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

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Surgical Technology, Principles, Unit 2, Special Needs Patients(proctored practice)
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Pregunta 1

Pregunta
Patients who do not produce enough insulin and have to take injections or may be controlled by diet
Respuesta
  • diabetic patient
  • obese patient

Pregunta 2

Pregunta
Patients who are obese or anorexic or bulimic are?
Respuesta
  • patients that are malnourished
  • patients with disease

Pregunta 3

Pregunta
Patients that are 2.5 to 5 years are?
Respuesta
  • preschool age
  • school age

Pregunta 4

Pregunta
Patients that are 6 to 12 years of age are?
Respuesta
  • preschool age
  • school age

Pregunta 5

Pregunta
Patients who have a terminal illness are?
Respuesta
  • patients with catastrophic ilness
  • patients with many years to live

Pregunta 6

Pregunta
Patients who have paranoia, schizophrenia, or self destructive behaviors
Respuesta
  • patients with emotional or mental impairment
  • an infant

Pregunta 7

Pregunta
Patients that are 28 days old to 18 months old are?
Respuesta
  • infant
  • todler

Pregunta 8

Pregunta
Baby born before 38 weeks of gestation regardless of birth weight
Respuesta
  • premature infant
  • newborn

Pregunta 9

Pregunta
Patients who have contracted the HIV virus are?
Respuesta
  • immunocompromised patients
  • bacterial infection patients

Pregunta 10

Pregunta
Patients with paralysis or missing limbs are?
Respuesta
  • patients with a physical challange
  • mental patients

Pregunta 11

Pregunta
18 to 30 months patients are?
Respuesta
  • adolescent
  • geriatric

Pregunta 12

Pregunta
People over the age of 65
Respuesta
  • geriatric
  • toddler

Pregunta 13

Pregunta
Patients with a BMI over 30
Respuesta
  • obese
  • diabetic

Pregunta 14

Pregunta
Patients with multi-system blunt or penetrating injuries
Respuesta
  • trauma
  • patients with slight injury

Pregunta 15

Pregunta
A patient is considered a pediatric patient if he or she is between the ages of ____.
Respuesta
  • birth to 18
  • birth to 16

Pregunta 16

Pregunta
When a patient's body weight exceeds ____ pounds greater than ideal body weight, the patient is considered morbidly obese.
Respuesta
  • 100
  • 150

Pregunta 17

Pregunta
The term golden hour refers to ____.
Respuesta
  • giving care to a trauma victim within an hour
  • postoperative care
  • terminally ill patients’ last hours

Pregunta 18

Pregunta
For pediatric patients, ____ temperature is the primary/simplest means of monitoring temperature.
Respuesta
  • axillary
  • oral
  • rectal probes/tympanic membrane/skin

Pregunta 19

Pregunta
____ is one of the most common postoperative complications of patients with diabetes.
Respuesta
  • Acetonuria
  • Hypoglycemia
  • Infection
  • Ketonuria

Pregunta 20

Pregunta
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 ____.
Respuesta
  • 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

Pregunta 21

Pregunta
IV placement in the patient with AIDS may be difficult due to ____.
Respuesta
  • malaise
  • lack of a suitable vein
  • skin wrinkling
  • aggravating painful lesions

Pregunta 22

Pregunta
80% of geriatric patients come to surgery with one or more what?
Respuesta
  • personal belongings
  • comorbid conditions
  • prosthetics (dentures, hearing aids, glasses)
  • family members

Pregunta 23

Pregunta
The term neonate applies to the pediatric patient who is between the ages of ____.
Respuesta
  • birth and 14 days
  • 24 hours and 28 days
  • 6 hours and 14 days
  • birth and 28 days

Pregunta 24

Pregunta
A child less than 6 months of age cannot shiver; therefore, the child is at risk for ____.
Respuesta
  • cyanosis
  • tachycardia
  • hypertension
  • hypothermia

Pregunta 25

Pregunta
What is the MOST effective way to keep an infant’s body temperature at an acceptable level?
Respuesta
  • overhead radiant heater
  • wrap and or cover extremities
  • Increase room temperature
  • All answers listed

Pregunta 26

Pregunta
Why are neonates and infants not catheterized?
Respuesta
  • bladder not fully developed
  • Non-measurable amount of urine produced
  • high risk of trauma to the urethra
  • procedures do not last long enough

Pregunta 27

Pregunta
Septic shock in neonates is caused most often by ____.
Respuesta
  • hemorrhage
  • gram-neg. bacteria, e-coli (bowel perf.)
  • esophageal varices
  • respiratory failure

Pregunta 28

Pregunta
What is the initial sign of a postoperative infection?
Respuesta
  • dehydration
  • decreased urine output
  • fever
  • hypotension

Pregunta 29

Pregunta
Which antibiotic should not be administered to children, because it causes staining and hypoplasia of the enamel of developing teeth?
Respuesta
  • Septra
  • Bactrim
  • tetracycline
  • Chloromycetin

Pregunta 30

Pregunta
What is the number one cause of death in children ages 1 to 15?
Respuesta
  • medication errors
  • Accidents/trauma
  • surgical complications
  • allergic reactions

Pregunta 31

Pregunta
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
Respuesta
  • radiation
  • heat transfer

Pregunta 32

Pregunta
Name two special considerations the surgical team have to take into consideration regarding the obese patient perioperatively.
Respuesta
  • Anesthesia issues and Extra padding and support
  • patients family contact numbers and addresses

Pregunta 33

Pregunta
What is the name of the mechanism of heat transfer when the flow of heat from the body surface goes to cooler ambient air?
Respuesta
  • convection
  • radiating

Pregunta 34

Pregunta
What is important to remember when positioning the geriatric patient? Name two.
Respuesta
  • sore joints, pressure points
  • keeping room cooler

Pregunta 35

Pregunta
What can be placed under all neonates and infants to prevent heat loss by conduction?
Respuesta
  • incubator
  • warming mattress

Pregunta 36

Pregunta
Name three of the six stages of dying that a chronic and terminally ill patient may experience.
Respuesta
  • acceptance, denial, bargaining
  • hate, love, compassion

Pregunta 37

Pregunta
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)
Respuesta
  • Size of child and if a pediatric set or regular adult set of instruments will be used
  • none

Pregunta 38

Pregunta
Name and describe the two types of diabetes mellitus.
Respuesta
  • 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

Pregunta 39

Pregunta
Name one surgical risk concerning the pregnant patient.
Respuesta
  • Early labor ,vDrugs crossing the fetal barrier
  • none

Pregunta 40

Pregunta
What can the surgical team do for the visually impaired patient to alleviate fears and anxiety of the surgical experience? (Name one)
Respuesta
  • Hold their hand, Tell them what you are going to do before you do it.
  • gesture with your hands where they should go

Pregunta 41

Pregunta
Name one complication that is common to the obese patient.
Respuesta
  • malnutrition
  • calorie intake to low
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