Every patient coming in for surgery needs to have which done before surgery can take place?
H&P;history and physical
H&H;hemoglobin and hematocrit
Both H&H and H&P
none
For minor surgical cases all that might need to be done is?
H&H and complete blood count
just a complete blood count
Which tests most often is associated with major surgery?
H&H;hematocrit and homoglobin
chemical profile and urinalysis
What is one of the most common and comprehensive blood panels available?
drug screen
blood donation stats when giving blood
CBC/Chemistry profile
none of the above
What is best known measure of protein to iron compound in blood?
red blood cell
blood oxygen ratio
hematocrit
hemoglobin
What is the protein molecule in red blood cells?
O2;oxygen
What is expelled as we breath?
oxygen
carbon monoxide
carbon dioxide
gasses
Normal values for hemoglobin in an average adult is?
12-16
12-18
14-18
10-18
Normal values for hemoglobin in an adult women is?
Normal values for hemoglobin in an adult man is?
The measurement of packed cell volume of red blood cell is known as?
red blood cell count
The normal Hematocrit value for women is?
43-49%
42-49%
37-43%
The normal Hematocrit value for men is?
What is best expressed as a percentage of total blood volume?
RBC or Red blood cell count
CO2 or carbon dioxide levels
White blood cells known as WBC's which help fight infection and are apart of our immune system are also known as?
RBC's;red blood cells
neutrophils
leukocytes
monocyte
High white blood cell counts could mean?
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
IF a patient has to high of count of this then a surgical procedure will have to wait?(pick most suitable answer)
monocytes
WBC's;White blood cells
neutrophil
The normal count for White Blood Cells should be?
5k-11k cells per cubic mm
4k-10k cells per cubic mm
5k-10k cells per cubic mm
5k-12k cells per cubic mm
CBC is known as?
complete basic count
complete bacterial count
complete blood count
An erythrocyte is known as?
white blood cell
Red Blood Cells do what for the body?
take oxygen out of the air
part of immune system to heal infection
transport oxygen
transport carbon dioxide
A Red Blood Cell count as part of a CBC test can help diagnose and monitor which diseases?
kidney disease
bleeding problems
polycythemia
all of the above
Normal RBC count for women is?
4.2-4.8 million per mm
4.5-5.5 million per mm
4.1-4.8 million per mm
Normal RBC count for men is?
4.2-4.9 million per mm
Among the many functions of this value in the body are regulation of the heartbeat and function of the muscles?
white blood cell count
potassium
Normal values of patassium are?
3.5-5.0 meq/l
3.4-5.0 meq/l
2.5-5.0 meq/l
Normal sodium values should fall in this area?
125-145 meq/l
130-145 meq/l
135-145 meq/l
What is the cheif electrolyte in interstitial fluid and regulated the total amount of water in the body?
red blood cells
sodium
BUN stands for?
blood urine nitrogen
blood urea nitris
blood urea nitrogen
Increased BUN levels suggest?
to much urine in the body
impaired blood flow
impaired kidney function
Low BUN levels are ?
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
what is a chemical waste product in the blood that passes through the kidneys to be filtered and eliminated in urine?
creatine
creatinine
urine
What is examined for color, specific gravity and pH?
urinalysis
hemoglobin test
blood cell test
Normal pH ranges of urine should be?
4.6-8.0
3.6-8.0
2.6-8.0
The ratio of the density of a substance to the density of another substance?
pH of urine
specific gravity
This organ plays an important part of maintaining pH levels of the body?
liver
gallbladder
kidney
ureters
Preadmission Procedures may include?
blood may be typed and cross matched
chest x-ray
EKG
Written Instructions, Preoperative Teaching, Informed Consent and Anesthesia Visit are part of what?
post operative procedure
intraoperative procedure
preoperative procedure
preadmission procedure
Blood type and cross match, chest xrays, EKG and Diagnostic procedures are apart of what?
postoperative procedure
Which written instructions should patients follow before surgery?
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
Check what is discussed during Preoperative Teaching.
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
An Informed Consent should answer which of the following questions?
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?
Check which exceptions are allowed for Informed Consent,
managing nurse
head surgeon
a great surgical technician who knows their damn stuff
hospital administrator
the courts
Check what is covered during the preoperative anesthesia assessment visit?
History and physical
expectations with anesthedia
patients health insurance provider
type of anesthesia
Check what the patient must do before leaving for the O.R..
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
Antibiotics are administered how man hours before procedure?
2 hours
1 and half hours
1 hour
50 minuites
Before Patient leaves for the O.R. which things are done?
Preoperative medication administered
History and Physical dictated
Lab tests done and placed in chat all with in normal range
Preanesthesia may refer to?
anesthesia visit
anesthesia check list
preoperative holding room
Check what may happen in preoperative holding room?
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
Preoperative visit by the Circulating Nurse will perform what before the procedure?
asses anxiety levels
check to see all the doctors orders have been done
make sure surgical check list has been completed
The patient can never walk to the O.R. in the United States as its against HIPPA for a procedure to be performed?
check whats involved with the identification process of the patient before being led into the O.R.?
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
The nurse will check patients name, hospital number, DOB, and Physicians name before patient is taken to the O.R.
Correct Site Surgery entails what before surgery begins?
Pre-operative verification process
marking the surgical site (drs initials)
time out performed
clinical documentation
Time out consists of what steps?
Patients name and birth date are confirmed
procedure to be performed
operative site and side
Radiography is?
