Surgical Technology and Patient Care: A Comprehensive Guide, Exams of General Surgery

Download Surgical Technology and Patient Care: A Comprehensive Guide and more Exams General Surgery in PDF only on Docsity! SURG 111 Final Review The ______ comes before the main part (root) of the word and alters the meaning - Prefix The more modern version of surgical technology, that is an allied health professional serving predominantly in the scrub role, began to develop in - United States Which surgical team member is considered the first scrub - Surgical technologist How many phases of surgical patient care are there - 3 Which phase of case management occurs prior to the incision or insertion of the endoscope or incision - Pre-op Which phase of case management occurs while the surgical procedure is performed - Intra-op Which one is not a non sterile team member - Surgical tech Which duty is not one of the circulators many duties - Gown and glove the surgeon The anesthesia provider may be all except - Surgical tech Accreditation of allied health education programs - CAAHEP Accrediting Bureau of Health Education Schools - ABHES Who recognizes 14 surgical specialties - ACS/ABMS A patient comes into the ER with a bleeding stab wound, what is his surgical classification - Emergent Mr. White has gallstones what is his surgical classification - Urgent A surgical technologist is setting up her back table and her arm accidentally brushes against her table contaminating it. No one saw a mistake but she discarded the drape and got a new one. What is she practicing? - Surgical conscience In the OR environment what's temp should the OR be - 68-73 What should the humidity be in the OR - 20-60% What is the title of a surgical tech who has completed 350 cases and has more then 5 years experience and can retract tissue - CSFA How many air exchanges per hour in the OR - 15-25 People and items must be how many inches from the sterile field - 12-18 Professionalism begins with competency and commitment in the workplace. All of the following are professionalism traits except - Keeping track of coworkers mistakes Anterior ______ front; Posterior _______ back - Ventral; Dorsal Visceral: means wall ; parietal means organ - False The gallbladder is in the _______ quadrant - RUQ Proximal is close to point of origin and distal is farther away from point of origin therefore the distal part of the thigh bone (femur) is the - Knee Which surgical team member is considered the first scrub - Surgical technologist Which phase of case management occurs prior to the incision or insertion of the endoscope - Pre-op Mr. Jones has an opaque lens called cataracts. Which service will he consult? - Ophthalmic Which surgical sponge is for superficial tissue and come 10 to a pack - Reytec Upon graduation from an accredited surgical technology program, surgical technologist may sit for the national certification examination administered by - NBSTSA How long do it take to sterilize an item in the gravity displacement autoclave at 15-17 psi at 250 - 30 mins what is the OR temp? - 68-73 How many air exchanges in the OR to fight microorganisms - 15-20 Who gives permission to move the patient - Anesthesiologist To prevent possible contamination of the sterile field we have - Positive pressure ST cannot start IV lines but allowed to catheterize a patient - True The proper attire for the semi restricted area in the operating room suite, such as a conference room is - scrub suit, cap, shoe covers To decrease airborne contamination and static electricity, the relative humidity of the operating room maintained at - 20% to 60% The operating room temperature should be raised from the normal 68 to 73 or 80 for which of the following patient population - The infant Patient safety in the operating room is the responsibility of the - entire surgical team When lifting heavy objects you should - lift with a slow, even motion The ______ is the number one organ injured in a motor vehicle accident - spleen A patient is considered a pediatric patient I've he or she is between the ages of - Birth - 18 A child less than 6 months of age cannot shiver therefore the child is at risk for? - hypothermia Who should stand nearby to assist the anesthesia provider during induction of a pediatric patient? - Circulator Which task should the circulating surgical technologist perform to assist the anesthesia provider during induction of a pediatric patient - help control the child's movements The critical parameters for monitoring pediatric patients include all of the following EXCEPT ___. - Bowel movements In comparison with adults, pediatric patients have little subcutaneous fat and before - Poor thermal insulation Which component of patient needs or rights are these from 1) capacity for the adequate exchange of oxygen and carbon dioxide 2) adequate hydration 3) nutrition and the best possible state of health 4) adequate elimination of waste 5) sleep, rest, and warmth - Physical needs Reassure the patient convey warmth, acceptance , respect, and caring. Is helping to meet the patients _____ needs - Social and cultural needs A major concern in the operating room for pediatric patients is insensible water loss. Why does this loss occur? - overhead radiant heaters What is the initial sign of a postoperative infection - fever Accidents are the number one cause of death in children aged 1-15 - True Morbid obesity refers to patients whose body weight is at least _____ overweight - 20% Physiological and disease conditions as related to obesity include all except - Glaucoma Venous stasis and thrombosis leads to - DVT Freedom from fear or anxiety, fears include the unknown, loss of self control, financial loss, disfigurement, pain, death, loss of security. Are examples of - Emotional needs When faced with these types of stressors, the patient may exhibit one or more coping mechanisms. Patient seems to go back to an earlier stage of life, such as adolescence and exhibits