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Surgical Technology, Principles, Unit 2, Special Needs Patients(proctored practice)

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Surgical Technology, Principles, Unit 2,Special Needs Patients(proctored practice)

Question 1 of 41

1

Patients who do not produce enough insulin and have to take injections or may be controlled by diet

Select one of the following:

  • diabetic patient

  • obese patient

Explanation

Question 2 of 41

1

Patients who are obese or anorexic or bulimic are?

Select one of the following:

  • patients that are malnourished

  • patients with disease

Explanation

Question 3 of 41

1

Patients that are 2.5 to 5 years are?

Select one of the following:

  • preschool age

  • school age

Explanation

Question 4 of 41

1

Patients that are 6 to 12 years of age are?

Select one of the following:

  • preschool age

  • school age

Explanation

Question 5 of 41

1

Patients who have a terminal illness are?

Select one of the following:

  • patients with catastrophic ilness

  • patients with many years to live

Explanation

Question 6 of 41

1

Patients who have paranoia, schizophrenia, or self destructive behaviors

Select one of the following:

  • patients with emotional or mental impairment

  • an infant

Explanation

Question 7 of 41

1

Patients that are 28 days old to 18 months old are?

Select one of the following:

  • infant

  • todler

Explanation

Question 8 of 41

1

Baby born before 38 weeks of gestation regardless of birth weight

Select one of the following:

  • premature infant

  • newborn

Explanation

Question 9 of 41

1

Patients who have contracted the HIV virus are?

Select one of the following:

  • immunocompromised patients

  • bacterial infection patients

Explanation

Question 10 of 41

1

Patients with paralysis or missing limbs are?

Select one of the following:

  • patients with a physical challange

  • mental patients

Explanation

Question 11 of 41

1

18 to 30 months patients are?

Select one of the following:

  • adolescent

  • geriatric

Explanation

Question 12 of 41

1

People over the age of 65

Select one of the following:

  • geriatric

  • toddler

Explanation

Question 13 of 41

1

Patients with a BMI over 30

Select one of the following:

  • obese

  • diabetic

Explanation

Question 14 of 41

1

Patients with multi-system blunt or penetrating injuries

Select one of the following:

  • trauma

  • patients with slight injury

Explanation

Question 15 of 41

1

A patient is considered a pediatric patient if he or she is between the ages of ____.

Select one of the following:

  • birth to 18

  • birth to 16

Explanation

Question 16 of 41

1

When a patient's body weight exceeds ____ pounds greater than ideal body weight, the patient is considered morbidly obese.

Select one of the following:

  • 100

  • 150

Explanation

Question 17 of 41

1

The term golden hour refers to ____.

Select one of the following:

  • giving care to a trauma victim within an hour

  • postoperative care

  • terminally ill patients’ last hours

Explanation

Question 18 of 41

1

For pediatric patients, ____ temperature is the primary/simplest means of monitoring temperature.

Select one of the following:

  • axillary

  • oral

  • rectal probes/tympanic membrane/skin

Explanation

Question 19 of 41

1

____ is one of the most common postoperative complications of patients with diabetes.

Select one of the following:

  • Acetonuria

  • Hypoglycemia

  • Infection

  • Ketonuria

Explanation

Question 20 of 41

1

When placing the pregnant surgical patient in the supine position, the circulating surgical technologist should place a small rolled pad or foam wedge under the right hip. This will help ____.

Select one of the following:

  • prevent preterm labor

  • shift the uterus to gain better access to the abdominal contents

  • make the patient more comfortable

  • take weight off of the vena cava

Explanation

Question 21 of 41

1

IV placement in the patient with AIDS may be difficult due to ____.

Select one of the following:

  • malaise

  • lack of a suitable vein

  • skin wrinkling

  • aggravating painful lesions

Explanation

Question 22 of 41

1

80% of geriatric patients come to surgery with one or more what?

Select one of the following:

  • personal belongings

  • comorbid conditions

  • prosthetics (dentures, hearing aids, glasses)

  • family members

Explanation

Question 23 of 41

1

The term neonate applies to the pediatric patient who is between the ages of ____.

