Chapter 40: Care of Patients with Acute Coronary Syndromes Test Bank MULTIPLE CHOICE 1. The saline will test patency of the cystic duct prior to injecting the contrast. Which statement is true regarding the pain associated with angina? Otherwise, click the red Don't know box. Which of the following statements are true regarding Type 2 diabetes treatment? Immobilization of the hip joints after surgery is accomplished by the use of : abduction pillow: all of the following are true of disposable chest drainage units except: aids in reestablishing positive pressure in the intrapleural space: which factor is not accomplished by chest … 7. What is the name of the fibrous and serous capsule that covers the liver? What does TEP stand for in general surgery? Due to the vascular and friable mature of the liver, a surgeon may choose to use suture on which type of needle? After a person experiences a closure of the epiphyses, which statement is true? c. Metoclopramide is a gastrointestinal (GI) stimulant and antiemetic. For which surgical procedure would the Buie pile forceps be used? As the nurse, you will want to be familiar with the prevention of a blood clot (venous thromboembolism VTE), management of a DVT, and anticoagulation therapy. The surgeon may request which of the following for irrigation to aid in destroying any residual tumor cells after dissection? 18. Which of the following statements is true about saw palmetto? If you knew the answer, click the green Know box. The skin incision for a thyroidectomy will follow which anatomical lines? The client has surgery for removal of a Prolactinoma. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out. A) Retroorbital bleeding should be performed on conscious animals to maintain adequate blood pressure. To see how well you know the information, try the Quiz or Test activity. Which stage of breast cancer is characterized by evidence of distal metastasis? As a result of this action, the client develops an infection and suffers brain damage. The hepatic and splenic flexures are located proximally and distally in which part of the large intestine? When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again. What term describes a benign condition of breast enlargement in men? Which procedure is inappropriate when caring for optic lenses, Oil or fingerprints are removed by soaking in solvent for 10min and drying with a cotton ball, The OR bed may have a metal crossbar between the two upper sections which may be raised to elevate the, Which item is also known as an airplane support, Operative accessibility in thyroid surgery may be aided by the use of an, In which position would shoulder braces be indicate, A precaution necessary when using the kidney rest is, to press firmly but not too tightly against body to pad well to place the longer rest beneath iliac crest, When using lasers, nonreflective instrumentation, decrease accidental direct reflection of the laser beam to another area, which laser emission is primarly absorbed in tissue by hemogloblin or melanin, The fire extinguisher of choice for a laser fire is a, In a surgical procedure employing the use of the laser, prep solution on the patient's skin should be pat-dried because, pooled fluids can retain laser heat and subsequetly burn tissue, laser surgery performed in the rectal area should be preceded by, suctioning of lower bowel to remove methane gas, coating of instruments to decrease reflectivity, The use of each of the following items are measures employed to reduce laser-induced injuries EXCEPT, When utilizing the laser, occupational esposure to surgical smoke via the skin, eye, and mucous membranes is best minimized by the use of, Which specialty would employ the use of a slit lamp and the laser, The following statements regarding lasers are true EXCEPT, laser unit is in "ON" position during entire case, The lase used most commonly for retinal detachment, tear, or hole is, The tunable dye laser used to disintegrate kidney stones is the, A device used to correct and counteract internal bleeding conditions and hypovolemia ia a, Seamless tubular cotton that stretches to fit a contour and is used for padding is called a, which case would require the use of cottonoid strips, An item used for padding that has smooth and clingy layers is called, A dissecting sponge that is a small roll of heavy cotton tape is, A dissecting sponge made of gauze to dissect or absorb fluid is called, Which procedure would not require a pressure dressing, A sponge that is cotton-filled gauze with a cotton thread attached is a, which of the following can be a supplement to a subcuticular closure, A protective skin coating is accomplished with, A dressing that is held in place by long structures ends crisscrossed and tied is called a, the smallest diameter on a French scale is a, a stab wound is a separate small incision, A tube placed into the tympatic membrane to facilitate aeration is the, what type of catheter would facilitate the removal of small gallstones, A catheter commonly used in a gastrostomy is a, which is NOT a type