behaviors unique to that stage, such as assuming a fetal position, excessive crying and pouting - Regression Death is one part of the natural progression of life. There are three accepted definition of death which is the irreversible loss of all functions. This brain death is the current law as what defines death in most jurisdictions of the world and reflects the standards set by the Harvard school of medicine. It includes a flat EEG, unresponsiveness, lack of pupil reflexes and low body temperature - Whole brain death People cope with grief in distinct stages. These stages were introduced by Elizabeth Kubler-Ross and have come to be known as the five stages of grief. This is the initial stage. Patients may be saying something such as " it can't be happening to me" - Denial Which general category of death is where the surgical technologist should be aware of the protocol of preserving evidence. Photographs of hospital scenes or physical injuries to the individual may need to be obtained - Accidental Maslow's hierarchy of needs. These are basic social needs to be known and cared for as an individual and care for another - Love and belongings needs Religious values can easily conflict with modern medicine. These create both ethical and legal problems for patients and health care providers - True Spiritual or religious practices and rituals play important roles in end of life care. Which spiritual or religious practice feel that cremation is he best way for the soul to begin its journey - Hindus Spiritual or religious practices and rituals play important roles in end of life care. Which spiritual or religious practice feels that the dying patient should not be left alone - Jewish Spiritual or religious practices and rituals play important roles in. End of life care. Which spiritual or religious practices do not believe in or permit the transfusion of whole blood or blood components - Jehovah's Witness Surgical technologist should have compassion, be assuring but dont express a positive surgical outcome. (Like everything is going to be alright) - True The surgical technologist must be aware of these stressors and how they affect the patient physically and mentally. All are stressors except - Who is my physician Which religion has a ritual known as anointing of the sick may be performed on a seriously ill person - Roman Catholic People cope with grief in distinct stages. These stages were introduced by ______ and have come to be known as the five stages of grief - Patient who are obese are subject to increased postoperative ______ - Wound infections Patients who are obese are at high risk for coronary artery disease because of _____ - hypertension Which postoperative complication is not common for gastric bypass or gastroplasty surgery? - suture rejection During abdominal procedures on patients who are obese, what procedure might additionally be performed due to newly identified pathology? - cholecystectomy Anesthesia affects the normal _____ and physiological process of insulin - metabolic Immediate operative intervention is performed on the pregnant patient for the following emergency procedures EXCEPT ___. - competent cervical os In the pregnant patient, what trimester is the ideal time to perform abdominal surgery? - second Which disease is NOT an autoimmune disease? - AIDS What situation would present difficulties in the intubation of a patient with AIDS? - Kaposi's sarcoma lesions The term GOLDEN HOUR refers to _____ - giving care to a trauma victim within an hour For pediatric patients, _____ temperature is the primary means of monitoring temperature - skin Given the focused and technical tasks of the operating room, the team must struggle against the tendency to ___. - lose sight of the patient as a total person The needs or activities related to one's identification or interaction with another individual or group forms which component of the human being? - Social A uterine fibroid is an example of what type of factor causing surgical intervention? - nonmalignant neoplasm Which of the following is a malignant neoplasm? - glioblastoma According to Maslow's Hierarchy, which are the most basic needs? - physiological All developmental theories must account for changes in which domain? - cognitive One of the advantages to the life-stage approach is that it ______ - does not require advanced levels of education to apply If a patient asks what you do, you should _____ - explain in simple factual language Which consideration may be more relevant to the elderly patient than to an adolescent? - patient's skin condition When positioning the elderly patient, the team must be especially aware of _____ - a loss of mobility in joints Which is a common physiological factor in the elderly? - decreased coronary artery blood flow If adult response is the norm, pediatric patients must be observed for what response? - Paradoxical (opposite) responses to some drugs Several components make up an individual. Any need or activity related to genetics, physiology, or anatomy is termed a __ need? - physical Any need or activity related to the identification and understanding of oneself is termed a __ need? - physiological Any need or activity related to the identification and understanding of one's place in an organized universe (expression may involve theology, philosophy, mythology, and intuition) is termed a ____ need - Spiritual Any need or activity related to one's identification or interaction with another individual or group is termed a _____ need - Social What is the term given to a genetic malformation known commonly as a cleft lip? - cheiloschisis An example of a non malignant neoplasm is _____ - uterine fibroid According to the text, which two broad factors apply to a patient's reaction to health, illness, and hospitalization? - Adaptation, stress Roy states that health involves becoming an integrated and __ person? - whole A nonspecific response of the body to demand is known as _____ - stress