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
A radiographic imaging of the breast to screen for breast cancer is known as .
Radiography of the spinal cord and associated nerves after intrathecal injection of a contrast media is known as
Examination of the body using x-ray in motion captured on a fluorescent screen is known as .
A diagnostic radiograhy of the heat and blood vessels using contrast media is known as .
Injection of a contrast medium into a blood vessel to visualize coronary artery occlusions with the use of fluoroscopy is known as?
contrast media injection
cardiocathy
cardiac catheterization
cardiacscopic
is radiography of the bile ducts using contrast media.
A 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)
Positron emission tomography or PET scan is defined as?
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.
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?
CT Scan
PET SCAN
MRI
is the use of ultrasound to produce an image or photograph of an organ or tissue
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.
The Doppler Ultrasonography permits the measuring of the velocity of that which is studied.
Isotope scanning involved the injection of radioactive particles into the patient prior to the imaging study.
Radioation therapy is used to kill cancer cells with a predetermined dose or by direct tissue contact with an implantable source.
Labatory reports are done on urine and or blood to asses the physiologic condition of a patient.
The analysis of urine for diagnostic purpose is called?
urine test
urea test
Tissue specimens are taken from patient to determine?
molecular structure of disease or pathology
diagnosing DNA problems
diagnosing diseases of assessing pathology
is a method of inserting a needle through the chest wall into the plural space to obtain fluid for diagnostic purpose.
what is a method of staining bacteria which is important in identifying the type?
red blood cell stain
white blood cell stain
gram stain
Electrocardiography is a record of the electrical conductivity of the heat.
Electroencephalography is a record of the electrical activity of the brain.
electromyography is a graphic record the muscle activity.
Spirometry is a measurement of the airflow and lung volume.
Capnography is a measurement of the end-tidal concentration of carbon dioxide.
Pulse oximetry is a measurement of the arterial oxyhemoglobin saturation,
is the diagnostic procedure to view organs of a body cavity with the use of a telescope.
plethysmography is a record of the changes in the volume of an organ or extremity.
What is the designated room or area where patients are taken prior to going to the operating room?
a.m. admissions room
preanesthesia or preoperative holding room
ambulatory surgery room
P.A.C.U. room (post anesthesia care unit)
N.P.O. means:?
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
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?
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
A safety measure to remember when transporting a patient to the operating room via the stretcher is:
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
What blood tests are important to have completed before the patient is brought to surgery if they are having a major surgical procedure performed?
complete blood chemical profile
hemoglobin, hematocrit
RBC\WBC
hemoglobin, RBC
What health care provider is mainly responsible for the preoperative teaching when the patient arrives to the hospital the morning of surgery?
circulating nurse
surgical technologist
floor or unit floor nurse
nurse aid or CSM
Who can sign an informed consent?
an emancipated minor
spouse of a conscious, competent adult
a mentally incompetent adult
a minor
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?
mental state of signatory
patient apprehension about surgery
voluntary signature without coercion
identification of the patient or legal substitute
An electrocardiogram is important for a patient to have before surgery:
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
Patient is told about what will happen to them during surgery and the importance of not eating or drinking anything prior surgery
preoperative teaching
history and physcial
urine analysis
This test measures specific gravity, pH, and color
enema
An important part of the preadmission procedure where the patient’s past experiences and body systems are assessed
history and physical
This procedure is done the night before surgery by the patient, or the floor nurse if the patient is admitted the night before
All jewelry is removed and put in safe keeping during this phase
before leaving the O.R.
This test is the measure of packed cell volume of red blood cells.
Normal values for this lab test is 12-16 g/dl
hemoglobin/women
hemoglobin/men
This test measures the amount of protein-iron compound in blood & oxygen factor in blood
Normal values of this test is 5,000-10,000 cells per mm3
WBC(white blood cells)
Used to evaluate the spine for patients with neck, back or leg pain by injecting contract media & using x-ray
myelography
fluroscopy
This procedure utilizes x-ray to project images of body structures onto a monitor - Image can be view in motion (moving x-ray)
fluoroscopy
ultrasonography
This diagnostic procedure utilizes high-frequency sound waves that are directed into the body & reflected from the tissue to a recording device
angiography
A preliminary diagnostic technique that visualizes vessels of the body using contrast media & x-ray
fluorscopy
Diagnostic testing is performed on tissue or fluid extracted from the patient that may be suspected of being infected - Sometimes called culture & sensitivity
bacteriologic test
isotope scanning
Involves the injection of radioactive particles into the patient prior to the imaging study - Done to study the function of certain diseased organs
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
ct-scan
A display and recording of the electrical activity of the brain by measurement of changes in electrical potentials
electroenceohalogrphy
mri
Monitor measures blood flow that transmits the sound of moving red blood cells to a transducer - Reflected sound can be amplified
doppler ultrasonography
X-rays used to view internals structures for diagnostic purposes
radiography
ct scan
A specialized x-ray machine that produces images of body parts in “slices” for evaluation
cat scan
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
echocardiograpy
What may be administered to the patient to help calm and relax the patient prior to being transported to surgery.
sedative
vaso constrictor
What drug is administered to the patient preoperatively, intraoperatively, and postoperatively as a prophylactic measure?
antibiotics
What does NPO stand for?
nothing per os/nothing by mouth
nothing injected
What has to be dictated and/or typed and placed in the chart before surgery can start in some hospitals?
patient family members