of ureteral catheter tip, the drain that has a reservoir creating negative pressure to facilitate drainage is a, All of the following statements are true of ureteral catheters EXCEPT that they, provide direct visualization of the bladder, Long-term or temporary ureteral drainage can be accomplished with a, a central venous catheter is usually inserted into the, which of the following is not used for URETHRAL dilation, why is a 30-cc bag foley used after a transurethral resection (TUR) of the prostate, the tube that collects bronchial washings, Balloon angioplasty is accomplished with the use of a ______ catheter, the tree lumens of a foley are used for inflation, drainage, and, converts the X-RAY beam into a fluoroscopic optical image, extracorporeal circulation refers to circulation, the scoring system that assesses an infant's condition after birth is called a, which procedure records the electrical activity of the brain, Immobilization of the hip joints after surgery is accomplished by the use of, all of the following are true of disposable chest drainage units except, aids in reestablishing positive pressure in the intrapleural space, which factor is not accomplished by chest drainage, a cast applied from the hip to the head, which is used to immobilize cervical fractures is the, a motorized device whose action prevents venous stasis and reduces risk of deep-vein clotting in high risk patients, which synthetic mesh may be used in the presence of infection, can be steam sterilized ONCE, if unused but not soiled, a common donor site for an autogenous bone graft, the patient coming to the OR with rupture of esophageal varices may have _______ in place to control bleeding, Either a Foley, Mallecot , Pezzer, or mushroom catheter can be inserted for, the risk of come biopsy are minimized by using the, a secondary video monitor is referred to as a, Which catheter facilitates the infusion of chemotherapeutic drugs, which is the most necessary item for a blood transfusion, each are measures to prevent heal loss in newborn, infant, or children in the OR except, a setup that would include a 1000-cc bag of normal saline, sterile IV tubing, an IV pole, and a pressure bag is, choledochoscopy (visualization of common bile duct), in which procedure would be a radiant warmer be found, Equate the radiation exposure in fluoroscopy as compared to that of single x-ray, which drain is specifically used for drainage of bile, What drain would commonly be used following a total hip arthroplasty, A water seal drainage system restores pressure to the thoracic cavity, When using a water seal drainage system, the collection unit must remain, LEFT ARROW - move card to the Don't know pile. The arterial system is a high-pressure system. 1. balm 2. capsicum 3. hops 4. aloe A : Aloe Aloe is approved as a laxative. Certified Surgical Technologists (CSTs) have the knowledge and proper skills to assist in patient identification, and confirmation of correct surgery site and procedure in a manner that promotes patient safety. The patient is scheduled for surgery late in the afternoon. It does not subside until treatment is initiated. a. Pancreaticoduodenectomy is also known as which of the following procedures? Which statement is true regarding the arterial system? Where is the gallbladder located in relation to the liver? Bifurcated drains and fluffy pressure dressings are used following mastectomy primarily to: Dilation of the submucosal and subcutaneous venous plexus that lines the anal canal is called. B. Insulin may be needed during times of surgery or illness. After news reports questioned the practice of one surgeon performing in overlapping surgeries, the ACS clarified 'concurrent' and 'overlapping' and explained what patients should know before consent. It is the federal Government's primary litigation tool in combating fraud against the Government. one of the 5 mm right port site incisions. two-layer, interrupted technique for seromuscular approximation with silk; continuous for mucosa with absorbable suture. 3. Which of the following interventions would be appropriate for this client? End-to-end, end-to-side, side-to-side, and Roux-en-Y are techniques for: In a laparoscopic appendectomy, all of the following methods could be used for dissection of the appendix EXCEPT: polyps protrude inward, and diverticula protrude outward from the intestine. A vagotomy is a surgical treatment option for: Which type of intestinal obstruction involves a telescoping of a portion of the intestine into another portion? C. It typically subsides after 1 to 3 minutes. Which situation correlates with stable angina? We do not share your email address with others. are in the same box the next time you log in. Where are the parathyroid glands located in relation to the thyroid? A typical end-to-end bowel anastomosis is accomplished with which of the following suturing techniques? Which single statement about this phenomenon, below, is actually correct? a. a) No further increase in bone length occurs. A) The spleen can be enlarged as a result of trauma. After