nurse identifies patient
  • Surgeon may visit patient
  • nurse verifies surgeon
  • vital signs are taken
  • patient is cleaned
  • patient is given the final checklist to be signed

Frage 50

Frage
Preoperative visit by the Circulating Nurse will perform what before the procedure?
Antworten
  • asses anxiety levels
  • check to see all the doctors orders have been done
  • make sure surgical check list has been completed
  • all of the above

Frage 51

Frage
The patient can never walk to the O.R. in the United States as its against HIPPA for a procedure to be performed?
Antworten
  • True
  • False

Frage 52

Frage
check whats involved with the identification process of the patient before being led into the O.R.?
Antworten
  • Ask the patient their name
  • check response of patients name with wristband on patient and the patient information on the chart
  • ask the patient if they have health insurance
  • ask the patient who to call if their is an emergency in the O.R.
  • check what procedure is being performed; operative site, side, and surgical approach

Frage 53

Frage
The nurse will check patients name, hospital number, DOB, and Physicians name before patient is taken to the O.R.
Antworten
  • True
  • False

Frage 54

Frage
Correct Site Surgery entails what before surgery begins?
Antworten
  • Pre-operative verification process
  • marking the surgical site (drs initials)
  • time out performed
  • clinical documentation
  • all of the above

Frage 55

Frage
Time out consists of what steps?
Antworten
  • Patients name and birth date are confirmed
  • procedure to be performed
  • operative site and side
  • all of the above

Frage 56

Frage
Radiography is?
Antworten
  • process of obtaining image for diagnosis using soundwaves
  • process of obtaining image for symptoms using radiological modality
  • process of obtaining image for diagnosis using radiological modality

Frage 57

Frage
A radiographic imaging of the breast to screen for breast cancer is known as [blank_start]mammography[blank_end].
Antworten
  • mammography

Frage 58

Frage
Radiography of the spinal cord and associated nerves after intrathecal injection of a contrast media is known as [blank_start]myelography[blank_end]
Antworten
  • myelography

Frage 59

Frage
Examination of the body using x-ray in motion captured on a fluorescent screen is known as [blank_start]fluoroscopy[blank_end].
Antworten
  • fluoroscopy

Frage 60

Frage
A diagnostic radiograhy of the heat and blood vessels using contrast media is known as [blank_start]angiography[blank_end].
Antworten
  • angiography

Frage 61

Frage
Injection of a contrast medium into a blood vessel to visualize coronary artery occlusions with the use of fluoroscopy is known as?
Antworten
  • contrast media injection
  • cardiocathy
  • cardiac catheterization
  • cardiacscopic

Frage 62

Frage
[blank_start]cholangiography[blank_end] is radiography of the bile ducts using contrast media.
Antworten
  • cholangiography

Frage 63

Frage
A [blank_start]ctscan[blank_end] is an x-ray emitted from a specialized tube that rotates around the patients body producing images of the body parts in slices for detailed evaluation of internal dynamic procedures. P.S. (PLEASE DONE USE ANY SPACES or DASHES IN ANY FILL IN THE BLANK ANSWERS)
Antworten
  • ctscan

Frage 64

Frage
Positron emission tomography or PET scan is defined as?
Antworten
  • Combination of nuclear medicine and computed tomography to diagnose or asses new or current pathology.
  • Combination of photos and computed tomography to diagnose or asses new or current pathology.
  • Combination of science and computed tomography to diagnose or asses new or current pathology.

Frage 65

Frage
A type of diagnostic radiography that uses the characteristic behavior of protons when place in a powerful magnetic field to make images of soft tissue of the body is known as?
Antworten
  • CT Scan
  • PET SCAN
  • MRI

Frage 66

Frage
[blank_start]ultrasonography[blank_end] is the use of ultrasound to produce an image or photograph of an organ or tissue
Antworten
  • ultrasonography

Frage 67

Frage
[blank_start]Echocardiography[blank_end] is an non-invasive test that evaluates both the structure and function of the heart by transmuting sound waves to the heart and measuring those sound eaves reflecting back to the transducer.
Antworten
  • Echocardiography

Frage 68

Frage
The Doppler Ultrasonography permits the measuring of the velocity of that which is studied.
Antworten
  • True
  • False

