Nokea
A male patient about to be scheduled for a major surgery tells the physician that he has been diagnosed with some kind of serious problem of his liver but can't remember the name of the disorder. About which of the following might the physician be concerned as a direct result of the patient's statement?
- A. The patient's ability to tolerate IV fluids
- B. The patient's ability to urinate after surgery
- C. The ability of the patient's blood to clot
- D. The patient's ability to maintain adequate body temperature during anesthesia
Correct Answer: C
Rationale: Liver dysfunction can impair clotting factor production, increasing bleeding risk during surgery.
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Which of the following types of information should you teach preop patients?
- A. Preop prep
- B. What to expect in the OR
- C. Roles of the surgical team members
- D. Actions to prevent complications
- E. Name of each surgical team member
Correct Answer: A,B,D
Rationale: Teaching preoperative preparation, OR expectations, and complication prevention empowers patients and enhances recovery.
What are the primary responsibilities of the circulating nurse in surgery?
- A. Serving as the primary patient advocate
- B. Keeping notes of the surgical procedure
- C. Calling time outs
- D. Maintaining patient rights
Correct Answer: A,C,D
Rationale: The circulating nurse advocates for the patient, ensures safety protocols (time outs), and upholds patient rights.
For which of the following patients would it be appropriate to schedule his or her surgery in a surgery center as opposed to a hospital setting?
- A. A patient with severe chronic respiratory disease who needs an appendectomy
- B. A patient with an above-the-knee amputation who needs a breast biopsy
- C. An elderly patient with hypertension and diabetes who needs a resection of the colon
- D. A patient with hemophilia who needs a tonsillectomy
Correct Answer: B
Rationale: A breast biopsy is a minor procedure suitable for a surgery center, especially for a patient with stable conditions.
Which of the following patients is scheduled for palliative surgery?
- A. A patient scheduled for tonsillectomy due to repeated throat infections
- B. A patient scheduled for repair of a gastric ulcer due to lack of healing with medication
- C. A patient scheduled for removal of an untreatable cancerous brain tumor due to its impingement on the optic nerve
- D. A patient scheduled for breast enlargement so that her body shape will be better balanced
- E. A patient scheduled for a hysterectomy (removal of female reproductive organs) due to severe endometriosis
Correct Answer: C
Rationale: Palliative surgery, like removing a tumor to relieve symptoms (e.g., optic nerve pressure), aims to improve quality of life, not cure.
What are the purposes for administering preop medication?
- A. Decrease risk of infection
- B. Prevent aspiration during anesthesia
- C. Decrease intraoperative anesthesia
- D. Convenience to surgical staff
Correct Answer: B,C
Rationale: Preop medications reduce aspiration risk (e.g., antacids) and minimize anesthesia needs (e.g., sedatives).