receiving a new post-op, Sue starts to get a report about the patient from the transferring nurse in the hall. A. Insulin and oral diabetic medications are administered routinely in the treatment of Type 2 diabetes. It is only used to allow you to reset your password. a) A "flip-flop" mechanism efficiently transports water directly across the enterocyte membrane b) Water flows into the gut from the mucosa, during digestion of starch and protein, in order to reduce luminal osmolality Tetany is a serious potential post-op complication of which type of surgical intervention? It is only used to allow you to reset your password. Sue is an RN on a busy post surgical unit. Which anatomical structure is the largest mass of lymphatic tissue in the body? Which fascial sheet is attached to the iliac crest, linea alba, and pubis? Quickly memorize the terms, phrases and much more. Teach the patient about PCA before surgery and before preoperative medication administration. We do not share your email address with others. A T-tube or wound drain left in place following laparoscopic cholecystectomy would MOST likely exit through: Which of the following are endocrine-secreting glands of the pancreas that make up only 1% of the organ? When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. What is another name for an acquired ventral hernia through the linea semilunaris? Which of the statements concerning blood collection in mice and rats is true? Privacy Policy and Doyen, Kocher, Dennis, and Allen are names of which type of instruments? It is highly variable in intensity and location. Because it is a GI stimulant, it is contraindicated with GI obstruction, hemorrhage, or perforation. The size of the uterus increases during pregnancy. What is another way of saying "cephalad to caudad"? B) Skeletal muscle cells atrophy as a result of paralysis. Labels may disclose potential actions. This refers to. 1100 MCQ in Dentistry with Answers 1. Make sure to remember your password. Which graft must be obtained with a dermatone, In what surgery would a small fragment compression set be used, A permanent pacemaker operates on a pulse generator powered by, Hypothermia is employed in cardiac surgery, NOT a component of a cardiopulmonary bypass system, Movement in a power instrument drills holes or insert screws, wires, or pins, The power source for air-powered dermatomes is, Suction tubing should be processed in the following way, residual of distilled ware in lumen, steam sterilize, tubing coiled, The suction tip that is right angles and is used for small amounts of fluid such as in the brain, Suction tip has an angle and is used in the mouth or throat, Each of the following steps can assist in the immediate determination of intraoperative blood loss EXCEPT, When using a cell saver for autologous blood transfusion, the blood is suctioned through a double lumen tubing and is, During orthopedic surgery the suction tubing shoud be, Which type of surgery would require several patent suction cannulas and suction often controlled by a foot pedal, When suctioning in neurosurgery a precaution taken is to, avoid applying vacuum directly on brain or neural tissue, Only when hemorrhage is not controlled by other methods, The proper setting for a tourniquet applied to an arm is, Exsanguination of a limb before tourniquet inflation is accomplished with wraping the elevated extremity with, The amount of pressure used to inflate a tourniquet dependss on all of the following except, A regional block that uses the tourniquet is a, patient's circulation to distal part of extremity is poor, Which action drains venous blood during tourniquet application, Elevate extremity BEFORE tightening tourniquet, At what point should the surgeon be informed of the time of tourniquet application, When would the use of Esmarch be contrindicated, Patient has had recent injury Patient has had recent cast, Which agent is NOT used to inflate a pneumatic tourniquet, A precaution necessary when using a pneumatic tourniquet is, Solution must be prevented from pooling under tourniquet, In which procedure would a tourniquet be contrindicated, The following statement regarding a grounding plate for electrosurgery is not true, The plate must be placed directly over bony prominence, A grounding pad is not required for the electrocautery in, The inactive electrode of the cautery is the, The electrical circuit of the electrocautery when, current flows to generator to active electrode, through tissue, and back to generator via the INACTIVE electrode, Why must the electorcautery tip be kept clean, To ensure electrical contact effectiveness, coagulation of cessel via metal instrument touching the active electrode, which electrode unit provides precise control of the coagulated area, Which condition is MOST acceptable when using electrocautery, Ground pad placed close to operative site, The active electrode on the electrocautery is the, in neck or nasopharynx surgery if nitrous oxide is used (might cause fire or explosion), Why are only moist sponges utilized during electrocautery use, Fulguration