Frage 69

Frage
Isotope scanning involved the injection of radioactive particles into the patient prior to the imaging study.
Antworten
  • True
  • False

Frage 70

Frage
Radioation therapy is used to kill cancer cells with a predetermined dose or by direct tissue contact with an implantable source.
Antworten
  • True
  • False

Frage 71

Frage
Labatory reports are done on urine and or blood to asses the physiologic condition of a patient.
Antworten
  • True
  • False

Frage 72

Frage
The analysis of urine for diagnostic purpose is called?
Antworten
  • urine test
  • urinalysis
  • urea test

Frage 73

Frage
Tissue specimens are taken from patient to determine?
Antworten
  • molecular structure of disease or pathology
  • diagnosing DNA problems
  • diagnosing diseases of assessing pathology

Frage 74

Frage
[blank_start]thoracocentesis[blank_end] is a method of inserting a needle through the chest wall into the plural space to obtain fluid for diagnostic purpose.
Antworten
  • thoracocentesis

Frage 75

Frage
what is a method of staining bacteria which is important in identifying the type?
Antworten
  • red blood cell stain
  • white blood cell stain
  • gram stain

Frage 76

Frage
Electrocardiography is a record of the electrical conductivity of the heat.
Antworten
  • True
  • False

Frage 77

Frage
Electroencephalography is a record of the electrical activity of the brain.
Antworten
  • True
  • False

Frage 78

Frage
electromyography is a graphic record the muscle activity.
Antworten
  • True
  • False

Frage 79

Frage
Spirometry is a measurement of the airflow and lung volume.
Antworten
  • True
  • False

Frage 80

Frage
Capnography is a measurement of the end-tidal concentration of carbon dioxide.
Antworten
  • True
  • False

Frage 81

Frage
Pulse oximetry is a measurement of the arterial oxyhemoglobin saturation,
Antworten
  • True
  • False

Frage 82

Frage
[blank_start]endoscopy[blank_end] is the diagnostic procedure to view organs of a body cavity with the use of a telescope.
Antworten
  • endoscopy

Frage 83

Frage
plethysmography is a record of the changes in the volume of an organ or extremity.
Antworten
  • True
  • False

Frage 84

Frage
What is the designated room or area where patients are taken prior to going to the operating room?
Antworten
  • a.m. admissions room
  • preanesthesia or preoperative holding room
  • ambulatory surgery room
  • P.A.C.U. room (post anesthesia care unit)

Frage 85

Frage
N.P.O. means:?
Antworten
  • nothing per os except water during the preoperative period
  • nothing per os four hours before surgery
  • nothing per os 8 to12 hours before surgery
  • nothing per os one day (24 hours) before surgery

Frage 86

Frage
What procedure listed below would or could be part of the preadmission process for a patient less than forty years of age, in good health and is a nonsmoker?
Antworten
  • preoperative medication given for sedation
  • intravenous injection started and IV fluids infused
  • chest x-ray taken to visualize any abnormal pathology
  • blood drawn for a chemical profile

Frage 87

Frage
A safety measure to remember when transporting a patient to the operating room via the stretcher is:
Antworten
  • to be sure that four people are in attendance with the stretcher while it is in motion
  • to be sure to push the stretcher from the foot end while transporting the patient
  • to be sure to push the stretcher from the head end while transporting the patient
  • to open a door gently with the foot end of the stretcher as long as the patient’s feet are not hanging over the end

Frage 88

Frage
What blood tests are important to have completed before the patient is brought to surgery if they are having a major surgical procedure performed?
Antworten
  • complete blood chemical profile
  • hemoglobin, hematocrit
  • RBC\WBC
  • hemoglobin, RBC

Frage 89

Frage
What health care provider is mainly responsible for the preoperative teaching when the patient arrives to the hospital the morning of surgery?
Antworten
  • circulating nurse
  • surgical technologist
  • floor or unit floor nurse
  • nurse aid or CSM

Frage 90

Frage
Who can sign an informed consent?
Antworten
  • an emancipated minor
  • spouse of a conscious, competent adult
  • a mentally incompetent adult
  • a minor

Frage 91

Frage
A witness of an informed consent must look for specific information before signing. Which of the following information is NOT important to look for before signing?
Antworten
  • mental state of signatory
  • patient apprehension about surgery
  • voluntary signature without coercion
  • identification of the patient or legal substitute