Select one of the following:

  • birth and 14 days

  • 24 hours and 28 days

  • 6 hours and 14 days

  • birth and 28 days

Explanation

Question 24 of 41

1

A child less than 6 months of age cannot shiver; therefore, the child is at risk for ____.

Select one of the following:

  • cyanosis

  • tachycardia

  • hypertension

  • hypothermia

Explanation

Question 25 of 41

1

What is the MOST effective way to keep an infant’s body temperature at an acceptable level?

Select one of the following:

  • overhead radiant heater

  • wrap and or cover extremities

  • Increase room temperature

  • All answers listed

Explanation

Question 26 of 41

1

Why are neonates and infants not catheterized?

Select one of the following:

  • bladder not fully developed

  • Non-measurable amount of urine produced

  • high risk of trauma to the urethra

  • procedures do not last long enough

Explanation

Question 27 of 41

1

Septic shock in neonates is caused most often by ____.

Select one of the following:

  • hemorrhage

  • gram-neg. bacteria, e-coli (bowel perf.)

  • esophageal varices

  • respiratory failure

Explanation

Question 28 of 41

1

What is the initial sign of a postoperative infection?

Select one of the following:

  • dehydration

  • decreased urine output

  • fever

  • hypotension

Explanation

Question 29 of 41

1

Which antibiotic should not be administered to children, because it causes staining and hypoplasia of the enamel of developing teeth?

Select one of the following:

  • Septra

  • Bactrim

  • tetracycline

  • Chloromycetin

Explanation

Question 30 of 41

1

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

Select one of the following:

  • medication errors

  • Accidents/trauma

  • surgical complications

  • allergic reactions

Explanation

Question 31 of 41

1

What is the mechanisms of heat transfer when heat is loss from the body surface to cooler solid surfaces not in direct contact, such as the cold metal equipment used, and the cold walls in the OR suite. (concerning

Select one of the following:

  • radiation

  • heat transfer

Explanation

Question 32 of 41

1

Name two special considerations the surgical team have to take into consideration regarding the obese patient perioperatively.

Select one of the following:

  • Anesthesia issues and Extra padding and support

  • patients family contact numbers and addresses

Explanation

Question 33 of 41

1

What is the name of the mechanism of heat transfer when the flow of heat from the body surface goes to cooler ambient air?

Select one of the following:

  • convection

  • radiating

Explanation

Question 34 of 41

1

What is important to remember when positioning the geriatric patient? Name two.

Select one of the following:

  • sore joints, pressure points

  • keeping room cooler

Explanation

Question 35 of 41

1

What can be placed under all neonates and infants to prevent heat loss by conduction?

Select one of the following:

  • incubator

  • warming mattress

Explanation

Question 36 of 41

1

Name three of the six stages of dying that a chronic and terminally ill patient may experience.

Select one of the following:

  • acceptance, denial, bargaining

  • hate, love, compassion

Explanation

Question 37 of 41

1

What factor does the surgical technologist have to consider when setting up the back table with instruments and supplies for a procedure on an infant or preschool child? (name one)

Select one of the following:

  • Size of child and if a pediatric set or regular adult set of instruments will be used

  • none

Explanation

Question 38 of 41

1

Name and describe the two types of diabetes mellitus.

Select one of the following:

  • Type I - insulin-dependent. pancreas doesn’t produce enough insulin. Patient has to inject insulin or take oral medication to help with glucose metabolism. Type II - non-insulin-dependent. can be controlled with strict diet- no sugar, etc.

  • none

Explanation

Question 39 of 41

1

Name one surgical risk concerning the pregnant patient.

Select one of the following:

  • Early labor ,vDrugs crossing the fetal barrier

  • none

Explanation

Question 40 of 41

1

What can the surgical team do for the visually impaired patient to alleviate fears and anxiety of the surgical experience? (Name one)

Select one of the following:

  • Hold their hand, Tell them what you are going to do before you do it.

  • gesture with your hands where they should go

Explanation

Question 41 of 41

1

Name one complication that is common to the obese patient.

Select one of the following:

  • malnutrition

  • calorie intake to low

Explanation