is utilized primarilly in _______ surgery, Transurethral resection (TUR) and prostate operations, When working in the bladder, why is more or higher electrical current necessary during cautery use, More current is needed when working in solution, Fulguration via the resectoscope is accomplised by the use of a ____ tip, A direct visualization of the common bile duct is done by meand of a, Complications can occur during endoscopy such as, An endoscopy procedure that does not require a sterile set up is, All are precautions when handling fiberoptic cables EXCEPT, Fiberoptic cable integrity is questionable when, A sterilant that is used on endoscopes that is bactericidal, fungicidal, and sporicidal in 20-30 minutes processing time is, Whis statement is true regarding a STERIS system for endoscope sterilization, Only one scope or a few instruments can be processed in a cycle, The endoscope that provies a view of the middle of the thorax, between the two pleural sacs is, Resolving power of an operating microscope means, Which item in the optical lens system is responsible for magnification, The range of focal length of the objective lenses in the operating microscope is, A continuously variable magnification system is afforded to the eye by the, The purpose of the "SLIT" lamp in eye surgery is, The operating microscope that visually ploys fiberoptics for its ligth source is, Care of the microscope would include all of the following EXCEPT, Damp dust lenses with detergent-disinfectant before use, The purpose of the beam splitter in an operating microscope is to, coincide the assistan's field of view with the surgeon's, the procedure employing the use of a self retaining laryngoscope and microscope is called a, The binocular microscope provides stereoscopic vision. A needle-localization procedure may be performed in radiology for assistance in locating discrete masses in the: What type of incision is made for excisional biopsy of a centrally located breast mass involving the lactiferous ducts? C A specific patient problem has been identified, and the potential contribution of its study to the scientific body of nursing knowledge is promising. Which type of surgical procedure is used to release abnormal tissue connections in the abdominal viscera and layers? It is used in the treatment of emesis after surgery, chemotherapy, and radiation. Then click the card to flip it. 36 A patient with type 1 diabetes has been made NPO after midnight for … What is achieved by insufflation of carbon dioxide into the abdominal cavity? 17. What is the name of a gastric mass of indigestible vegetable fiber and hair that may require surgical excision? Which handheld retractors are frequently used to retract tissues during thyroidectomy? The doctor accidentally cuts the bowel during surgery. B The significance of this statement is doubtful regarding its potential contribution to the scientific body of nursing knowledge. : b. increased public self-awareness would make those children in the mirror group more likely to steal than the children in the non-mirror group. True False The heart muscle enlarges as a result of hypertension. b) The bone increases in thickness and is remodeled. d) Both bone length and thickness continue to increase. DVT (deep vein thrombosis) NCLEX questions for nursing students! Which type of hernia occurs below the abdominocrural crease and more frequently in females? According to Virchow's Triad, a blood clot can form within the vein for several reasons. Great care is taken to identify and preserve the long thoracic and thoracodorsal nerves in which surgical procedure? a. increased public self-awareness would make those children in the mirror group less likely to steal than the children in the non-mirror group. Symptoms of DIC may include any of the following: You would need to create a new account. to send you a reset link. 1. Which type of viewing instrument would be used for surgical treatment of hemorrhoids? What is the reason for injecting saline through the cholangiogram catheter prior to the contrast media? Use these flashcards to help memorize information. a. Arteries are large-diameter vessels. “Tetralogy of Fallot is a cyanotic heart defect.” B. Which of these statements is true regarding assessment of the spleen in this situation? The risk for malabsorption (nutrient or medication) after bariatric surgery is dependent upon the type of surgical procedure performed; the patient’s level of adherence to medications, supplements, and diet; and the types of dosage forms administered following surgery. The nurse is taking the history of a client with suspected coronary artery disease (CAD). Elective noncardiac surgery after a stroke carries the most risk in the first 9 months, a population-based study showed, suggesting holding off until the hazard stabilizes thereafter. Which of the following herbs is U.S. Food and Drug Administration (FDA) approved as a laxative? Which statement is CORRECT regarding polyps and diverticula in the colon? A. both protrude inward into the lumen of the intestine B. both