Frage 92

Frage
An electrocardiogram is important for a patient to have before surgery:
Antworten
  • as part of routine preoperative process
  • if the patient is less than forty years of age
  • if the patient is more than forty years of age and/or has a history of heart problems

Frage 93

Frage
Patient is told about what will happen to them during surgery and the importance of not eating or drinking anything prior surgery
Antworten
  • preoperative teaching
  • history and physcial
  • urine analysis

Frage 94

Frage
This test measures specific gravity, pH, and color
Antworten
  • urine analysis
  • enema

Frage 95

Frage
An important part of the preadmission procedure where the patient’s past experiences and body systems are assessed
Antworten
  • history and physical
  • urine analysis

Frage 96

Frage
This procedure is done the night before surgery by the patient, or the floor nurse if the patient is admitted the night before
Antworten
  • enema
  • history and physical

Frage 97

Frage
All jewelry is removed and put in safe keeping during this phase
Antworten
  • before leaving the O.R.
  • preoperative teaching

Frage 98

Frage
This test is the measure of packed cell volume of red blood cells.
Antworten
  • hematocrit
  • urine analysis

Frage 99

Frage
Normal values for this lab test is 12-16 g/dl
Antworten
  • hemoglobin/women
  • hemoglobin/men

Frage 100

Frage
This test measures the amount of protein-iron compound in blood & oxygen factor in blood
Antworten
  • hemoglobin
  • hematocrit

Frage 101

Frage
Normal values of this test is 5,000-10,000 cells per mm3
Antworten
  • WBC(white blood cells)
  • red blood cells

Frage 102

Frage
Used to evaluate the spine for patients with neck, back or leg pain by injecting contract media & using x-ray
Antworten
  • myelography
  • fluroscopy

Frage 103

Frage
This procedure utilizes x-ray to project images of body structures onto a monitor - Image can be view in motion (moving x-ray)
Antworten
  • fluoroscopy
  • ultrasonography

Frage 104

Frage
This diagnostic procedure utilizes high-frequency sound waves that are directed into the body & reflected from the tissue to a recording device
Antworten
  • ultrasonography
  • angiography

Frage 105

Frage
A preliminary diagnostic technique that visualizes vessels of the body using contrast media & x-ray
Antworten
  • angiography
  • fluorscopy

Frage 106

Frage
Diagnostic testing is performed on tissue or fluid extracted from the patient that may be suspected of being infected - Sometimes called culture & sensitivity
Antworten
  • bacteriologic test
  • isotope scanning

Frage 107

Frage
Involves the injection of radioactive particles into the patient prior to the imaging study - Done to study the function of certain diseased organs
Antworten
  • isotope scanning
  • bacteriologic test

Frage 108

Frage
Uses two different forms of energy to create an image- most common is working with the magnetic field and how it reacts to different tissue densities
Antworten
  • MRI
  • ct-scan

Frage 109

Frage
A display and recording of the electrical activity of the brain by measurement of changes in electrical potentials
Antworten
  • electroenceohalogrphy
  • mri

Frage 110

Frage
Monitor measures blood flow that transmits the sound of moving red blood cells to a transducer - Reflected sound can be amplified
Antworten
  • doppler ultrasonography
  • mri

Frage 111

Frage
X-rays used to view internals structures for diagnostic purposes
Antworten
  • radiography
  • ct scan

Frage 112

Frage
A specialized x-ray machine that produces images of body parts in “slices” for evaluation
Antworten
  • cat scan
  • ct scan

Frage 113

Frage
Device that measures arterial saturation of hemoglobin with oxygen by passing a light through the tissue - Device is usually placed on the index finger of the patient
Antworten
  • echocardiograpy
  • mri

Frage 114

Frage
What may be administered to the patient to help calm and relax the patient prior to being transported to surgery.
Antworten
  • sedative
  • vaso constrictor

Frage 115

Frage
What drug is administered to the patient preoperatively, intraoperatively, and postoperatively as a prophylactic measure?
Antworten
  • antibiotics
  • vaso constrictor

Frage 116

Frage
What does NPO stand for?
Antworten
  • nothing per os/nothing by mouth
  • nothing injected

Frage 117

Frage
What has to be dictated and/or typed and placed in the chart before surgery can start in some hospitals?
Antworten
  • history and physical
  • patient family members
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