Nokea
You are caring for Allen Julius, who has been diagnosed with advanced cancer of the liver. He has been suffering severe discomfort as a result of ascites, the collection of fluid within the peritoneal cavity that puts pressure on all the abdominal organs. The patient and physician have decided that the best course of treatment is palliative: to relieve the discomfort by surgically placing a peritoneal drainage tube to drain the excess fluid. His wife asks you if this surgery will cure him. Your best response would be
- A. This procedure is not curative, but it will help to provide him with a higher quality of life by relieving the discomfort of the fluid that has been collecting in the peritoneal cavity.
- B. Yes, removing the fluid would cure your husband.
- C. No, of course not.
- D. You do not really think we can cure your husband at this late stage in the disease process, do you? We have to be realistic.
Correct Answer: A
Rationale: This response explains that the procedure is palliative, aimed at improving quality of life, not curing the cancer.
You may also like to solve these questions
Kelly Majetic is going to have a face-lift surgery tomorrow. You know that this is what type of surgery?
- A. Corrective
- B. Cosmetic
- C. Palliative
- D. Exploratory
- E. Curative
Correct Answer: B
Rationale: A face-lift is a cosmetic surgery performed to improve appearance, not to correct a medical condition or cure a disease.
Another name for a recovery room is
- A. post-anesthesia care unit (PACU)
- B. intensive care unit (ICU)
- C. operating room (OR)
- D. surgical ward
Correct Answer: A
Rationale: The post-anesthesia care unit (PACU) is where patients recover immediately after surgery under close monitoring.
Who has the responsibility to obtain consent for surgery?
- A. The nurse
- B. Office personnel
- C. The surgeon
- D. The unit clerk
Correct Answer: C
Rationale: The surgeon is responsible for explaining the procedure and obtaining informed consent from the patient.
There are various purposes for which preoperative medications may be given. Which of the following purposes serve as a legitimate reason to administer a preoperative medication?
- A. Provide relief of apprehension and anxiety
- B. Provide sedation
- C. Shorten surgery time
- D. Reduce risk for pneumonia
- E. Decrease gastric volume and acidity
- F. Prevent nausea and vomiting
- G. Dry secretions and prevent aspiration
Correct Answer: A,B,E,F,G
Rationale: Preoperative medications address anxiety, sedation, gastric issues, nausea, and secretions, but do not shorten surgery or prevent pneumonia.
Cholecystectomy (removal of the gallbladder)
- A. Corrective, urgent
- B. Cosmetic, elective
- C. Curative, urgent or elective
- D. Exploratory, emergent
Correct Answer: C
Rationale: Gallbladder removal treats conditions like gallstones, aiming to cure, and can be urgent or planned based on severity.