protrude outward from the lumen of the intestine C. polyps protrude inward, and diverticula protrude outward from the intestine D. diverticula protrude inward, and polyps protrude outward from the intestine During cholangiography, bubbles in the contrast media would likely: A Whipple procedure is done for treatment of a tumor in which abdominal organ? When the block is placed before the anesthesia start time or after the anesthesia end time, the time spent placing the block should not be added to the reported anesthesia time; this is true even if sedation and monitoring is provided to the patient during … For best results enter two or more search terms. The initial symptom is typically numbness. Swelling or blistering may occur following treatment. What type of hernia results from a failure of the deep internal ring to close during fetal development and allows intestinal protrusion into the scrotum? A deep vein thrombosis (DVT) is a blood clot that forms within the vein. Which magnifying powers are available for the microscope eyepieces? Which statement is CORRECT regarding polyps and diverticula in the colon? B. D. It is directly related to the degree of myocardial damage. If you forget it there is no way for StudyStack This information may also be found in drug monographs. * A 22-year-old man comes to the clinic for an examination after falling off his motorcycle and landing on his left side on the handlebars. What is the incision routinely used for open cholecystectomy? Select all that apply: A. The Emergency Medical Treatment and Active Labor Act (EMTALA) is an act of the United States Congress, passed in 1986 as part of the Consolidated Omnibus Budget Reconciliation Act (COBRA). Teach the patient about PCA after the patient comes out of recovery. Which of the following nursing interventions is appropriate to perform? "Bowel technique" refers to steps used by the surgical team to prevent postoperative: An intestinal stoma is created at a point below the costal margin, above the belt line, and at the lateral edge of which muscle? Frostbite is a skin injury that occurs when exposed to extreme low temperatures, causing the freezing of the skin or other tissues, most commonly affecting the fingers, toes, nose, ears, cheeks and chin areas. Which of the following is NOT a region of the pancreas? Bariatric Surgery and Malabsorption. Look at the large card and try to recall what is on the other side. They use the patients name in report, go over lab findings and complication during surgery while in the hall outside the patient's room. Surgical removal of the entire breast without any lymph nodes is a(n): Re-prep, redrape patient; team changes gowns and gloves; and use new instruments. The triangle of Calot is an anatomical space bounded by structures in which surgical procedure? MCQ Questions Preliminary examination All of these questions are based on what people remembered after exams SO IT CAN NOT BERELIED ON 100% but it is the only way to get an idea about the subjects, matters and … 2. c) The bone grows in length but not thickness. 1. What term is used for surgical opening of the abdominal or peritoneal cavity? The CST is qualified to communicate to the surgical team members the What type of hernia protrudes through the transversalis fascia in the area of Hesselbach's triangle? You can also use your keyboard to move the cards as follows: If you are logged in to your account, this website will remember which cards you know and don't know so that they The False Claims Act (FCA), also called the "Lincoln Law", is an American federal law that imposes liability on persons and companies (typically federal contractors) who defraud governmental programs. HBV, HCV, and alcohol abuse are precursors to which of the following diseases? A Maloney bougie dilator is used in which anatomical structure? Another name for a thyroid tenaculum is a: Which potentially life-threatening disease or condition can result from untreated thyrotoxicosis? C. Insulin is never taken by the Type 2 diabetic. What is the name for the type of hernia in which both direct and indirect defects are present? Chest discomfort at rest and inability to tolerate mowing the lawn b. Glaucoma is a progressive vision condition that can lead to permanent blindness. b. What do the parathyroid glands regulate in the body? b. In which of the following abdominal incisions would the linea alba be opened down to the peritoneum? “In this condition the heart has to work harder to pump blood to the lungs, which cause the right ventricle to work harder and enlarge.” This may be followed by clumsiness with a white or bluish color to the skin. The nurse suspects that he may have injured his spleen. Hepatic cells increase cell division after part of the liver is excised. Which surgical position is used exclusively for anorectal surgical procedures? Pregnancy complications (such as placenta that is left behind after delivery) Recent surgery or anesthesia; Severe tissue injury (as in burns and head injury) Large hemangioma (a blood vessel that is not formed properly) Symptoms.